Use and misuse of glucocorticoids in the community of Raxaul Block, North Bihar
| Autor: | Sharon Cynthia Stephen, Lois Joy Armstrong, Shelesh Masih, Philip Finny |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Rural Population Pediatrics medicine.medical_specialty Tuberculosis Prescription Drug Misuse Adolescent Urban Population Cross-sectional study India Young Adult medicine Humans Osteoporotic fracture Young adult Practice Patterns Physicians' Child Glucocorticoids Aged Medication use business.industry Public Health Environmental and Occupational Health Infant Middle Aged medicine.disease Infectious Diseases Cross-Sectional Studies Child Preschool Female business Rural population |
| Zdroj: | Tropical doctor. 45(2) |
| ISSN: | 1758-1133 |
| Popis: | Background Glucocorticoid misuse is widely recognised but inadequately addressed issue in India. This study reports the use and misuse of glucocorticoids in Raxaul Block, North Bihar, India. Methods A two-stage sampling method was used to interview 240 households during April and May 2013. In each household, anyone who had been sick in the last 6 months had their medication use recorded. Results In total, 113 out of 334 (33·8%) were found to have taken a glucocorticoid in the last 6 months (95% CI: 28.7–38.9%). One hundred (88.4%) of these were considered to be inappropriate. Seventy-nine percent had been using glucocorticoids for more than 1 month; 60.2% were prescribed by local, unlicensed practitioners. Conclusions Glucocorticoid misuse will contribute to the burden of hypertension, diabetes, osteoporotic fracture, tuberculosis, cataracts and deaths due to hypoadrenal crisis. One in 15 people in Raxaul Block are likely to have a suppressed hypothalamo-pituitary-adrenal axis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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