Evaluation of Dermatological Consultations of Patients treated in Intensive Care Unit

Abstract

Background: Skin disorders which require treatment are a common development in patients treated in intensive care units (ICUs). There are very few prospective studies about skin complications in adult ICUs. Objective: The aim of this study is to evaluate skin disorders in ICU-treated adult patients who were consulted for dermatological problems. Methods: Eighty-two of 591 patients admitted to ICUs who were consulted for dermatological problems were included in the study. The correlation between skin complications and associated comorbidities, age, gender and ICU length of stay were analyzed. Results: Ninety dermatological complications were observed. Cutaneous drug reactions were significantly more frequent in female patients than males (p = 0.020). Candidal intertrigo was more frequent in diabetic patients than in nondiabetic patients (p = 0.042). Conclusion: Patients in ICUs may develop various skin disorders that need to be evaluated by dermatological consultations. Clinical features of the patients, especially gender and comorbidities, may predispose skin complications.

Prospective analysis of skin findings in surgical critically Ill patients intensive care unit

“…[461112] Studies conducted at ICUs showed Candida as the most common pathogen. [461113] The high prevalence of Candida infections in ICU patients was linked to this pathogen's rapid growth at suitable temperatures and moisture, its ability to involve intertriginous areas, its abundance of human flora, and liberal use of broad-spectrum antibiotics and parenteral nutrition at ICUs. [13] In surgical patients, the infection rate is reportedly increased due to additional factors such as having disrupted skin integrity, administering inappropriate antibiotic prophylaxis, using improper operation room asepsis/antisepsis practices, leaving foreign material in surgical field, and using improper surgical technique.…”

“…[13] Dermatological disorders at ICUs reduce quality of life, increase complexity of drug regimens, prolong duration of ICU stay, and increase mortality and morbidity. [24567]…”

Dermatological Complications after Bariatric Surgery: Report of Two Cases and Review of the Literature

“…Insufficient nutritional support, such as in intensive care unit patients, may facilitate the development of skin disorders, with skin infections being the most common in these patients [2]. …”

Skin Reaction After Diltiazem Hydrochloride Use in Intensive Care Unit: Case Report

“…5,13,14 Daha önce rapor edilen hastaların bir kıs-mında ilacın kesilmesi yeterli olmuş, bir kısmında ise ilave sistemik steroid verilmesi gerekmiştir. 13,14 Çalışmamızdaki olgunun aldığı antibiyoterapinin 15 davisine başladıktan üç gün sonra deri döküntü-leri ortaya çıkmış, ilaç kesildikten ve metil prednizolon tedavisi başlandıktan sonra 10 gün içinde kaybolmuştur.…”

“…15,16 Akut batın ön tanısıyla YB'ye kabul edilen olgumuzda saptanan bir enfeksiyon bulgusu yoktu. Tedaviye eklenen DH ile başlayan ve kesilince solan döküntüler, bir ilaç reaksiyonuna bağlı dö-küntü olabileceğini düşündürmüştür.…”