一个澳大利亚城郊地区职业性接触性皮炎的发病率与患病率

作     者：Keegel T. Cahill J. Noonan A. R. Nixon 潘敏 

作者机构：Occupational Dermatology Research and Education Centre Skin and Cancer Foundation Inc. PO Box 132 Carlton South Vic. 3053 Australia Dr. 

出 版 物：《世界核心医学期刊文摘（皮肤病学分册）》 (Digest of the World Core Medical JOurnals:Dermatology)

年 卷 期：2005年第1卷第9期

页      面：40-41页

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 100402[医学-劳动卫生与环境卫生学] 10[医学] 

主　　题：城郊地区 皮肤病学 斑贴试验 皮肤科医师 皮肤病专家 可疑病例 实验程序 数据收集方法 阳性预测值 统计数字 

摘      要：Occupational contact dermatitis (OCD) regularly causes high levelsofworkermorbidity;however,thisisoftennotreflectedin available statistics. This study aimed to collect and verify OCD reports/referrals and generate disease estimates for a defined geographical area in Melbourne, Australia. Two methods of data collection were used. In the first method, 30 general practitioners (GPs), 2 dermatologists and 1 dermatology outpatient clinicwithinadefinedareareportedeachworkerwithsuspected OCD seen as part of routine practice. With the second method, workers living in the area who were referred to a tertiary referral OCD clinic were included in the study. An occupational dermatologist used a gold standard process that included diagnostic patch testing to verify suspected cases. The incidence rate for confirmed cases was 20.5 per 100 000 workers 95%confidence interval (CI):13-32.1 . The 1-year-period prevalence rate was 34.5 per 100000 (95%CI:24.4-48.7). The positive predictive value (PPV) was highest for the occupational dermatology clinic referrals 63%(95%CI:49-76%) compared with reports from the dermatologists/dermatology outpatient clinic 55%(95%CI:36-74%) and from GPs 43%(95%CI:29-59%) . This study utilizes reports from GPs and dermatologists to provide OCD disease estimates and validation data for an OCD disease register.