Document Detail


Inappropriate use of oral terbinafine in family practice.
MedLine Citation:
PMID:  12661473     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review whether oral terbinafine, used for fungal nail infections, is prescribed appropriately by general practitioners. METHOD: Cross-sectional survey of forty volunteer practices. Prescribing systems were searched to identify patients who had been prescribed a course of oral terbinafine during 1998. The clinical records of five such patients in each practice were examined for additional information regarding appropriate diagnostic tests. RESULTS: Five hundred sixty-nine patients (0.25% of the population aged 12 and over) were reported to have received a course of oral terbinafine. Sixty-four percent had been treated empirically without any recorded diagnostic test. CONCLUSION: Treatment of onychomycosis with terbinafine is commonly undertaken without diagnostic confirmation. This empirical treatment does not comply with locally recommended good practice.
Authors:
Michael Wilcock; John Hartley; David Gould
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pharmacy world & science : PWS     Volume:  25     ISSN:  0928-1231     ISO Abbreviation:  Pharm World Sci     Publication Date:  2003 Feb 
Date Detail:
Created Date:  2003-03-28     Completed Date:  2003-07-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9307352     Medline TA:  Pharm World Sci     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  25-6     Citation Subset:  IM    
Affiliation:
Cornwall & Isles of Scilly Health Authority, John Keay House, St Austell, Cornwall, PL25 4NQ, UK. Mike.Wilcock@ClosHA.Cornwall.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Administration, Oral
Adolescent
Adult
Antifungal Agents / administration & dosage*,  adverse effects,  therapeutic use*
Child
Drug Utilization Review
Family Practice
Female
Foot Dermatoses / diagnosis,  drug therapy
Humans
Male
Naphthalenes / administration & dosage*,  adverse effects,  therapeutic use*
Onychomycosis / diagnosis,  drug therapy
Physician's Practice Patterns*
Questionnaires
Chemical
Reg. No./Substance:
0/Antifungal Agents; 0/Naphthalenes; 91161-71-6/terbinafine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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