Body piercing appears to be gaining popularity and social acceptance. With the increase in the number of piercings and tattoos, it is likely that health care providers may see an increase in the complications resulting from these piercings. These may include the transmission of hepatitis viruses and bacteria at the time of the piercing or in the course of wound care. We review the infectious complications that have resulted from body piercing and tattooing that has been documented in the medical literature.
Myiasis-the feeding of fly larvae on living mammals, may have various clinical presentations depending on the tissues or organs involved. Myiasis is a common travel associated skin disorder as a consequence of short visits to developing countries. It is the fourth most common travel associated disease. The most common clinical manifestations of fly larvae infestation include inflammatory and allergic reactions. Ear, eye and respiratory tract infestations are not uncommon and the human botfly Dermatobia hominis is the most recognised causative organism. We present an unusual case report of a myiasis in the upper lip of a patient admitted under the maxillofacial team at South Manchester Hospital.
Introduction
Due to the COVID-19 pandemic most Oral and Maxillofacial Surgery (OMFS) units have moved to conducting patient consultations over the telephone. The aim of this study was to assess patient satisfaction with telephone consultations during the COVID-19 pandemic.
Methods
A retrospective survey was conducted of OMFS patients at our hospital who had telephone consultations between 1
st
April-8
th
June 2020. The survey was conducted by independent interviewers and used the Generic Medical Interview Satisfaction Scale (G-MISS) along with a previously published additional questionnaire. Variables recorded included age, gender, theme of consultation, grade of clinician and type of consultation. Statistical analysis was performed to assess for any difference between patient groups.
Results
The records of 150 consecutive patients were reviewed and 135 met inclusion criteria. A total of 109 patients completed the survey giving a response rate of 80.74%. The total G-MISS score for satisfaction was high indicating a high level of satisfaction among all patients. We found no statistical difference in satisfaction when comparing patients in terms of gender, age, theme of consultation or level of clinician. A significant difference was found in compliance levels between review and new patients with review patients demonstrating higher compliance levels (p = 0.004). Overall, 83.48% of patients said they would be willing to have a telephone consultation in future.
Conclusion
The majority of patients in this study reported high levels of satisfaction with telephone consultations. New patients reported lower levels of compliance which may suggest these consultations are less amenable to telephone consultation.
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