Аннотация:Проблема комплаентности изучена у 242 больных с дерматофитиями стоп (ДС): 212 (87,6%) мужчин и 30 (12,4%) женщин. Выявлен крайне низкий уровень комплаенса – 1,7 балла по Шкале
Мориски – Грина. Максимальная приверженность зарегистрирована у лиц пожилого (2,4 балла) и старческого (2,0 балла) возрастов, минимальная – у трудоспособного населения (1,4 балла). Уровень комплаенса был достоверно выше при наличии онихомикоза (2,2 балла), легких ариантов течения ДС (интертригинозная / сквамозная / сквамозная + интертригинозная – 1,8–2,1), отсутствии осложнений – вторич-ная пиодермия и микробная экзема (1,8 балла).
COMPLIANCE AS ONE OF THE PROBLEMS OF RATIONAL PHARMACOTHERAPY
OF DERMATOPHYTOSIS OF THE FEET
Gladko V., Saverskaya Ye., Montes Rosel K., Sokolova T., Malyarchuk A., Golovinov A., Panchenko L.
The problem of compliance was studied in 242 patients with dermatophytosis of the feet (DF) – 212 (87.6%) men and 30 (12.4%) women. An extreme ly low level of compliance was detected – 1.7 points on the Moriska – Green scale. The maximum level of commitment to therapy was detected in persons of elderly (2.4 points) and senile (2.0 points) age; workingage persons had the minimum level (1.4 points). The compliance level was significantly higher in the presence of onychomycosis (2.2 points), light variants of the course of DF (intertriginous / squamous / squamous + intertriginous – 1.8–2.1), in the absence of complications – secondary pyoderma and microbial eczema (1.8 points). The compliance value according to anamnesis significantly increased with an increase in the number of applied topical antimycotics (TA) – from 1.8 points (one TA) to 2.5 points (three or more TA) (p <0.05). Patients’ understanding the doctor’s recommendations and characteristics of the drugs (efficacy / safety / quality) strongly influence the commitment to therapy.
The problem of compliance was studied in 242 patients with dermatophytosis of the feet (DF) – 212 (87.6%) men ly low level of compliance was detected – 1.7 points on the Moriska – Green scale. The maximum level of commitment to therapy was detected in persons of elderly
(2.4 points) and senile (2.0 points) age; workingage persons had the minimum level (1.4 points). The compliance level was significantly higher in the presence of onychomycosis (2.2 points), light variants of the course of DF (intertriginous / squamous / squamous + intertriginous – 1.8–2.1), in the absence of complications – secondary pyoderma and microbial eczema (1.8 points). The compliance value according to anamnesis significantly increased with an increase in the number of applied topical antimycotics (TA) – from 1.8 points (one TA) to 2.5 points (three or more TA) (p <0.05).
Patients’ understanding the doctor’s recommendations and characteristics of the drugs (efficacy / safety / quality) strongly influence the commitment to therapy