香港家庭医生研究病毒疹之经验分享

Research experience in viral exanthems as family physicians in Hong Kong

我们对病毒疹的研究产生了特别的兴趣。虽然我们这方面的贡献及成就非常有限 ,我们仍希望与其他地区的全科医生分享我们的经验。由于发病毒疹的病人通常最先请教家庭医生 ,家庭医生精确的诊断尤其重要。正确的诊断既可免除繁琐的理化检查 ,也可让家庭医生及时缓解病者的症状 ,使病者安心。病毒疹作为家庭医生研究的方向之一 ,其主要原因为大部分的病人皆于发病的初期求诊。当病者转介至各种专科医生时 ,急性病毒感染的化理证据 ,可能已经不能化验出来了。很多病毒疹于亚洲及华裔病人的个案报告较少发表。而且 ,来自一线医生的流行病学数据 ,通常比来自二线医生的同样数据较少偏差。此外 。

We have developed special interests in conducting research in viral exanthems.Our contributions and achievements are minimal.However,we would like to share our experience with primary care physicians in other parts of China.Viral exanthems matter much to family physicians as most patients with such exanthems initially consult family physicians.Early precise diagnosis negates the need for unnecessary investigations and treatments.Symptomatic control and reassurance can be offered.The single most important factor for viral exanthems being good choices for research by family physicians is that most patients consult family physicians at an early phase of the eruption.By the time they are referred to other specialists,laboratory evidence of acute primary viral infection may no longer be detectable.Other factors are that many rashes are relatively unreported and uninvestigated in Asian and Chinese patients,and that epidemiological data from primary care is relatively unbiased compared with that from secondary care.Viral exanthems also serve as good models for which family physicians can collaborate with international multidisciplinary investigators.