In message <[log in to unmask]>, Robert Bracchi
<[log in to unmask]> writes
>In your message dated Tuesday 2, July 1996 you wrote :
>
>>Mary,
>I have been looking through our computer we have 9000+ 489 registered as having
>hay fever. 18('92-'96) received Kenalog 289 received inhaled steroids. Of
>interest 5 of the 18 received a prescription for an antihistamine 1wk-1m after
>the injection. 10 of those who had kenalog in the past are not now having any
>treatment for hay fever.
>I would like to know
>1.what factors makes a doctor prescribe kenalog rather than an anthistamine
>2.How often do patients require antihistamines after a depot injection
>3.How often do patients on kenalog get side effects compared to those on
>inhaled steroids.
>We seem to have a combined study population of 111 just need a few more!
Rob,
I'd agree that all these questions are valid and important .. but hard
to establish from a computer search - or even from the MRE!
I must admit I haven't looked at the question of inhaled steroids or
topical preparations yet.. I'll do that today and get back to you.
Should we make a list at this stage of what we are searching for ,
and,if we're coding, which codes? I have a feeling that the method of
searching and the practice protocols for recording (if you've got any
..we haven't for hayfever!) may influence our results..
What I've been doing is identifying ,from our current regular patients,
all those with a coded diagnosis of hay fever (H172-99) or allergic
rhinitis - pollen (H170)
Our annual turnover of patients is 6%, and obviously the search could be
re-run on past populations to allow for this.
Kenalog includes all the preparations, and antihistamines is the BNF
heading - in EMIS you can print it out in individual drugs and
preparations - unless you run out of paper first!
I am curious about your inhaled steroids.We have a number of patients
with seasonal asthma - but I'm not sure whether all of them would appear
in a search on hayfever: I think we classify them as asthma if that is
the way they present .. another search!I didn't think that kenalog
prevented seasonal asthma - am I wrong?
Are any of them regular users of inhaled steroids?
I shall go away and run a further search on:-
-inhaled corticosteroids
-inhaled cromoglycate
-otrovin-antistan eyedrops
-opticrom eye drops
-nasal corticsteroids and antihistamines
Has this discussion reached the stage where we should take it off GP-UK
and just email the people actively interested in comparing management of
hayfever - which is where we started!
Mary
--
Mary Hawking
Kingsbury Court Surgery
Church Street
Dunstable
Beds LU5 4RS
tel:01582 601289 (home)
01582 663218 (surgery)
fax:01582 476488 (surgery)
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