Pattern of Inpatient Dermatology  Consultations in a Tertiary Care  Centre from Northern India

Background: Practice of dermatology in a teaching hospital is not merely limited to inpatient and out patients’ management but also boost up the clinical knowledge of young medical graduates and medical students. Many dermatological diseases might be directly or indirectly associated or related with the primary diseases for which the patient is admitted in the hospital or it may also be the dermatological manifestation of systemic diseases.Methods: The aim of the study was to analyze the type of dermatological diseases referred from the indoor patients of various departments and to identify its relation to systemic diseases. Consecutive sampling was applied on 297 referrals of indoor patients from various other specialties with dermatological disease.Results: Out of 297 referrals majority, 145 were from the department of medicine and only one, the least number, from Gastroenterology. Maximum number of cases that encountered was the viral infection with 39 cases. 128 patients had dermatological manifestations of primary diseases or directly or indirectly related to it and the rest 169 fell in unrelated group.Conclusions: Dermatological referrals from other specialties was noted to be an eye opener to the no dermatologist and beneficial to the patients in terms of providing proper guidance and evidence based treatment avoiding unnecessary investigations. This also emphasizes the need for a proper training of young non dermatologists.

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“…9 Most studies showed quite a few number of drug related manifestations which were not found in our study. 10,11…”

Section: Discussionmentioning

confidence: 99%

Analysis of cases of dermatological referrals and their systemic correlation in a tertiary care hospital in Gangtok: a prospective study

Sharma

Zaman

2018

Int J Res Dermatol

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“…This may be due to increased frequency of cases with infectious etiology attending the OPDs of ENT, Respiratory medicine and dermatology departments. [31][32][33][34][35] High percentage of antimicrobials used in the department of surgery may be because of the practice of utilizing antimicrobials for preoperative and postoperative prophylaxis. Many studies had substantiated the same fact.…”

Section: Discussionmentioning

confidence: 99%

Outpatient prescription audit in a tertiary care hospital at Puducherry

Babu

Maharani

Jafrin

et al. 2019

Int J Basic Clin Pharmacol

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Background: Rational use of medicines promotes good health practices and prevents inappropriate use of medicines, polypharmacy, unnecessary use of antimicrobials, injections, and also encourages use of medicines from essential medicine list and dispensing by generic names. The aim of the study was to analyze the outpatient prescriptions of a tertiary care centre by utilizing World Health Organization (WHO) core drug use prescribing indicators.Methods: A retrospective observational study was conducted in a tertiary care health setup at Puducherry, South India. Outpatient prescriptions from all the major clinical departments were analyzed using WHO prescribing indicators and they were compared with some similar studies.Results: The average number of drugs per prescription was 2.74. The percentage of prescriptions with antibiotics was 20.33% and the percentage of prescriptions with injections was 0.16%. The percentage of drugs prescribed by generic names and from essential medicine list was 83.13% and 87.9 respectively. Further antibiotic utilization was found to be higher in the department of ENT (56.67%), respiratory medicine (45%) and surgery (40%). Percentage of drugs prescribed by generic names in pediatrics and respiratory medicine were found to be 67.88% and 65.27% and percentage of drugs prescribed from essential medicine list in dermatology was 69.62%.Conclusions: Prescription pattern followed in our Institute almost adheres to the guidelines laid down by the WHO. Moreover, it is also implied that a routine audit of this type should be done in health care setups to ensure that they adhere to the WHO guidelines for better health care.

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“…En el año 2007, Rodríguez Hernández publica un estudio sobre la morbilidad dermatológica pediátrica en la consulta externa 9 , donde existe una prevalencia del sector femenino en las consultas, sobre todo en el periodo de edad de entre 5-9 años, aunque en este caso una de las patologías predominantes fueron las dermatitis. Esto puede deberse a que se trata de consultas de Atención Primaria, lo que confirmaría la sospecha de que tan sólo el 13% (24 casos) de los 182 casos analizados, dentro de otras patologías, presentaban esta patología tan habitual.…”

Section: Discussionunclassified

Análisis retrospectivo de la patología cutánea del pie en niños

Noal¹,

Iglesias

2018

Rev. Int. Cienc. Podol.

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Resumen. La patología dérmica infantil es una de las consultas más habituales en nuestra práctica clínica, teniendo que conocer algunas peculiaridades que el paciente pediátrico tiene, y la necesidad de mantener una buena relación interprofesional con el resto de profesionales sanitarios que, de forma simultánea, tratan a dichos pacientes. Los objetivos del estudio fueron numerar las diferentes patologías que afectan a la piel del niño en la consulta de podología para determinar su prevalencia y protocolo de actuación dentro del marco de un equipo multidisciplinar. Para ello, se realizó un estudio retrospectivo descriptivo de una muestra de 328 historias clínicas, de la consulta de podología, en el periodo de Noviembre 2004 a Febrero 2013, que cumplían los criterios de inclusión de ser un paciente pediátrico con problemas dermatológicos a nivel del pie. Así, los resultados muestran que el 52% eran pacientes pediátricos del sexo femenino y el 48% del sexo masculino con una edad media de 11,6 años, con los rangos de edad de entre 10-11 y 16-17 con mayor incidencia de patología. Las patologías más diagnosticadas fueron las verrugas plantares, onicocriptosis e hiperhidrosis, seguido de las micosis, con predominio de tratamientos tópicos. Los meses con un mayor número de pacientes pediátricos con problemas a nivel de la piel y de las uñas de los pies fueron Septiembre, Noviembre y Julio. Las relaciones interprofesionales a través de un informe exhaustivo dirigido hacia su pediatra da buenos resultados. Palabras clave: Infantil; patología; dérmica; podología; pie.[en] Retrospective analysis of foot skin pathology in children Abstract. Cutaneous pediatric pathology is one of the most common consultations in our clinical practice having to know some peculiarities that pediatric patient has, and the need to maintain a good interprofessional relationship with the rest of health professionals who simultaneously treat these patients. The objectives of the study were to number the different pathologies that affect the child's skin in the podiatry consultation to determine their prevalence and protocol of action within the framework of a multidisciplinary team. A retrospective descriptive study of a sample of 328 clinical histories, from the podiatry consultation, was carried out from November 2004 to February 2013, which met the inclusion criteria of being a pediatric patient with dermatological problems at the foot level . Thus, the results show that 52% were female pediatric patients and 48% were males with a mean age of 11.6 years, with the age ranges between 10-11 and 16-17 with a higher incidence of pathology. The most diagnosed pathologies were plantar warts, ingrown toenails and hyperhidrosis, followed by mycosis, with predominance of topical treatments. The months with a larger number of pediatric patients with skin and nail problems were September, November and July. The interprofessional relations through an exhaustive report directed towards his pediatrician, gives good results.

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Pattern of Inpatient Dermatology Consultations in a Tertiary Care Centre from Northern India

Cited by 15 publications

References 7 publications

Analysis of cases of dermatological referrals and their systemic correlation in a tertiary care hospital in Gangtok: a prospective study

Analysis of cases of dermatological referrals and their systemic correlation in a tertiary care hospital in Gangtok: a prospective study

Outpatient prescription audit in a tertiary care hospital at Puducherry

Análisis retrospectivo de la patología cutánea del pie en niños

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