Resident's Forum
RF - Organization of a Dermatology Department During the COVID-19 Pandemic
FR - Organización de un Servicio de Dermatología en la pandemia del COVID-19
P.A. Cerro
, A.M. Palma, A. Navarro-Bielsa, Y. Gilaberte
Corresponding author
Servicio de Dermatología, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, Spain
Read
4349
Timeswas read the article
1717
Total PDF
2632
Total HTML
Share statistics
array:25 [ "pii" => "S1578219020302766" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.04.015" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2332" "copyright" => "AEDV" "copyrightAnyo" => "2020" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2020;111:781-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "Traduccion" => array:1 [ "es" => array:20 [ "pii" => "S000173102030106X" "issn" => "00017310" "doi" => "10.1016/j.ad.2020.04.003" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2332" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2020;111:781-2" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "es" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Foro de Residentes</span>" "titulo" => "FR - Organización de un servicio de dermatología en la pandemia del COVID-19" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "781" "paginaFinal" => "782" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "RF - Organisation of a Dermatology Department During the COVID-19 Pandemic" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "P.A. Cerro, A.M. Palma, A. Navarro-Bielsa, Y. Gilaberte" "autores" => array:4 [ 0 => array:2 [ "nombre" => "P.A." "apellidos" => "Cerro" ] 1 => array:2 [ "nombre" => "A.M." "apellidos" => "Palma" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Navarro-Bielsa" ] 3 => array:2 [ "nombre" => "Y." "apellidos" => "Gilaberte" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S1578219020302766" "doi" => "10.1016/j.adengl.2020.04.015" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302766?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S000173102030106X?idApp=UINPBA000044" "url" => "/00017310/0000011100000009/v1_202011260611/S000173102030106X/v1_202011260611/es/main.assets" ] ] "itemSiguiente" => array:20 [ "pii" => "S1578219020302791" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.10.004" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2409" "copyright" => "AEDV" "documento" => "article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Actas Dermosifiliogr. 2020;111:783" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Images in Dermatology</span>" "titulo" => "Dorsal Pterygium and Onycholysis Associated With Bullous Pemphigoid" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "783" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pterigion dorsal y onicólisis asociados a un penfigoide ampolloso" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1097 "Ancho" => 1625 "Tamanyo" => 217789 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0005" "detalle" => "Figure " "rol" => "short" ] ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "H. Iznardo, C. García-Melendo, J.F. Mir-Bonafé" "autores" => array:3 [ 0 => array:2 [ "nombre" => "H." "apellidos" => "Iznardo" ] 1 => array:2 [ "nombre" => "C." "apellidos" => "García-Melendo" ] 2 => array:2 [ "nombre" => "J.F." "apellidos" => "Mir-Bonafé" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731020302246" "doi" => "10.1016/j.ad.2018.09.030" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020302246?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302791?idApp=UINPBA000044" "url" => "/15782190/0000011100000009/v1_202012010756/S1578219020302791/v1_202012010756/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S157821902030281X" "issn" => "15782190" "doi" => "10.1016/j.adengl.2020.10.006" "estado" => "S300" "fechaPublicacion" => "2020-11-01" "aid" => "2434" "copyright" => "AEDV" "documento" => "simple-article" "crossmark" => 1 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "crp" "cita" => "Actas Dermosifiliogr. 2020;111:775-80" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Brief Comunication</span>" "titulo" => "Kindler Syndrome: A Multidisciplinary Management Approach" "tienePdf" => "en" "tieneTextoCompleto" => "en" "tieneResumen" => array:2 [ 0 => "en" 1 => "es" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "775" "paginaFinal" => "780" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Síndrome de Kindler, manejo multidisciplinario" ] ] "contieneResumen" => array:2 [ "en" => true "es" => true ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:8 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr6.jpeg" "Alto" => 743 "Ancho" => 1255 "Tamanyo" => 169525 ] ] "detalles" => array:1 [ 0 => array:3 [ "identificador" => "at0010" "detalle" => "Figure " "rol" => "short" ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Clinical manifestations. A, Case 2. Dry skin with atrophic areas with a cigarette-paper-like appearance and multiple freckles. B, Case 3. Plantar pitting.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "R. Torres-Iberico, Y. Condori-Fernández, C. Apagüeño-Ruiz, M. Andia-Ticona, R. Pomar-Morante" "autores" => array:5 [ 0 => array:2 [ "nombre" => "R." "apellidos" => "Torres-Iberico" ] 1 => array:2 [ "nombre" => "Y." "apellidos" => "Condori-Fernández" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Apagüeño-Ruiz" ] 3 => array:2 [ "nombre" => "M." "apellidos" => "Andia-Ticona" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Pomar-Morante" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0001731020302799" "doi" => "10.1016/j.ad.2019.04.013" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731020302799?idApp=UINPBA000044" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S157821902030281X?idApp=UINPBA000044" "url" => "/15782190/0000011100000009/v1_202012010756/S157821902030281X/v1_202012010756/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Resident's Forum</span>" "titulo" => "RF - Organization of a Dermatology Department During the COVID-19 Pandemic" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "781" "paginaFinal" => "782" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "P.A. Cerro, A.M. Palma, A. Navarro-Bielsa, Y. Gilaberte" "autores" => array:4 [ 0 => array:4 [ "nombre" => "P.A." "apellidos" => "Cerro" "email" => array:1 [ 0 => "pcerro@gmail.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "A.M." "apellidos" => "Palma" ] 2 => array:2 [ "nombre" => "A." "apellidos" => "Navarro-Bielsa" ] 3 => array:2 [ "nombre" => "Y." "apellidos" => "Gilaberte" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Dermatología, Hospital Universitario Miguel Servet, IIS Aragón, Zaragoza, Spain" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "FR - Organización de un Servicio de Dermatología en la pandemia del COVID-19" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Some dermatology departments have written about their experience during the current pandemic. In Italy, a dermatology clinic postponed visits, treating only urgent cases. The reduction in routine activities allowed reallocation of staff to care for COVID-19 patients.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> A similar approach was adopted by the dermatology department of the West China Hospital, Sichuan University: care was provided via telephone consultations, allowing for a reduction in the flow of patients attending the clinic. Patients wore masks and had their temperature taken before entering the clinic, and doctors wore masks, surgical caps, protective suits, gloves, and goggles throughout the working day.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> At the Sun-Yat-sen University Hospital in China, staff received training in protective measures and facilities were regularly disinfected, resulting in a COVID-19 infection rate of 0% in the dermatology department.<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a></p><p id="par0010" class="elsevierStylePara elsevierViewall">The dermatology department of the Miguel Servet University Hospital, Zaragoza, Spain, adopted measures to prevent transmission between patients and staff. COVID-19 training was provided and departmental meetings were suspended. From the beginning of the state of alarm (March 16) to March 31, scheduled visits were managed by telephone (645 first consultations and 586 follow-up consultations). Some patients were asked to email photographs of their lesions to the department, and were successfully managed and treated (using the electronic prescription service) and discharged whenever possible, with subsequent follow-up categorized as either urgent, preferential, or normal. In cases considered urgent, patients were seen in person, without accompaniment, except in the case of minors or dependents. Staff wore surgical masks and gloves throughout the consultation. Dermatological surgeries were canceled, with the exception of 10 patients with skin cancer. Digital dermoscopy, phototherapy, and photodynamic therapy consultations were temporarily suspended. Two patients with severe bullous dermatosis were hospitalized in a specialized COVID-19-free burn unit. Seventeen interdepartmental primary care consultations were carried out virtually using the department’s teledermatology system, and staff attended 20 interdepartmental consultations in the hospital’s wards and emergency department.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Finally, a specific process was created for consultations involving patients with skin lesions and suspected COVID-19 infection. All cases were first evaluated by teledermatology, after which patients were selected for face-to face consultation.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Two of the 8 specialists, 2 of the 3 residents, and 2 of the 8 nurses from the dermatology department were relocated to care for patients with COVID-19. To date, one member of staff of the dermatology department has contracted COVID-19.</p><p id="par0025" class="elsevierStylePara elsevierViewall">We have been through an exceptional experience. Healthcare services at our hospital did not collapse due to the pandemic, allowing the dermatology department to continue providing care to patients with skin disorders and to collaborate in caring for COVID-19 patients.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2020-04-17" "fechaAceptado" => "2020-04-21" "PalabrasClave" => array:1 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec1301722" "palabras" => array:5 [ 0 => "COVID-19" 1 => "Coronavirus" 2 => "SARS" 3 => "Dermatology" 4 => "Pandemic" ] ] ] ] "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Cerro PA, Palma AM, Navarro-Bielsa A, Gilaberte Y. FR - Organización de un Servicio de Dermatología en la pandemia del COVID-19. Actas Dermosifiliogr. 2020. <span class="elsevierStyleInterRef" id="intr0005" href="https://doi.org/10.1016/j.ad.2020.04.003">https://doi.org/10.1016/j.ad.2020.04.003</span></p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Global coronavirus pandemic (2019-nCOV): Implication for an Italian medium size dermatological clinic of a II level hospital" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "G. Radi" 1 => "F. Diotallevi" 2 => "A. Campanati" 3 => "A. Offidani" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/jdv.16386" "Revista" => array:2 [ "tituloSerie" => "J Eur Acad Dermatol Venereol." "fecha" => "2020" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What are we doing in the dermatology outpatient department amidst the raging of the 2019 novel coronavirus?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "Y. Chen" 1 => "S. Pradhan" 2 => "S. Xue" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jaad.2020.02.030" "Revista" => array:5 [ "tituloSerie" => "J Am Acad Dermatol" "fecha" => "2020" "volumen" => "82" "paginaInicial" => "1034" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32081700" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Dermatology staff participate in fight against Covid-19 in China" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "Y. Zheng" 1 => "W. Lai" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1111/jdv.16390" "Revista" => array:2 [ "tituloSerie" => "J Eur Acad Dermatol Venereol" "fecha" => "2020" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/15782190/0000011100000009/v1_202012010756/S1578219020302766/v1_202012010756/en/main.assets" "Apartado" => array:4 [ "identificador" => "34945" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Resident's Forum" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/15782190/0000011100000009/v1_202012010756/S1578219020302766/v1_202012010756/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1578219020302766?idApp=UINPBA000044" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 4 | 10 |
| 2024 October | 66 | 58 | 124 |
| 2024 September | 78 | 21 | 99 |
| 2024 August | 102 | 60 | 162 |
| 2024 July | 66 | 31 | 97 |
| 2024 June | 74 | 30 | 104 |
| 2024 May | 65 | 26 | 91 |
| 2024 April | 73 | 25 | 98 |
| 2024 March | 70 | 24 | 94 |
| 2024 February | 54 | 26 | 80 |
| 2024 January | 58 | 28 | 86 |
| 2023 December | 41 | 17 | 58 |
| 2023 November | 57 | 31 | 88 |
| 2023 October | 67 | 21 | 88 |
| 2023 September | 45 | 26 | 71 |
| 2023 August | 28 | 12 | 40 |
| 2023 July | 51 | 27 | 78 |
| 2023 June | 45 | 21 | 66 |
| 2023 May | 49 | 19 | 68 |
| 2023 April | 42 | 23 | 65 |
| 2023 March | 41 | 26 | 67 |
| 2023 February | 39 | 27 | 66 |
| 2023 January | 29 | 21 | 50 |
| 2022 December | 48 | 31 | 79 |
| 2022 November | 20 | 30 | 50 |
| 2022 October | 22 | 21 | 43 |
| 2022 September | 29 | 35 | 64 |
| 2022 August | 21 | 40 | 61 |
| 2022 July | 24 | 41 | 65 |
| 2022 June | 27 | 31 | 58 |
| 2022 May | 43 | 41 | 84 |
| 2022 April | 62 | 47 | 109 |
| 2022 March | 58 | 69 | 127 |
| 2022 February | 64 | 35 | 99 |
| 2022 January | 51 | 45 | 96 |
| 2021 December | 45 | 50 | 95 |
| 2021 November | 65 | 47 | 112 |
| 2021 October | 63 | 65 | 128 |
| 2021 September | 48 | 46 | 94 |
| 2021 August | 51 | 46 | 97 |
| 2021 July | 40 | 25 | 65 |
| 2021 June | 32 | 30 | 62 |
| 2021 May | 43 | 54 | 97 |
| 2021 April | 128 | 94 | 222 |
| 2021 March | 69 | 45 | 114 |
| 2021 February | 60 | 35 | 95 |
| 2021 January | 76 | 30 | 106 |
| 2020 December | 75 | 40 | 115 |
| 2020 November | 44 | 23 | 67 |
| 2020 October | 78 | 17 | 95 |
Show all
