A study on the knowledge, attitudes and practices of Southeast Asian dermatologists in the management of atopic dermatitis
Annals of the Academy of Medicine, Singapore
;
: 794-803, 2006.
Article
in English
| WPRIM
| ID: wpr-275263
ABSTRACT
<p><b>INTRODUCTION</b>This study evaluated the knowledge, attitudes and practices of Southeast Asian dermatologists in the management of atopic dermatitis (AD).</p><p><b>MATERIALS AND METHODS</b>A questionnaire survey of 255 dermatologists in Indonesia, Malaysia, the Philippines, Singapore, Thailand and Vietnam.</p><p><b>RESULTS</b>Familiarity with diagnostic criteria varied considerably. The usage of moisturisers by the respondents from Vietnam and Indonesia was significantly less frequent than the other countries. Most respondents (91% to 100%) used topical corticosteroids in children with mild-to-moderately severe dermatitis. Some respondents in the Philippines (17% to 19%) and Vietnam (11% to 25%) only used topical corticosteroids for severe disease. For infected eczema, most respondents would prescribe systemic antibiotics for mild-to-moderate infection. A minority in the Philippines (14%) and Vietnam (11%) did so only for severe infection. The top 4 systemic antibiotics prescribed most frequently were erythromycin, cloxacillin, cephalosporin and amoxicillin/clavulanic acid. In Indonesia, a large proportion of the respondents (47%) prescribed amoxicillin most frequently. The majority of respondents (60% to 100%) prescribed both sedating and non-sedating oral antihistamines. Most respondents used oral corticosteroids to treat severe AD. Some in Malaysia, Singapore and Vietnam used cyclosporin (7% to 58%), azathioprine (5% to 31%) and methotrexate (5% to 14%). With the exception of those in Singapore, the majority of respondents (71% to 97%) did not use phototherapy.</p><p><b>CONCLUSION</b>Familiarity with diagnostic criteria, the early and judicious use of moisturisers and topical corticosteroids, as well as the treatment of Staphylococcus aureus superinfection with penicillinase-stable antibiotics should be emphasised in this region.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Asia, Southeastern
/
Severity of Illness Index
/
Drug Administration Routes
/
Health Knowledge, Attitudes, Practice
/
Population Surveillance
/
Epidemiology
/
Outcome Assessment, Health Care
/
Therapeutic Uses
/
Dermatitis, Atopic
/
Diagnosis
Type of study:
Diagnostic study
/
Qualitative research
/
Screening study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Annals of the Academy of Medicine, Singapore
Year:
2006
Type:
Article
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