Prevalence and associations of General Practice registrars’ management of Impetigo: a cross-sectional analysis from the registrar clinical encounters in training (ReCEnT) study

Journal Publication ResearchOnline@JCU
Gorges, Hilary;Heal, Clare;van Driel, Mieke;Tapley, Amanda;Davis, Joshua;Holliday, Elizabeth;Ball, Jean;Najib, Nashwa;Spike, Neil;Fitzgerald, Kirsten;Magin, Parker
Abstract

Background: Impetigo is a mild bacterial skin infection of childhood that is usually managed empirically in primary care. Objective: To establish the prevalence and associations of impetigo in general practice (GP) registrars’ consultations. Methods: Cross-sectional analysis of the Registrar Clinical Encounters in Training (ReCEnT) study data. Results: Impetigo was managed in 0.24% of problems and 0.43% of consultations. Patient variables associated with impetigo presentations were younger age and impetigo as a new problem, while patients with non–English-speaking backgrounds were less likely to present with impetigo. Associated registrar variables were being new to the registrar and practicing in outer regional/remote locations. Compared with all other problems/diagnoses, impetigo more often involved information seeking, ordering pathology, and prescription of medication, but less often involved follow-up or referral. Conclusions: Impetigo accounts for 0.43 per 100 GP registrar consultations in Australia. Association with outer regional/remote areas may reflect climate and socioeconomic factors that predispose to impetigo. Associated pathology requests may reflect a lack of confidence in GP registrars’ management of impetigo. Cultural differences may exist regarding health-seeking behavior relating to impetigo.

Journal

Dermatology Practical & Conceptual

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Volume

10

ISBN/ISSN

2160-9381

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Issue

2

Pages Count

6

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Publisher

Derm101

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DOI

10.5826/dpc.1002a43