Background: The present study is planned to assess the health related quality of life (HRQoL) in asthma patients by using HRQoL questionnaire (SF-36 v2).Methods: A prospective observational study was conducted for a period of 6 months (September 2017 to February 2018) in Navodaya Medical College Hospital and Research Centre, Raichur on a total of 108 patients of either sex suffering from persistent asthma. The HRQoL of asthma patients was measured by face-to-face interview using HRQoL questionnaire (SF-36v2).Results: Female patients were found to be more affected with asthma compared to male patients and the prevalence of asthma is found to be more in the middle aged and elderly patients compared to adults. The important triggering factors for the asthma were found to be exposure to dust, smoking, alcohol and cooking fuel. The mean physical component summary (PCS) scores is 47.46 (±15.56) and the mean mental component summary (MCS) scores is 66.73 (±13.59). The findings of our study reveals that the physical HRQoL is more affected compared to mental HRQoL as revealed by PCS and MCS scores.Conclusions: The findings of our study conclusively suggest that the physical HRQoL is more affected than mental HRQoL in asthma patients and also the need to improve the quality of life in these patients by appropriate patient education regarding the triggering factors of asthma, preventive measures and the medication adherence.
Background: Inappropriate use of drugs especially antibiotics, in the treatment of cellulitis results in therapeutic failure and recurrence of cellulitis. Drug use evaluation is a performance improvement method that focuses on evaluation and improvement of drug use processes to achieve optimal therapeutic outcomes. Objectives: The present work deals with the drug use evaluation in cellulitis with an aim to improve therapeutic outcomes of the disease. Methodology: The prospective observational study on the drug utilization evaluation in cellulitis was carried out on a total of 67 cellulitis in-patients from the departments of medicine, surgery, orthopaedics of Navodaya Medical College Hospital and Research Centre, Raichur. Relevant information was recorded in a structured proforma & data was evaluated. The drugs used in the treatment were evaluated by comparing with by using CREST (Clinical Resource Efficiency Support Team guidelines, developed by Central Medical Advisory Committee, Ireland) guidelines. Results: Out of 67 patients 53 patients were diagnosed with Class 2 cellulitis, 13 patients were Class 3 cellulitis and only 1 patient was Class 4 cellulitis (Class 1 cellulitis patients are treated on outpatient basis and hence not included in the study). The rank order of antibiotics prescribed in the treatment was as follows: Cephalosporins>aminoglycosides>penicillins>macrolides>fluoroquinolones. Conclusion: An overall deviation in 28.3% patients as been observed in the line of treatment with respect to antibiotics use as per CREST guidelines. Further, deviation was also observed in prophylactic antibiotics prescribed to prevent the recurrence of cellulitis. The study also revealed the lack of awareness in the cellulitis patients regarding the disease, its recurrence and prevention. Thus, the study intensifies the need to create the awareness among the physicians regarding the appropriate use of antibiotics and in patients to prevent its occurrence and recurrence.
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