FREQUENCY OF REFERRALS IN DERMATOLOGY AT THE TEACHING HOSPITAL GABRIEL TOURE FROM JANUARY 1ST TO DECEMBER 31ST 2016

The reference is the transfer from one health facility to another of a case of illness, which for one reason or another is unsatisfactory. These reasons can be medical; social and economic References are becoming more and more common in a dermatological hospital because of the emergence of certain dermatoses. Objective of our work was to study the frequency of dermatological references at Gabriel Touré Teaching Hospital, Describing the socio-demographic and clinical profile of referred patients. This was a descriptive cross-sectional study of the data of patients referred to dermatology from Gabriel Touré University Hospital during the period from January 1st to December 31st, 2016. at the end of our study, we collected 226 reference cases, ie 13.6% of the patients consulted. Female sex accounted for 57.5% and male sex for 42.5% of cases. The age group of 1 to 5 years accounted for 17.7%, the age group 36-40 10.6%, the age group of over 51 accounted for 12.8% and 1 year accounted for 9.3%. The majority of our patients were referred by the various departments of Teaching hospital Gabriel Toure(56.4%) (Pediatrics 23.1%, gastroenterology 19.6% and medical department 13.4%). Infectious dermatosis accounted for 53.1% of the reference (Bacterial 17.7%, fungal 18.1%, 13.3%). Tumor dermatosis accounted for 4%, genodermatosis 3.1%, autoimmune dermatosis 1.3% of cases. The mismatch between the reference pattern and the selected diagnosis was observed in more than 70% of cases.the present study shows that dermatosis are a frequent reference for general and specialized medicine, hence the need to create dermatological services at the peripheral level.