A Questionnaire Study on Patient Knowledge, Attitude, and Perception of Topical Corticosteroid Abuse in a Dermatology Outpatient Department

Abstract

Numerous studies indicate that patients often misuse topical corticosteroids due to insufficient information and self-administration. In India, these medications are often available over the counter without proper prescriptions, leading to irrational use. This study aims to assess the knowledge, attitude, and practice (KAP) regarding topical corticosteroids among dermatology outpatients. A prospective pre-post study was conducted among 100 dermatology outpatients using validated KAP questionnaires administered through face-to-face interviews. Following patient counselling with an information leaflet, the same questionnaires were completed again after one month. Results showed 53% of participants were women, 71% were aged 22 to 40, and 56% were graduates. Additionally, 49% had fair economic status, 80% were married, and 65% resided in rural areas. The most common adverse drug reaction was acne (31%), with 61% rated as "possible" on the Naranjo scale. Clobetasol propionate 0.05% was misused by 29% of participants, primarily for skin lightening (31%). Pharmacists were the primary information source (51%). Pre-test scores for knowledge, attitude, and perception were low (mean 1.46±1.61, 4.00±3.18, 1.46±1.61), but significantly improved post-test (mean 3.10±2.03, 6.00±2.96, 3.14±2.03) with p-values <0.05 Patient counselling significantly increased knowledge about topical corticosteroids.