Topical corticosteroids used in dermatological disorders in tertiary care hospital: A prospective observational study

BACKGROUND: Monitoring and analysis of the prescription practices of topical steroids can help to achieve rational prescription to these drugs. The aim of our study was to focus and evaluate the use of topical corticosteroids so as to provide a baseline data regarding the prescribing pattern in Topical corticosteroids which in turn contributes to the promotion of optimal and rational therapy thereby improving patient’s quality of life. 

SUBJECTS AND METHODS: It is a prospective and observational study done over a period of six months that includes established cases including the use of topical corticosteroids. 150 cases were collected and prescription pattern of topical corticosteroids in them was studied. The data was observed using designed data collection form and was analyzed using a suitable method. 

RESULTS: A total of 150 prescriptions were analyzed having 184 corticosteroids during the study period. Amongst these prescriptions, 83 (55%) were male whereas 67 (45%) were in the female category. In all, almost all the prescriptions, strength, quality of the steroid to be used, frequency, site, and duration of administration was not mentioned. About 92.32% of the prescriptions contained very potent steroids. 

CONCLUSION: By intermittent monitoring, evaluating and therapeutically analyzing the pattern of prescription of corticosteroids in the dermatology department of the hospital, we can contribute to the rational and ethical use of this lifesaving drug in dermatology practice with maximum effectiveness and least adverse effects.