Pattern of Skin Diseases Among Patients Visiting a Private Tertiary Care Hospital in Karachi

Background: Skin diseases are a major health problem in the paediatric age group and are associated with significant morbidity. Dermatoses in children are more influenced by socioeconomic status, dietary habits, climatic exposure and external environment as compared to adults. The present study was undertaken to know the prevalence of paediatric dermatoses among patients attending Dermatology outpatient department in a tertiary care hospital in Puducherry.Methods: All newly diagnosed, untreated male and female paediatric patients (from neonates to adolescents ≤19 years of age) attending Dermatology OPD, from October 2015 to September 2017 were evaluated to study the prevalence and patterns of paediatric dermatoses. The skin disorders were classified into groups like infections, infestations, eczemas, acne, hypersensitivity disorders, sweat gland disorders, pigmentary disorders, nevi, keratinisation disorders, hair and scalp disorders, papulosquamous disorders, bullous disorders, nail disorders, drug reactions, other dermatoses.Results: The prevalence of pediatric dermatoses in our OPD is 25.21%. Incidence of pediatric dermatoses was found to be more in males 237 (59.39%) than in females 162 (40.60%) and the majority of the patients were in adolescent age group (217; 54.38%). Present study showed that majority of cases belonged to the lower socioeconomic group 186(46.6 %). In our study, majority (58.98%) of dermatoses belonged to infections and infestations group. Of the infective dermatoses, fungal infections (27.88%) were the most common.Conclusions: Infectious dermatoses were commonly seen in this study that may be due to poverty, overcrowding, poor hygiene. There is an increasing trend of fungal infections which might be related to hygiene and environment.

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Drug utilization pattern in dermatology outpatient department at a tertiary care hospital in Navi Mumbai

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20170812 ◽

2017 ◽

Vol 6 (3) ◽

pp. 559

Author(s):

Arun Patil ◽

Darshana Dighe ◽

Shrikrishna Kolte ◽

Pradeep R. Jadhav ◽

Y. A. Deshmukh

Keyword(s):

Drug Utilization ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Outpatient Department ◽

Care Hospital ◽

Prescribing Pattern ◽

Cross Sectional ◽

Dermatology Department ◽

Essential Drug List

Background: Skin diseases are common and cause a huge disease burden globally. Different class of drugs and combinational products are available in dermatology for treatment. Periodic prescription analysis in the form of drug utilization study can improve the quality of prescription and curb the menace of irrational prescribing. Aim and objective of the study were to study the prescribing pattern and drug utilization trends in Dermatology outpatient department at a tertiary care hospital in Navi Mumbai.Methods: A cross-sectional, observational study was conducted over a period of three months in dermatology department of a tertiary care teaching hospital, Navi-Mumbai. A total of 102 adult patients visiting dermatology OPD were included and their prescriptions were analyzed with WHO prescribing indicators and additional indices.Results: Analysis showed that the average number of drugs per prescription was 3.27. Percentage of drugs prescribed by generic name was 31.1%. Percentage of drugs prescribed from National Essential drug list (NEDL) was 44.2%. The commonest prescribed drugs were antihistaminics followed by antifungals. Oral tablets were the commonest prescribed dosage form.Conclusions: Antihistaminics and antifungals dominated the prescribing pattern in this study with restraint on polypharmacy, but showed ample scope for improvement to prescribe generic and selection of essential drugs.

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Clinical profile of patients with allergic contact dermatitis attending tertiary care hospital

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20175124 ◽

2017 ◽

Vol 3 (4) ◽

pp. 517

Author(s):

Guruprasad Kalyanrao Y. ◽

Ashok Kumar B. Nagure

Keyword(s):

Contact Dermatitis ◽

Allergic Contact Dermatitis ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Past History ◽

Tertiary Care ◽

Care Hospital ◽

External Application ◽

Compensation Claims ◽

Allergic Contact

Background: Contact dermatitis is an inflammatory response of the skin to various antigens and irritants. It accounts for a formidable proportion of dermatological consultations. It accounts for a formidable proportion of dermatological consultations. It is associated with significant morbidity, and it is one of the most common reasons for workmen’s compensation claims for skin diseases.Methods: The Methodology included detailed history especially of potential sensitisers in the environment, occupation, hobbies, any contact with external application of cosmetics, drugs, ointments. Emphases on past history were recorded regarding the mode of presentation, progression, medication taken and their effect on allergic contact dermatitis.Results: Allergic contact dermatitis due to Parthenium hysterophorus accounts for 80 (64%) cases, allergic contact dermatitis due to wearing apparel and jewellery accounts for 21 (16.8%) cases, due to topical medicaments 10 (8%), allergic contact dermatitis due to cosmetics and occupational (professional) antigen constituting 7 (5.6%) each. Conclusions: The most common and important mode of contact is from the pollen or dried leaf fragments flying in the air which settles on the skin, clothes and induces allergy which is known as Air borne contact dermatitis, this is more common in men, outdoor professions or those who spent more time in outdoor including froresters, labourers, engineers, sports person, hunters, gardeners and farmers.

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Skin diseases in internationally adopted children: A retrospective analysis in a tertiary care hospital in Tuscany, Italy, 2009–2016

Travel Medicine and Infectious Disease ◽

10.1016/j.tmaid.2020.101679 ◽

2020 ◽

Vol 37 ◽

pp. 101679

Author(s):

Fiorenza Panin ◽

Elisabetta Venturini ◽

Teresa Oranges ◽

Cesare Filippeschi ◽

Maurizio de Martino ◽

...

Keyword(s):

Retrospective Analysis ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Adopted Children ◽

Care Hospital ◽

Internationally Adopted Children ◽

Internationally Adopted

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DRUG UTILIZATION PATTERN FOR SKIN DISEASES IN DERMATOLOGY OPD AT TERTIARY CARE HOSPITAL OF WESTERN MAHARASHTRA

International Journal of Clinical and Biomedical Research ◽

10.31878/ijcbr.2019.53.4 ◽

2019 ◽

pp. 20-23

Author(s):

Kiran P Vakade ◽

Vishal A Indurkar ◽

Aayush H Chordia

Keyword(s):

Drug Utilization ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Age Group ◽

Skin Disorders ◽

Utilization Pattern ◽

Cost Effective Treatment ◽

Number Of Patients

Background: Periodic auditing of prescriptions in terms of drug utilization study is an important tool to enhance the efficacy of the treatment, to decrease the risk of the adverse effects, to give cost-effective treatment and to provide useful feedback to the clinician. Prevalence of dermatological diseases is very high throughout the world, and in day to day practice, a quarter of the cases are related to dermatological manifestations. In studies conducted in the Out Patient Department (OPD) of dermatology in North Palestine and Western Nepal, irrationalities in the prescriptions have been reported. Aim: To study the drug utilization pattern for skin diseases in dermatology OPD at tertiary care hospital of Western Maharashtra. Methodology: The retrospective analysis of dermatology OPD records of 6 months (1st March 2018- 31st August 2018) was carried out during the study period (1st September 2018 to 30th November 2018). The proforma for collecting data was designed. Demographic details, diagnosis and treatment are given for each patient were recorded. The data collected was condensed, and the master chart was prepared for data analysis. Result: During the study period, a total of 3869 patient’s case records were studied and analysed. A maximum number of patients (26.5%) found in the age group 31-40 years, followed by 23.5% of patients in the age group 21- 30 years. Fungal infection was found in 39.6 % of patients followed by acne in 14.2% patients and eczema in 9.1% of patients. Drugs most commonly prescribed were antihistaminics (45.02%) followed by antifungal (39.6%) and steroids (27.8%). Levocetirizine (74.07%) and hydroxyzine (16.5%) were the most commonly prescribed antihistaminics. Itraconazole (58.17%) and Griseofulvin (24.67%) were the most commonly used oral antifungal drugs. Miconazole (73.73%) was the most commonly used topical antifungal drug, followed by ketoconazole (12.45%). Among steroids, prednisone (52%) and betamethasone (38.05%) were the most commonly used steroids by oral route while clobetasol (68.09%) and mometasone (19.5%) were the most commonly used steroids by topical route. Our study revealed that the percentage of drugs prescribed by the WHO essential drug list was only 23.87%. Drugs which prescribed by the generic names were less than <1%. Conclusion: Treatment protocols used in the management of skin disorders were near to the standard guidelines. Keywords: Drug utilization; Prescription pattern; Dermatology; Skin disorders.

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Study of Drug Utilization Pattern for Skin Diseases in Dermatology OPD of an Indian Tertiary Care Hospital - A Prescription Survey

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2016/17209.7270 ◽

2016 ◽

Cited By ~ 1

Author(s):

Anuj Kumar Pathak

Keyword(s):

Drug Utilization ◽

Skin Diseases ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Utilization Pattern

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Study of paediatric skin lesions in a tertiary care hospital

Medpusle International Journal of Medicine ◽

10.26611/10211129 ◽

2021 ◽

Vol 11 (2) ◽

pp. 105-107

Author(s):

P Ravindra Kumar ◽

Keyword(s):

Skin Diseases ◽

Tertiary Care Hospital ◽

Economic Status ◽

Tertiary Care ◽

Paediatric Population ◽

Skin Lesions ◽

Care Hospital ◽

Care Provision ◽

Cross Sectional ◽

The World

Background: Children below 14 years of age are vulnerable to many skin diseases mainly due to malnutrition, poor hygiene, less medical care provision, low socio-economic status, etc. The incidence and the spectrum of paediatric dermatological diseases vary from one part of the world to another depending on various factors. This study was aimed to study skin problems in children below 14 years age. Material and Methods: This was a cross-sectional, observational study done with children of age below 14 years attended skin outpatient department (OPD) with skin problems. Results: During study period 310 patients were included in the study of which 178 (57.26%) were male and 132 (42.74%) were female. The ratio of male: female was 1.34:1 in our study. Infectious skin lesions were seen in 163 (52.5%) children, while non-infectious skin lesions were seen in 157 (50.6 %) children. Conclusion: Infections and infestations are commonly noted in our paediatric population. Application of preventable measures by community, early diagnosis and proper counseling by pediatrician or dermatologist is needed to prevent further morbidity of skin lesions.

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