Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study
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Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study
Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study
MMR2016年3卷第1期 页码:15-21
Affiliations:
1.Israel Defense Forces Medical Corps, IDF, P.O. Box 02149, Te Hashomer, Israel
2.Department of Military Medicine, Faculty of Medicine, Hebrew University, Jerusalem, Israel
Author bio:
*: pharmerster@gmail.com
Funds:
DOI:
中图分类号:
纸质出版:2016-03
Accepted:
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Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study[J]. MMR, 2016,3(1):15-21.
Chen Fleischmann, Lior Cohen, Elimelech Adams, et al. Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study[J]. Military Medical Research, 2016, 3(1): 15-21.
Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study[J]. MMR, 2016,3(1):15-21.DOI:
Chen Fleischmann, Lior Cohen, Elimelech Adams, et al. Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study[J]. Military Medical Research, 2016, 3(1): 15-21.DOI:
Adherence to acne treatment guidelines in the military environment - a descriptive, serial cross-sectional study
affects up to 80% of the population. Moderate to severe acne requires treatment with a combination of topical and oral drugs such as antibiotics
hormones and retinoids. Retinoids have many contraindications and adverse effects requiring close monitoring. The study’s objectives were to describe prescribing trends in acne medication over time in a military setting
and assess physician adherence to guidelines for acne treatment
including drug precautions
clinical monitoring
and treatment progression.
Methods:
2
We conducted a descriptive
serial cross-sectional study of acne drugs prescribed in the Israel Defense Forces (IDF) in the years 2002–2007
analyzing the classes of drugs prescribed and patient characteristics. In addition
the clinical quality of the medical encounter was assessed by examining physician adherence to IDF guidelines.
Results:
2
Between 2002 and 2007
64
281 patients were treated for acne. Treatment courses generally persisted for 1–2 months. Over 70% of female patients receiving oral retinoids were not concomitantly receiving oral contraceptives.
Conclusions:
2
This study provides a unique perspective of acne treatment in a military setting
overall displaying good adherence to general guidelines. The common prescription of oral retinoids to young females without concomitant contraception is alarming.
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references
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