Dermatological Practice in Nepal during COVID-19 Crisis: Recommendations of National Panel of Experts

Authors

  • Sudip Parajuli Maharajgunj Medical Campus, Kathmandu, Nepal
  • Dinesh Binod Pokhrel Institue of Medicine, Maharajgunj Medical Campus
  • Sudha Agrawal B.P. Koirala Institute of Health Sciences
  • Ajay Kumar Manipal College of Medical Sciences
  • Kumar Pokhrel Nepalganj Medical College
  • Anup Bastola Sukraraj Tropical and Infectious Disease Hospital, Kathmandu, Nepal
  • Sabeena Bhattarai Kathmandu Medical College, Kathmandu
  • Shristi Shrestha Nepal Medical College, Kathmandu
  • Manisha Shrestha Kist Medical College, Lalitpur
  • Shekhar KC Kathmandu University Dhulikhel hospital
  • Smita Joshi Nepal Medical College, Kathmandu
  • Anil Kumar Das Institute of Medicine, Maharajgunj Medical Campus, Kathmandu
  • Mahesh Shah Anandaban Hospital, Lalitpur
  • Nidhi Shah B.P. Koirala Institute of Health Sciences
  • Shambhu Dutta Joshi
  • Sushil Paudel Civil Service Hospital, Kathmandu
  • Shashi Hirachan Bharatpur Hospital, Bharatpur
  • Upama Paudel Institute of Medicine, Maharajgunj Medical Campus, Kathmandu
  • Saraswoti Neupane Gandaki Medical College, Pokhara

DOI:

https://doi.org/10.3126/njdvl.v18i1.30378

Keywords:

Coronavirus, Dermatology, Disease, Nepal

Abstract

Introduction: Novel Coronavirus disease has caused a substantial halt to the ongoing world in every aspect. There are medical and social implications of the disease. Cutaneous manifestations have been reported to be a part of the disease as well. Dermatologists globally are in dilemma with the clinical practice because of the fear of acquiring the disease.

Objectives: This article aims to recommend best practice measures that can be followed in local scenario for re-opening up of dermatological services in the context of Nepal.

Materials and Methods: A preliminary draft for guidance on Dermatological services based on recommendations of American Academy of Dermatology, International league of Dermatological societies, National recommendations from Ministry of Health, Nepal was sent to a panel of national experts to determine the level of consensus in first week of April, 2020.  A preliminary survey was sent to all the members of Society of Dermatologists, Venereologists, and leprologists of Nepal on first week of June and a second draft was subsequently formed which was sent again to experts and revised based on the opinions of national experts.

Results: A total of 19 experts participated in the preparation of draft and reached a national consensus after a series of revisions in preliminary draft.

Conclusion: Agreements regarding the opening of practice in dermatology discipline have been summarized. Recommendations have been made for opening of dermatological services – opening of outpatient department, performing dermatosurgical and cosmetic procedures as well as strategies on triage of patients and use of masks.

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Author Biographies

Sudip Parajuli, Maharajgunj Medical Campus, Kathmandu, Nepal

Associate Professor, Department of Dermatology and Venereology

Dinesh Binod Pokhrel, Institue of Medicine, Maharajgunj Medical Campus

Professor, Department of Dermatology

Sudha Agrawal, B.P. Koirala Institute of Health Sciences

Professor, Department of Dermatology

Ajay Kumar, Manipal College of Medical Sciences

Associate Professor, Department of Dermatology

Kumar Pokhrel, Nepalganj Medical College

Associate Professor, Department of Dermatology

Anup Bastola, Sukraraj Tropical and Infectious Disease Hospital, Kathmandu, Nepal

Consultant Dermatologist

Sabeena Bhattarai, Kathmandu Medical College, Kathmandu

Professor,

Department of Dermatology

Shristi Shrestha, Nepal Medical College, Kathmandu

Department of Dermatology

Manisha Shrestha, Kist Medical College, Lalitpur

Department of Dermatology

Shekhar KC, Kathmandu University Dhulikhel hospital

Department of Dermatology

Smita Joshi, Nepal Medical College, Kathmandu

Department of Dermatology

Anil Kumar Das, Institute of Medicine, Maharajgunj Medical Campus, Kathmandu

Associate Professor,

Department of Dermatology

Mahesh Shah, Anandaban Hospital, Lalitpur

Consultant Dermatologist

Nidhi Shah, B.P. Koirala Institute of Health Sciences

Associate Professor,

Department of Dermatology

Shambhu Dutta Joshi

Department of Dermatology

Sushil Paudel, Civil Service Hospital, Kathmandu

Consultant Dermatologist,

Department of Dermatology

Shashi Hirachan, Bharatpur Hospital, Bharatpur

Consultant Dermatologist

Upama Paudel, Institute of Medicine, Maharajgunj Medical Campus, Kathmandu

Associate Professor, Department of Dermatology

Saraswoti Neupane, Gandaki Medical College, Pokhara

Professor, Department of Dermatology

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Published

2020-10-08

How to Cite

Parajuli, S., Pokhrel, D. B., Agrawal, S., Kumar, A., Pokhrel, K., Bastola, A., Bhattarai, S., Shrestha, S., Shrestha, M., KC, S., Joshi, S., Das, A. K., Shah, M., Shah, N., Joshi, S. D., Paudel, S., Hirachan, S., Paudel, U., & Neupane, S. (2020). Dermatological Practice in Nepal during COVID-19 Crisis: Recommendations of National Panel of Experts. Nepal Journal of Dermatology, Venereology &Amp; Leprology, 18(1), 3–8. https://doi.org/10.3126/njdvl.v18i1.30378

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Original Articles