Knowledge and practices in the diagnosis and treatment of corneal infections by Nepalese pharmaceutical shop workers

Sadhan Bhandari, John M. Nesemann*, Ram Prasad Kandel, Bimal Poudyal, Gopal Bhandari, Raghunandan Byanju, Riju Shrestha, David A. Ramirez, Kieran S. O'Brien, Thomas M. Lietman, Jeremy D. Keenan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Medical shops in Nepal are a main point of treatment for many diseases including ophthalmic conditions. We sought to evaluate pharmaceutical shop worker knowledge of corneal ulcers and abrasions. A pharmaceutical shop worker from each of 117 different pharmacies surrounding Bharatpur, Nepal, was presented four different eye photographs (i.e., corneal ulcer, corneal abrasion, conjunctivitis, and a normal eye) and asked about diagnosis and management. Of 117 participants, 86 (74%) identified conjunctivitis correctly but few were able to identify corneal abrasion (50/ 117; 43%) or corneal infection (47/117; 40%). When presented with an illustrated diagram of potential medications to dispense, 15 (13%) participants chose a topical medication containing a corticosteroid for the corneal abrasion and 25 (21%) did so for the corneal ulcer. The appropriate use of corticosteroids for external eye infections is an important topic for additional training, given the potential for these medications to worsen corneal abrasions and ulcers.

Original languageEnglish (US)
Pages (from-to)1694-1696
Number of pages3
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume103
Issue number4
DOIs
StatePublished - Oct 2020

ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology

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