[Evaluation of the prescription of long-term systemic steroid-therapy associated measures]. / Mesures adjuvantes à une corticothérapie systémique prolongée : que faut-il prescrire ?
Ann Pharm Fr
; 70(5): 292-7, 2012 Sep.
Article
in Fr
| MEDLINE
| ID: mdl-23020920
ABSTRACT
INTRODUCTION:
To prevent the occurrence of corticosteroid's side effects, adjuvant measures are prescribed in a very different way depending on the practitioner's experience. The aim of this study was to assess the physicians' practices regarding the prescription of long-term corticosteroid therapy.METHODS:
In May 2010, we realized a cross-sectional study among physicians in Ibn Sina University Hospital in Rabat. With a data collection form, we assessed the principal indications for prescribing steroids and the frequency of prescription of measures sometimes associated with systemic corticosteroid.RESULTS:
Fifty-nine out of eighty physicians completed the data collection form (response rate 69.4%). Calcium-vitamin D supplementation was recommended by most of the physicians. Half of them were prescribing biphosphonate therapy. Most of them propose a low-sodium, a low-fat and a low-carbohydrate dietary regimen. Regular physical exercise was recommended by 35% of physicians. Gastric protection was indicating by 54.4% of practicians and potassium supplementation by 42.1% of them. Finally, the recommendation for influenza vaccination, hydrocortisone prescription and Synacthen(®) test, varied between physicians.CONCLUSION:
The prescription of adjuvant measures with a long-term corticosteroid therapy was very heterogeneous. There is no consensus regarding most of the measures.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Adrenal Cortex Hormones
/
Anti-Inflammatory Agents
Type of study:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Africa
Language:
Fr
Journal:
Ann Pharm Fr
Year:
2012
Type:
Article
Affiliation country:
Morocco