Corticosteroid Phobia Among Pharmacists Regarding Atopic Dermatitis in Children: A National French Survey
Delphine Raffin, Bruno Giraudeau, Mahtab Samimi, Laurent Machet, Xavier Pourrat, Annabel Maruani
Fear of corticosteroid use among patients and parents of children with atopic dermatitis (AD) may be increased by professional caregiver’s mistrust to corticosteroids and a lack of consistency in information provision. This study used a French national survey to assess mistrust among pharmacists of the use of topical steroids for treatment of AD in children. From all pharmacies in France, a random sample of 500 (approximately 2%) was selected to receive a postal survey comprising a standardized questionnaire of 50 items exploring trust, knowledge, beliefs and practices related to the use of topical steroids for children with AD. The main outcome was self-assessment of pharmacists’ confidence in topical steroids on a 0–10 visual analogue scale. The mean confidence was 4.46 (95% confidence interval 4.11–4.82). This study highlights that pharmacists have only moderate confidence in topical steroids. This lack of trust may have a high impact on maintaining fear of corticosteroids in parents and patients.