Gynaecological Referrals and Management of Chronic Pelvic Pain
Gynaecological referrals from primary to secondary care involve conditions like chronic pelvic pain, polycystic ovary syndrome, and non-neoplastic disorders of the vulva. Chronic pelvic pain is characterized by pain lasting at least six months in the lower abdomen or pelvis. Contributory factors and management options including hormonal treatments are discussed. Polycystic ovary syndrome diagnosis, risks, and associated metabolic consequences are also covered in this comprehensive guide.
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A STUDY ON DRUG USAGE PATTERN OF ANTIBIOTICS IN PATIENTS WITH SKIN DISORDERS 1
ACADEMIC GUIDE MR.S.STANLEY BASKAR M.PHARM, Professor, The Erode College of Pharmacy. CLINICAL GUIDE DR.B.ARUNKUMAR MD.DVL Government Medical College & Hospital, Tiruppur. NAME OF THE STUDENTS: 5th Pharm D-The Erode college of pharmacy 1. Nandakumar S 2. Priyadharshini V 3. Thayana R 2
BACKGROUND.. Dermatologist accounts for almost 5% antibiotic prescription worldwide and most of the conditions require prolonged treatment [1,2]. The research by Swati et al. revealed the percentage of use of antibiotics in the Department of Dermatology. Majority of the antibiotics was prescribed for the indications such as Steroid induced rosacea and acne vulgaris.Cefadroxil,Fusidic acid are commonly prescribed antibiotics[3]. 4
AIM: To study the drug usage pattern of antibiotics among patients in the department of DVL in a Tertiary care hospital, Government Medical College, Tiruppur. OBJECTIVES: 1.To study about the skin disorders in patients with antibiotics prescription. 2.To study the antibiotics that are prescribed for wide variety of skin disorders. 3.To study the drug-drug interactions in the prescription
STUDY DESIGN: Consulting the topic with hospital and academic guide. Approval from hospital ethical authorities Preparation of study protocol Collection and review of literature. Selection of patients with inclusion and exclusion criteria Obtaining data from the patients Compilation of the collected data Evaluation using statistical tools. Discussion and conclusion of the study Submission of the reports 9
METHODOLOGY Study population: Study method: In-patients and out-patients in DVL department,Government medical college hospital,Tiruppur A cross-sectional observational study Sample size: Study duration: 200 patients 6 Months
STUDY CRITERIA: INCLUSION CRITERIA: 1)Patients with infectious skin diseases. 2)Patients with non-infectious inflammatory disorders. 3)Both in-patients and out-patients 4)Patients of all age groups such as pediatrics, adults and geriatrics. EXCLUSION CRITERIA: Patients with auto immune skin disorders 11
PROCEDURE: After the approval from the authorities, the relevant data are collected from the patients with their consent. The collection of relevant data includes 1. Details of the patients, 2. Laboratory investigations (if any), 3. Diagnosis , 4. Antibiotic and non-antibiotic medications in the prescription 5. Discharge summary (in-patients) 12
PURPOSE: By this study the following benefits can be obtained such as, 1. The most commonly reported infectious skin disease can be known (during the study period). 2. The frequently prescribed antibiotics can be studied. 13
REFERENCES: [1] Divyashanthi CM, Nandhini A, Kumar SA. Study on drug utilization pattern of antibiotics among dermatology in-patients of a tertiary care teaching hospital, Karaikal, Puducherry. Int J Basic Clin Pharmacol. 2014;3(6):1072 77. [2] Chon SY, Doan HQ, Mays RM, Singh SM, Gordon RA, Tyring SK. Antibiotic overuse and resistance in dermatology.Dermatologic Therapy. 2012;25(1):55 69. [3] Swati Gupta, SuganitaSingh, Praveen KumaRathore,Analysis of antibiotics prescribed to patients attending dermatology OPD of a teaching hospital in Rohilkhand region.Journal of Pakistan Association of Dermatologists. 2021;31(2):211-218. 14
THANK YOU 15
