Year: 2019
Type: article
Study design: Observational Study
Abstract: were performed including means and standard deviations for continuous variables and frequencies and proportions for categorical variables.A total of 186 people with HS were contacted and 60 consented and participated in the study (response rate 32.3%).Six patients were excluded because they lacked a wash in their current treatment plan.The mean (standard deviation) age of the participants was 42.0 (12.9) years, and 80% (43/54) were female.Overall, 54% (29/54) were recommended to use chlorhexidine and 46% (25/54) were recommended BPO. Figure 1 demonstrates the frequency and distribution of use of chlorhexidine and BPO in these patients; 70% (38/54) were using the recommended wash and 30% (16/54) were not able to obtain a wash.Of those who were recommended a wash, only 30% (16/54) were using it daily.Prescription medication adherence, defined as a patient rarely or never missing doses, was 87% (47/54).Common barriers to adhering to the washes included affording the wash and finding the wash in a store, with 45% (20/44) of patients who responded to this question reporting at least a little bit of difficulty in affording the wash and 37% (15/41) reporting at least a little bit of difficulty in finding the wash.Both washes did not have their active ingredients prominently displayed, making them difficult to find.Additionally, patients have to use large quantities of wash to cover the affected areas, thereby increasing the price.Patients rated their perceived benefit of using the wash on a 5-point Likert scale for helpfulness of the wash (1 = no improvement, 5 = a lot of improvement) as shown in Figure 2; the average rating was 2.5.Limitations of this study are the inclusion of English speakers only and the use of a nonvalidated telephone survey.Although antimicrobial washes are standard of care in HS, adherence rates are low compared to prescription medications and their frequency of use varies drastically among patients.Our results are comparable to a similar study done in patients with acne
Source: Dermatology
DOI: 10.1159/000500827
Language: English
Subfield: Dermatology
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2962279056