Rational use of fluconazole prior to attending skin & vd-opd in a tertiary Medical College Hospital in Bangladesh

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Rational use of fluconazole prior to attending skin & vd-opd in a tertiary Medical College Hospital in Bangladesh 

Journal Title: Nasza Dermatologia Online - Year 2011, Vol 2, Issue 4

Abstract

This study was done keeping the hypothesis in mind that Fluconazole is used irrationally irrespective of diagnosis. Material: All patients attending at Skin-VD OPD of Enam Medical College Hospital during a 6-month time-period (July-Dec, 2009) were considered for this research. Structured questionnaire, check-list and face-to-face interview were used as data collection tools. After careful analysis, 274 cases were found valid out of 976 respondents. The cases were mostly adult (>20 yrs., 70.4%), dominated by male (58%), marriage (54%), literacy (71.6%) and coming from far (>5 km; 65.9%). The referral was made by registered doctors (10.9%), village doctors and/or drug-sellers (50.3%) and self (38.8%). Out of the total Fluconazole-intakers (N=119), it was found that correct prescription done by registered doctors (10.08%), village doctors and/or drug sellers (9.24%) and by self (0.8%) was very few. The respondents wrongly-taken Fluconazole were finally diagnosed as case of psoriasis (21.84%), atopic dermatitis (13.44%) sebrrhoic dermatitis (12.6%) and so on. Results: The findings put this recommendation that prior to confirm diagnosis, use of Fluconazole was not rational for generalized skin lessions. 

Authors and Affiliations

Rokon Uddin, Khondaker Sarwar, Farzana Akhter

Keywords

EP ID EP124473
DOI -
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