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Resumen Objetivo: describir la frecuencia de las lesiones dermatológicas en pacientes de la Unidad de Cuidados Intensivos (UCI) de adultos del Hospital de San José y del Hospital Infantil Universitario de San José entre enero y abril de 2012. Pacientes y métodos: se realizó un estudio descriptivo de corte transversal. Se incluyeron pacientes mayores de 18 años con estancia mínima de 72 horas en UCI, ingresados por patología dermatológica o valorados por dermatología por aparición de lesiones en piel durante su estancia. Resultados: se evaluaron 595 pacientes, encontrando lesiones dermatológicas en 30% (182 pacientes). La edad promedio fue de 63.5 años ± 19.1 sin diferencias de género. La admisión a la UCI se debió principalmente a motivos no quirúrgicos con un porcentaje de 57.3% (105 pacientes). Las lesiones cutáneas más frecuentes fueron las lesiones terciarias observada en 91.8% (168 pacientes), seguida por lesiones secundarias, con predominio infeccioso 6% (11 pacientes) y las últimas fueron las primarias con sólo 1.6% (3 pacientes). Conclusiones: las lesiones dermatológicas en los pacientes de UCI son más frecuentes de lo esperado y en algunos casos pueden ser la causa directa del ingreso a la UCI poniendo en riesgo la vida de los pacientes, por lo tanto, consideramos importante un examen exhaustivo de piel en estos pacientes y el trabajo interdisciplinario con dermatología que permita disminuir el riesgo de mortalidad a causa de complicaciones de origen dermatológico. (Acta Med Colomb 2019; 44: 25-30).
Abstract Objective: to describe the frequency of dermatological lesions in patients of the Intensive Care Unit (ICU) of adults of the Hospital de San José and the Hospital Infantil Universitario de San José between January and April 2012. Patients and Methods: a descriptive cross-sectional study was carried out. Patients older than 18 years with a minimum stay of 72 hours in the ICU admitted for dermatological pathology or assessed by dermatology due to the appearance of skin lesions during their stay, were included. Results: 595 patients were evaluated, finding dermatological lesions in 30% (182 patients). The average age was 63.5 years ± 19.1 without gender differences. Admission to the ICU was mainly due to non-surgical reasons with a percentage of 57.3% (105 patients). The most frequent skin lesions were the tertiary lesions observed in 91.8% (168 patients), followed by secondary lesions, with an infectious predominance of 6% (11 patients) and the last ones were the primary ones with only 1.6% (3 patients). Conclusions: dermatological lesions in ICU patients are more frequent than expected and in some cases may be the direct cause of admission to the ICU putting patients' lives at risk; therefore, we consider important a thorough skin examination in these patients and interdisciplinary work with dermatology to reduce the risk of mortality due to dermatological complications. (Acta Med Colomb 2019; 44: 25-30).
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Humans , Male , Female , Adult , Dermatology , Wounds and Injuries , Cross-Sectional Studies , Critical CareABSTRACT
Background: Skin disorders form 2% of total Out Patient Department consultations worldwide. But no such data is available from India. Studying prescription pattern is a component of medical audit that help prescribers to provide rational and cost-effective medical care. This study is about the prescription pattern of antifungals in this institution and will help in developing local policies for appropriate use of antifungal drugs. The objective was to study the prescription pattern of antifungals in dermatological diseases.Methods: This is a retrospective study conducted from 1st June 2017 to 30th November 2017 in Dermatology Department. Prescriptions included all newly diagnosed patients with cutaneous fungal infection of both sex who attended Dermatology OPD. Factors considered were sociodemographic parameters, number of patients with combination and monotherapy, number of single topical agents and Fixed Dose Combination (FDC) details of prescribing indicators.Results: 1500 prescriptions were analysed; 500 prescriptions were of fungal infection. 40.2% of the patients were in 18-35 years age group. There were a greater number of males (59.6%) than females (40.4%).Conclusions: The most common oral antifungal used was fluconazole. Terbinafine and clotrimazole were the most commonly used topical agents.
ABSTRACT
INTRODUCTION: One of the main issues on the National drug policies in countries of the world and in Mongolia is the proper usage of the drug. In this frame, we need to study and to implement the methodical basis to use drug market drug marketing theoretical principles . They are: to improve and to follow new standard in diagnostics and diseases treatments prevailing in our country, to stop inappropriate usage of drugs, to implement the drug program of national necessity, to determine the drug usage in the proper way, and to organize the control properly. According to the statistic report of 2002 through 2008, the rate of skin disease was ranked as 8 (4.5%) among common diseases, and as 7th (4.07%) among aimag level, but on the other hand the skin disease rate has increased by 59213 cases compared between 2002 and 2008. GOAL AND OBJECTIVES: The main goal of the study was to determine the drug needs used in dermatological diseases where the results were compared with the current standard and to develop future recommendations to improve the proper usage of medicines. MATERIALS AND METHODS: In order to calculate the drug cost and demands, the main marketing methods were used such as calculation of past, current and future prognosis of drug demands. For example: ∎ The calculation of drug expenditure ∎ Calculation of drug demands by number of registered disease cases ∎ Development of the future prognosis of the disease based on the assessment of experts RESULTS: 1092 patients who were hospitalized in 2007 and 2008 in National Center of Dermatology, 464 patients who were hospitalized in the epidermis department of the general hospital of 12 provinces, totally 1725 patient’s medical histories were chosen for drug usage in this research work. Average, patient day 12,7, males 867(50,3%) females 858(49,7%) children 283 (16,4%), adults 1442 (83,6%) participated in the research work. From all patients who are hospitalized are: patients who are in the hospital for the first time 1090 (63,2%), patients hospitalized for the second time 635 (36,8%). About patients who discharged from the hospital: 1055(61,2%) patients were recovered, and 670 (38,8%) patient’s health conditions were improved. Here is the approved diagnosis in the frame of the research work: dermatitis 605 (35.1%), Psoriasis 355 (20,5%), eczema 266 (15.4%) is leading the list. DISCUSSION: According to research on the drug proper usage, each drug used for patients treatment was calculated upon the drug type, quantity, and patients percentage and it is concluded by its classification of analogical quantification. They are: Patient percentage who treated and recovered with preparations against Gistamin 62.8, Patient percentage who treated and recovered with antibiotics and preparations against bacterium 72.8, Patient percentage who treated and recovered with drugs of Corticosteroid group 87.4, Patient percentage who treated and recovered with viricide 16.9, Patient percentage who treated and recovered with antidote and sorbent 21, Patient percentage who treated and recovered with drugs promoting the body organs, organ system functions 81.7, Patient percentage who treated and recovered with Preparation for skin casting 51, Patient percentage who treated and recovered with disinfection preparations 45.