Society of Dermatology Hospitalists supportive care guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis in adults
| Autor: | Cody Calhoun, Benjamin H. Kaffenberger, Stephen J. Malachowski, Lindsay C. Strowd, Alex G. Ortega-Loayza, Scott Worswick, Alisa N. Femia, Victoria R. Sharon, Anisha Guda, Rebecca B. Saunderson, Juliana Eljure-Téllez, Cindy E. Owen, Karolyn A. Wanat, Caroline M. Mitchell, Arturo R. Dominguez, Lindy P. Fox, Elizabeth N. Ergen, Hajirah N. Saeed, Samantha Venkatesh, Swapna S Shanbhag, Jonathan Cotliar, Robert G. Micheletti, David A. Wetter, James Sun, Mark D. P. Davis, Steven T. Chen, Katherine L. DeNiro, Daniela Kroshinsky, Melissa M. Mauskar, Thomas M. Beachkofsky, Adela R. Cardones, Helena B. Pasieka, Alina G. Bridges, James Chodosh, Lucia Seminario-Vidal, Alina Markova, Sahand Rahnama-Moghadam, Arash Mostaghimi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Dermatology Likert scale law.invention 030207 dermatology & venereal diseases 03 medical and health sciences Wound care 0302 clinical medicine law medicine Humans business.industry Stevens johnson Guideline Pain management medicine.disease Intensive care unit Toxic epidermal necrolysis stomatognathic diseases Stevens-Johnson Syndrome 030220 oncology & carcinogenesis Airway management business |
| Zdroj: | Journal of the American Academy of Dermatology. 82:1553-1567 |
| ISSN: | 0190-9622 |
| Popis: | Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening conditions with high morbidity and mortality. Supportive care management of SJS/TEN is highly variable. A systematic review of the literature was performed by dermatologists, ophthalmologists, intensivists, and gynecologists with expertise in SJS/TEN to generate statements for supportive care guideline development. Members of the Society of Dermatology Hospitalists with expertise in SJS/TEN were invited to participate in a modified, online Delphi-consensus. Participants were administered 9-point Likert scale questionnaires regarding 135 statements. The RAND/UCLA Appropriateness Method was used to evaluate and select proposed statements for guideline inclusion; statements with median ratings of 6.5 to 9 and a disagreement index of ≤1 were included in the guideline. For the final round, the guidelines were appraised by all of the participants. Included are an evidence-based discussion and recommendations for hospital setting and care team, wound care, ocular care, oral care, urogenital care, pain management, infection surveillance, fluid and electrolyte management, nutrition and stress ulcer prophylaxis, airway management, and anticoagulation in adult patients with SJS/TEN. |
| Databáze: | OpenAIRE |
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