Evaluation of attitudes of health care professionals towards the use of corticosteroids in the Republic of Kosovo

Abstract

Irrational use of drugs/medicinal productsremains a major issue facing most health systems across the world, especially the developing countries with weak health systems, where mechanisms for routine monitoring of drug productuse are often not well developed or are at times non-existent. In order to collect preliminary data on real-life attitudes, beliefs and perceptions about the treatment with corticosteroid drugs (CSs), a representative sample of 30caregivers (medical doctors from different specialty) from Republic of Kosovo, was assessed during the period of March to April in 2017, where most of the surveyed (93.30%) were of Albanian nationality. More than 86% of all surveyed respondents confirmed that they prescribed CSs in the last year. According to the answers of the questionnaire, 33.33% of respondents prescribed 1 to 5 CSs in the last month, 23.33% of respondents prescribed5 to 10 CSs and 26.67% more than 15 CSs, while 16.67% not even once. The question concerning the attitudes on CSs treatment was answered as follows: 16.67% of all respondents had negative attitude on CSs treatment, 60% of the respondents expressed the opposite opinion, and the other 23.33% of respondents could not give a definite answer. Data from the separate analyses performed to determine the most common indication showed that allergy was the indication the CSs were mostly prescribed for (70%). Of the total CSs prescribed, obtained results revealed that low potency CSs (methylprednisolone, hydrocortisone, prednisolone) were often prescribed (70%), while the most commonly prescribed dosage forms were topical steroids, followed by the inhalation formulations and oral dosage forms (33.33%). Keywords: corticosteroids, irrational use, prescription, survey, corticophobia

Oral corticosteroids in asthma and beyond: moving forward

“…One obvious answer is that OCS are lifesaving in severe cases. Physicians may also view OCS as an inexpensive, effective and low risk therapy [16]. More studies focusing on the effects of intermittent OCS therapy are urgently needed.…”