A total of 256 consecutive patients attending our out-patient clinic in Islamahad, Pakistan, with complaints of pain in or around the joints were evaluated for use of corticosteroids prescribed by medical practitioners they had seen earlier.
The appropriateness of such prescriptions and their consequent effects were assessed.
Of the 256 patients, 110 (i.e.
42.5%) were identified as steroid users ; some of them were suffering from conditions known to be unresponsive to this form of therapy.
One hundred and one of the 256 patients had rheumatoid arthritis and 67% of these had been using steroids, mostly in an irrational manner.
The general practitioners and consultants (all non-rheumatologists) were responsible for the majority of steroid prescriptions.
Steroid side-effects were observed in 42/110 (38.2%) cases.
This prevalent practice in Pakistan is a reflection of the state of affairs in developing countries, and indicates a need for improvement and bctter regulation of health care in such countries.
Mots-clés Pascal : Arthrite, Pakistan, Asie, Chimiothérapie, Corticostéroïde, Evaluation, Prescription médicale, Médecin généraliste, Diagnostic différentiel, Critère sélection, Responsabilité professionnelle, Effet secondaire, Complication, Homme, Prévention, Système ostéoarticulaire pathologie, Education santé
Mots-clés Pascal anglais : Arthritis, Pakistan, Asia, Chemotherapy, Corticosteroid, Evaluation, Medical prescription, General practitioner, Differential diagnostic, Selection criterion, Occupational responsibility, Secondary effect, Complication, Human, Prevention, Diseases of the osteoarticular system, Health education
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0245508
Code Inist : 002B15D. Création : 11/06/1997.