Negussie, Hanna (2014) Assessment of Utilization Pattern of Topical Steroids in Alert Hospital. Masters thesis, Addis Ababa University.
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Abstract
Topical steroids comprise the mainstay treatment of skin diseases. However, irrational prescription of topical steroids is a common occurrence in clinical practice and they are being abused by health professionals and patients alike. This study was performed to assess the utilization pattern of topical steroids in ALERT Hospital, Addis Ababa. The study employed a descriptive, cross sectional study design, using both quantitative and qualitative methods between August and November, 2013. Data abstraction format was used to collect the data from a total of 660 patient records and an interview guide was employed to collect data qualitatively. The quantitative data was analyzed using SPSS version 16 and the qualitative data was analyzed thematically. The majority of patients were females 380(60.9%) and their mean age was 24.2 years. Eczematous dermatitis 211(30.0%) was the single most common skin diseases observed. However, infectious skin diseases were the most common skin dermatoses 230(33.8%) when combined. The most commonly prescribed classes of drugs were topical steroids and its combination 315(28.4%) followed by anti-fungal drugs 245(22.1%). There were a total of 1108 drugs prescribed, with an average of 1.77 drugs per prescription. Topical steroids and its combination were found to be the most commonly prescribed drugs. A total of 315 topical steroids were prescribed and brand name was used in 307(97.5%) of them. The most commonly prescribed topical corticosteroids were betamethasone dipropionate 77(24.4%) and clobetasol propionate 73(23.2%), which are potent and very potent topical corticosteroids, respectively. Out of all the topical corticosteroids prescribed, the majority were potent 174(55.2%) and very potent 73(23.2%). Prescribers‘ adherence is to the ALERT Medicines Formulary and National Standard Treatment Guideline was found to be 100% and 58.1%, respectively. In most prescriptions, site of application, duration of treatment and quantity to be dispensed was inadequate; a practice that should be improved.
| Item Type: | Thesis (Masters) |
|---|---|
| Uncontrolled Keywords: | Prescription pattern, Topical steroids/corticosteroids, Skin diseases |
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine R Medicine > RM Therapeutics. Pharmacology R Medicine > RS Pharmacy and materia medica |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 02 Jul 2018 13:19 |
| Last Modified: | 02 Jul 2018 13:19 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/6430 |
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