DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20164780

Pattern of skin diseases and common drugs prescribed in dermatology OPD of an Indian tertiary care hospital

Surabhi Gupta, Wase Khan, Arvind Krishna

Abstract


Background: The pattern of skin diseases varies from one country to another and across different parts within the same country. The prevalence of skin disease in the general population varies from 11.16 % to 63 %. Patients in their second and third decades of age form the largest group of population. A proper treatment is essential for cure and control of these diseases. The aim of the study was to find the pattern of skin diseases in Meerut district of western UP and common group of drugs prescribed for them.

Methods: It was a prospective, observational, single center study. The relevant data was collected from OPD prescriptions by taking photographs of the prescriptions and details were filled in the predesigned proforma.

Results: A total of 500 OPD prescriptions were collected and analyzed for demographic profile, disease incidence and drug prescription. Three most common conditions observed were tinea (15.25%), acne (12.36%), drug induced cutaneous reactions (10.11%). Antifungals (19.4%), Antibiotics (17.6%), Antihistamines (15.9%) and Corticosteroids (9.4%) were the most common class of drugs prescribed. Dosage forms prescribed were mostly topical (51.2%) in the form of ointments, creams, lotions, shampoo, powders.

Conclusions: From our study we found out that tinea (15.25%) and acne (12.36%) were more common in this region and antifungals were most the commonly prescribed group of drugs (19.4%). Number of drugs/prescription was much higher (4.1) than the recommended limit of 2 approved by WHO and practice of polypharmacy was also commonly seen.


Keywords


Acne, Antifungals, Antibiotics, Corticosteroids, Skin diseases, Tinea

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References


Grover S, Ranyal KR, Bedi KM. A cross section of skin diseases in rural Allahabad. Indian J Dermatol. 2008;53(4):179-81.

Joel JJ, Jose N, Shastry CS. Patterns of Skin Disease and Prescribing Trends in Rural India. Sch. Acad. J. Pharm. 2013;2(4):304-9.

Lee A, Thompson J. Drug induced skin reactions. Adverse Drug Reactions, 2nd ed. Pharmaceutical Press; 2006:125-156.

Sweileh WM. Audit of prescribing practices of topical corticosteroids in outpatient dermatology clinics in north Palestine. Eastern Mediterranean Health Journal. 2006;12(1):161-9.

Dogra S, Kumar B. Epidemiology of skin diseases in school children: A study from Northern India. Pediatr Dermatol. 2003;20:470-3.

Rao C, Rao R. A Cross-Sectional Study of Dermatological Problems among Differently-Abled Children. Indian J Dermatol. 2012;57(1):35-7.

Dayal SG, Gupta GP. A cross section of skin diseases in Bundelkhand region, UP. Indian J Dermatol Venereol Leprol. 1977;43:258-61.

Kuruvilla M, Sridhar KS, Kumar P. Pattern of skin diseases in Bantwal Taluq, Dakshina Kannada. Indian J Dermatol Venereol Leprol. 2000;66:247-8.

Yuwnate AH, Chandane RD, Giri KR. A multicenter pharmacoepidemiological study of dermatological disorders in Wardha district. Int J Basic Clin Pharmacol. 2013;2:751-6.

Das KK. Pattern of dermatological diseases in Guwahati Medical College and hospital Guwahati. Indian J Dermatol Venereol Leprol. 2003;69:16-8.

Narwane SP, Patel TC, Shetty YC. Drug Utilization and Cost Analysis for Common Skin Diseases in Dermatology OPD of an Indian Tertiary Care Hospital- A prescription survey. BJPR. 2011;1(1):9-18.

Devi B, Zamzachin G. Pattern of skin diseases in Imphal. Indian J Dermatol. 2006;51:149-50.

Hariharasubramony A, Sujatha CV, Yadalla H, Nithya R, Babu AR. Topical corticosteroid abuse on the face: a prospective, study on outpatients of dermatology. Our Dermatol Online. 2014;5(1):5-8.

Kaur BB, Nidhi K, Kaur BS. Topical corticosteroid abuse on face: A clinical, prospective study. Our Dermatol Online. 2015;6(4):407-10.

Bhat YJ, Manzoor S, Qayoom S. Steroid-induced rosacea: a clinical study of 200 patients. Indian J Dermatol. 2011;56:30-2.

WHO. How to investigate drug use in health facilities: Selected drug use indicators. Geneva: World Health Organization. WHO/DAP. 1993;1:1-87.

Maini R. Drug utilization study in dermatology in a tertiary hospital in Delhi. Indian Journal of Physiology and pharmacology. 2002;46(1):107-10.

Thawani VR, Motghare VM, Dani AD. Therapeutic audit of dermatological prescription. Ind J Dermatol. 1995;40(1):13-9.

Minocha KB, Bajaj S, Gupta K. A clinico- pharmacological study of outpatient prescribing pattern of dermatological drugs in Indian tertiary Hospital. Indian J Pharmacol. 2002;32:384-5.

Sumana MH, Shetti SA. Prescription analysis of drugs used in outpatient department of dermatology at tertiary care hospital. Asian Journal of Biomedical and Pharmaceutical Sciences. 2015;5(46):22-4.

Sharif SI, Nassar AH, Al-Hamami FK. Trends of Pediatric Outpatients Prescribing in Umm Al Quwain, United Arab Emirates. Pharmacology and Pharmacy. 2015; 6, 9-16. Available from:

http://dx.doi.org/10.4236/pp.2015.61002

Patel V, Vaidya R, Naik D. Irrational drug use in India. J Postgrad Med. 2005;51:9-12.

Vengurlekar S, Shukla P, Patidar P. Prescribing pattern of antidiabetic drugs in Indore city hospital. Indian J Pharm Sci. 2008;70:637-40.