Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal: A qualitative study
Rattachement africain : au, np, gb, th. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Access to topical corticosteroids (TCs) globally includes over the counter (OTC) sale without proper guidelines, exacerbating treatment-resistant infections and complicating outcome of skin conditions. The main aim of the study was to evaluate the reasons behind OTC use of TCs among patients with skin conditions before attending a skin specialist clinic. This study was conducted from September 2021 to March 2022. The study included in-depth interviews (IDIs) and observations, among a total of thirty-one patients with specific skin conditions using TCs, at the Sarnath Skin Centre in Siddhartha Nagar (Bhairahawa), Nepal. All interviews were conducted in the Nepali language, audio-recorded, transcribed and translated into English and were coded and analyzed in NVivo. Among the 31 individuals diagnosed with Dermatophytosis, Melasma, Eczema, common treatments included use of Sonaderm (Clobetasol, Gentamycin and Miconazole), Derma-KT (Clobetasol, Gentamicin, Ketoconazole and Iodochlorhydroxyquinoline) and steroid-infused products from non-medical sources for prolonged periods of time, exposing patients to transient recovery and perpetuating a vicious cycle of OTC treatment seeking until patients failed to recover. OTC seeking was facilitated by participants' easy access to drug dispensers, suggestions from and practice of family and friends which often led to temporary relief for a few weeks/months. In addition, access factors (e.g., distance, cost, time), convenience factors (e.g., ease of presenting at the drug store compared to skin clinic) also influenced the choice for OTC. There was a lack of knowledge related to adverse effects of topical steroids, including proper guidance on the use of topical medications and limitations of home remedies. OTC use of topical medications poses significant challenges, often leading to complicated skin cases that present late at skin-specialist clinics. A multi-pronged public and community engagement approach is critical to curb the treatment seeking dynamics among patients developing skin conditions.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Over the counter use of topical corticosteroid for skin conditions among patients before attending skin specialist clinic in Nepal: A qualitative study
- Date Crossref
- 24/06/2025
- Éditeur
- Public Library of Science (PLoS)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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La Trobe University Department of Public Health pays non établi dans la noticeUniversité ou école supérieure
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Tribhuvan University Teaching Hospital Department of Microbiology pays non établi dans la noticeÉtablissement de santé
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College of Medical Sciences Department of Physiology pays non établi dans la noticeÉtablissement de santé
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Universal College of Medical Sciences pays non établi dans la noticeUniversité ou école supérieure
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University of Oxford Nuffield Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Mahidol University pays non établi dans la noticeUniversité ou école supérieure
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Mahidol Oxford Tropical Medicine Research Unit pays non établi dans la noticeStructure de recherche
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Tribhuvan University pays non établi dans la noticeUniversité ou école supérieure
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Sarnath Skin Centre pays non établi dans la noticeInstitution
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Nepal Police Hospital Department of Pediatrics pays non établi dans la noticeÉtablissement de santé
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Academy for Data Science and Global Health pays non établi dans la noticeInstitution
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Faculty of Tropical Medicine Mahidol-Oxford Tropical Medicine Research Unit pays non établi dans la noticeUniversité ou école supérieure
Department of Public Health — La Trobe University, Department of Microbiology — Tribhuvan University Teaching Hospital et Department of Physiology — College of Medical Sciences, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.