Israel Defense Forces Medical Corps, IDF, P.O. Box 02149, Te Hashomer, Israel.
Israel Defense Forces Medical Corps, IDF, P.O. Box 02149, Te Hashomer, Israel ; Department of Military Medicine, Faculty of Medicine, Hebrew University, Jerusalem, Israel.
Mil Med Res. 2015 Dec 23;2:37. doi: 10.1186/s40779-015-0063-0. eCollection 2015.
Acne vulgaris, a common skin disease, 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.
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.
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.
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.
痤疮是一种常见的皮肤病，影响了高达 80%的人群。中重度痤疮需要联合使用局部和口服药物治疗，如抗生素、激素和维 A 酸类药物。维 A 酸类药物有许多禁忌症和不良反应，需要密切监测。本研究的目的是描述在军事环境中随着时间的推移，痤疮药物的处方趋势，并评估医生对痤疮治疗指南的遵守情况，包括药物预防措施、临床监测和治疗进展。
我们对 2002-2007 年间以色列国防军（IDF）开具的痤疮药物进行了描述性、连续的横断面研究，分析了开具的药物类别和患者特征。此外，通过检查医生对 IDF 指南的遵守情况，评估了医疗接触的临床质量。
在 2002 年至 2007 年间，有 64281 名患者接受了痤疮治疗。治疗疗程通常持续 1-2 个月。超过 70%接受口服维 A 酸类药物的女性患者没有同时服用口服避孕药。
本研究提供了一个独特的视角来观察军事环境中的痤疮治疗，总体上对一般指南的遵守情况良好。常见的处方是给年轻女性开口服维 A 酸类药物，而不伴随使用避孕药，这令人担忧。
