{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T14:52:36Z","timestamp":1778338356566,"version":"3.51.4"},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,5,13]],"date-time":"2015-05-13T00:00:00Z","timestamp":1431475200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust J Dermatology"],"published-print":{"date-parts":[[2016,8]]},"abstract":"Abstract<\/jats:title>Background\/Objectives<\/jats:title>Patch testing (PT<\/jats:styled-content>) is essential for making the diagnosis of allergic contact dermatitis (ACD<\/jats:styled-content>). However, the extent of PT<\/jats:styled-content> undertaken by A<\/jats:styled-content>ustralian dermatologists is unknown. The objectives of this study were to determine the rate and type of PT<\/jats:styled-content> in A<\/jats:styled-content>ustralia, the perceived obstacles to PT<\/jats:styled-content>, and to explore the exposure to PT<\/jats:styled-content> in dermatology training.<\/jats:p><\/jats:sec>Methods<\/jats:title>Data were collected on private PT<\/jats:styled-content> (analysing M<\/jats:styled-content>edicare item numbers) and public hospital\u2010based PT<\/jats:styled-content> (estimated via verbal reports). An online survey on PT<\/jats:styled-content> was sent to F<\/jats:styled-content>ellows of the A<\/jats:styled-content>ustralasian C<\/jats:styled-content>ollege of D<\/jats:styled-content>ermatologists.<\/jats:p><\/jats:sec>Results<\/jats:title>It was found that total PT<\/jats:styled-content> numbers, combining M<\/jats:styled-content>edicare item number and public hospital data, were below the suggested optimum in all states and in A<\/jats:styled-content>ustralia overall. Of the 173 respondents to the survey, 61% reported they patch tested and 78% reported they referred for PT<\/jats:styled-content>. TrueTest was the most commonly used PT<\/jats:styled-content> system, although it is known to be inadequate. Dermatologists who PT as registrars were significantly more likely to PT as consultants (P<\/jats:italic> value\u2009=\u20090.0029). Cost, expertise required and staffing were considered major obstacles to performing PT<\/jats:styled-content>. Accessibility and cost to the patient were common obstacles to referral.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The combination of suboptimal PT<\/jats:styled-content> rates and inadequate PT<\/jats:styled-content> means that patients are missing out on being diagnosed with ACD<\/jats:styled-content> in A<\/jats:styled-content>ustralia. Increasing the exposure of registrars to PT<\/jats:styled-content>, supporting specialised centres, the development of the A<\/jats:styled-content>ustralian B<\/jats:styled-content>aseline S<\/jats:styled-content>eries and the C<\/jats:styled-content>ontact A<\/jats:styled-content>llergen B<\/jats:styled-content>ank will, it is hoped, improve the rates of comprehensive PT<\/jats:styled-content> in A<\/jats:styled-content>ustralia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajd.12351","type":"journal-article","created":{"date-parts":[[2015,5,13]],"date-time":"2015-05-13T10:40:59Z","timestamp":1431513659000},"page":"192-198","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Patch testing in A<\/scp>ustralia: Is it adequate?"],"prefix":"10.1111","volume":"57","author":[{"given":"Stephanie","family":"Tizi","sequence":"first","affiliation":[{"name":"Occupational Dermatology Research and Education Centre Skin and Cancer Foundation Inc Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosemary L","family":"Nixon","sequence":"additional","affiliation":[{"name":"Occupational Dermatology Research and Education Centre Skin and Cancer Foundation Inc Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,13]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2133.1999.03051.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.0105-1873.2004.00275.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1053\/ajcd.2002.32856"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2011.02025.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01634989-200312000-00004"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0536.2011.02022.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/DER.0b013e3182819c51"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajd.12186"},{"key":"e_1_2_7_10_1","unstructured":"Medicare Australia.Medicare Item Reports.2013. Available from URL:http:\/\/medicarestatistics.humanservices.gov.au\/statistics\/mbs_item.jsp. (Accessed 1 May 2015.)"},{"key":"e_1_2_7_11_1","unstructured":"Australian Bureau of Statistics.Australian Demographic Statistics Sept 2012 cat. no. 3101.0.2012. Available from URL:http:\/\/www.abs.gov.au\/AUSSTATS\/abs@.nsf\/allprimarymainfeatures\/4315499EFDFF2990CA257B900008E33D?opendocument(Accessed 1 May 2015.)"},{"key":"e_1_2_7_12_1","unstructured":"Medical Services Advisory Committee Application 1390 Epicutaneous Patch Testing for Investigation of Allergic Dermatitis \u2013 Revision of MBS Items (12012\u201312021).2014. Available from URL:http:\/\/www.msac.gov.au\/internet\/msac\/publishing.nsf\/Content\/257C2E40E1C6B474CA257D2D0000ABBC\/$File\/1390\u2010PatchTesting\u2010Att1\u2010DraftProtocol\u2010accessible.pdf(Accessed 1 May 2015.)"}],"container-title":["Australasian Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fajd.12351","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajd.12351","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T15:52:16Z","timestamp":1695570736000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajd.12351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,13]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,8]]}},"alternative-id":["10.1111\/ajd.12351"],"URL":"https:\/\/doi.org\/10.1111\/ajd.12351","archive":["Portico"],"relation":{},"ISSN":["0004-8380","1440-0960"],"issn-type":[{"value":"0004-8380","type":"print"},{"value":"1440-0960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,13]]},"assertion":[{"value":"2015-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-05-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}