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Study on Corticosteroids use Pattern in Dermatological Practice and Investigating Adverse Effect of Corticosteroids Including its Associated Factors

creativeworkseries.issn1812-2027
dc.contributor.authorShakya Shrestha, S
dc.contributor.authorBhandari, M
dc.contributor.authorShrestha, R
dc.contributor.authorThapa, SR
dc.contributor.authorKarki, A
dc.contributor.authorPrajapati, M
dc.contributor.authorShrestha, S
dc.contributor.authorKC, S
dc.contributor.authorKarna, D
dc.date.accessioned2025-10-09T07:11:59Z
dc.date.available2025-10-09T07:11:59Z
dc.date.issued2015
dc.descriptionShakya Shrestha S,1,2 Bhandari M,1 Shrestha R,1,2 Thapa SR,1 Karki A,1 Prajapati M,1Shrestha S,1 KC S,3 Karna D3 1Department of Pharmacology School of Medical Sciences, Kathmandu University 2Research and Development Division Dhulikhel Hospital, Kathmandu University Hospital 3Department of Dermatology, Dhulikhel Hospital, Kathmandu University Hospital Dhulikhel, Kavre, Nepal
dc.description.abstractABSTRACT Background Corticosteroids are highly effective drugs with anti-inflammatory and immunosuppressive properties. Due to this, they have become a mainstay of pharmacotherapy in dermatology. However, improper and long term uses are associated with a number of serious adverse effects. Objective To investigate the corticosteroids use pattern, adverse effects and various factors associated with adverse effects in dermatological practice. Method A cross-sectional study was conducted in a dermatology department of tertiary care hospital. All patients using at least one corticosteroids, either topically or systemically or the combination were included in this study. Informed consent was taken from the patients and interviewed using structured questionnaire. Statistical analysis was performed by using SPSS 20. p-value < 0.05 was considered as statistically significant. Result Among the 60 participants under this study, 81.67% of them were females. The mean (±SD) age of the patients was 31.03 years (±15.0). A majority (58.30%) of the patients was prescribed with topical corticosteroids with low potency (25%). Most of them had used corticosteroids for urticaria. Adverse effects were reported by 33.30% of the patients. The most common adverse effect reported was the shedding of skin. Adverse effects was significantly associated with gender; use of systemic corticosteroids; regular use of corticosteroids; discontinuation of dose abruptly; and missed dose. However, there was no significant association between adverse effects and the duration of use of corticosteroids. Conclusion In conclusion, the present study suggested that the proper counselling and clear instruction regarding the use of corticosteroid should be provided to the patients for avoiding the abrupt discontinuation of the prescribed medication leading to treatment failure. KEY WORDS Adverse effect, corticosteroid, dermatology, treatment failure.
dc.identifier.urihttps://hdl.handle.net/20.500.14572/2536
dc.language.isoen_US
dc.publisherKathmandu University
dc.subjectAdverse effect
dc.subjectCorticosteroid
dc.subjectDermatology
dc.subjectTreatment failure
dc.titleStudy on Corticosteroids use Pattern in Dermatological Practice and Investigating Adverse Effect of Corticosteroids Including its Associated Factors
dc.typeArticle
dspace.entity.typePublication
local.article.typeOriginal Article
oaire.citation.endPage267
oaire.citation.startPage261
relation.isJournalIssueOfPublication3942b2ff-fff4-4abd-8a10-b93e578dc427
relation.isJournalIssueOfPublication.latestForDiscovery3942b2ff-fff4-4abd-8a10-b93e578dc427
relation.isJournalOfPublicationa782b7ff-cf89-4178-ad1c-11ed89cfe1bd

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