关键词: Doctors Practice Prescription Triple Action Creams

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Abstract:
UNASSIGNED: Topical corticosteroids have had an immense impact in the treatment of skin diseases since their advent and are important in the management of corticosteroid-responsive dermatoses. Triple action creams (TAC) on the other hand are a combination of antibiotics, antifungals and corticosteroids in one cream, in an unspecific bid to target infected dermatoses. The use of TAC has constituted a source of corticosteroid misuse and abuse. This study aims to determine the knowledge, attitude, and prescription practices of TACs among doctors in South-Eastern Nigeria.
UNASSIGNED: A section of doctors in the five South Eastern states of Nigeria participated in this study. Data was collected using printed or e-copies of pre-tested questionnaires. Information about sociodemographic, steroid classification, the role of TAC, steroid side effects, duration of prescription of TAC, were sought. Statistical analysis was carried out using the statistical package for social sciences version 20. Good knowledge of TAC was set at >65% and poor knowledge <65%.
UNASSIGNED: Two hundred and six doctors participated, 59.2% (122) males and 40.8% (84) females. Respondents were distributed as follows: Enugu 28.2% (58), Abia 25.2% (52) Imo 18.4 % (38), Ebonyi 17.5% (36), and Anambra 10.7 % (22). One hundred and seventy-eight (86.4%) work in a tertiary facility while 13.6 % (28) work in primary/secondary facilities. About forty-eight per cent (99) had good knowledge while 51.9 % (107) had poor knowledge. Twenty-five per cent (52) knew that TAC is not useful in managing skin disorders while 66% (136) prescribed TAC as first-line therapy.
UNASSIGNED: This study has helped uncover the magnitude of poor knowledge and prescription practice of TAC amongst doctors. To curb topical steroid misuse in a given population, doctors should be re-trained.
摘要:
外用皮质类固醇自从出现以来在皮肤病的治疗中产生了巨大的影响,并且在皮质类固醇反应性皮肤病的治疗中非常重要。另一方面,三效乳膏(TAC)是抗生素的组合,抗真菌药和皮质类固醇在一个乳膏,非特异性地针对受感染的皮肤病。TAC的使用已构成皮质类固醇误用和滥用的来源。本研究旨在确定知识,态度,以及尼日利亚东南部医生对TAC的处方实践。
尼日利亚东南五个州的一部分医生参与了这项研究。使用印刷或电子副本的预测试问卷收集数据。关于社会人口统计的信息,类固醇分类,TAC的作用,类固醇副作用,TAC处方的持续时间,被寻求。使用社会科学版20的统计软件包进行统计分析。将TAC的良好知识设定为>65%,而较差的知识<65%。
200名医生参加了,男性59.2%(122),女性40.8%(84)。受访者分布如下:Enugu28.2%(58),阿比亚25.2%(52)伊莫18.4%(38),Ebonyi17.5%(36),和阿南布拉10.7%(22)。一百七十八(86.4%)在三级设施中工作,而13.6%(28)在一级/二级设施中工作。大约48%(99)的知识很好,而51.9%(107)的知识很差。25%(52)的人知道TAC对治疗皮肤病没有帮助,而66%(136)的人则将TAC作为一线治疗。
这项研究有助于揭示医生对TAC的知识和处方实践不足的程度。为了遏制特定人群中的局部类固醇滥用,医生应该重新培训。
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