相关实验视频
Updated: Aug 15, 2026

11:39
The Goeckerman Regimen for the Treatment of Moderate to Severe Psoriasis
Published on: July 11, 2013
对皮肤菌感染的局部药物治疗方案的成本分析
1Department of Dermatology, Cleveland Veterans Affairs Medical Center, OH 44106.
JAMA
|December 28, 1994
概括
从较低成本的miconazole开始治疗真菌感染,比起最初使用昂贵的药物更具成本效益. 这种方法可以节省资金,因为它将更昂贵的抗真菌药物保留给不响应的病例.
科学领域:
- 皮肤病学 皮肤病学
- 药物经济学 药物经济学
- 传染性疾病 传染性疾病
背景情况:
- 皮肤菌感染由于药品价格的变化而导致一系列的治疗费用.
- 对真菌感染的有效初始疗法在费用上有很大差异.
研究的目的:
- 确定使用价格较高的抗真菌药物作为一线治疗的经济影响.
- 为了比较两种治疗策略的成本效益,对于 tinea pedis.
主要方法:
- 从买方的角度进行了成本分析.
- 两种治疗方案进行了比较: 1) 初始成本较低的药物与非响应者的成本较高的药物,以及 2) 所有患者的初始成本较高的药物.
- 无处方药的伊米达 (miconazole) 作为参考药物,具有70%-100%的疗效.
主要成果:
- 首先使用miconazole的成本更低,除非它的疗效低于55%,这取决于随访费用.
- 凭借70%的miconazole疗效和21.98美元的诊所费用,最初使用更高价格的药物的额外费用为每名患者8.64美元.
- 如果随访费用低于50.76.6美元,米可纳仍然是更便宜的选择.
结论:
- 开始用米可纳治疗,并为不响应病例保留价格更高的处方抗真菌药物是更经济的.
- 鉴于典型的疗效率和标准的后续访问费用,这种策略具有成本效益.
相关概念视频
Skin Diseases and Disorders
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Drug Dosage Regimen: Overview
A drug dosage regimen describes the specific instructions and schedule for administering a drug to a patient. It considers factors such as drug dosage, frequency, route of administration, and duration of treatment. Designing an appropriate dosage regimen for a patient aims to achieve a target drug concentration at the site of action.
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Typically, the starting dose and dosing interval are guided by the manufacturer's recommendations based on clinical trials conducted during and after drug...
Dosage Regimens: Designs and Approaches
Designing a dosage regimen, which refers to the manner of drug administration, is a complex process involving the selection of drug dose, route, and frequency. This process is underpinned by pharmacokinetic parameters derived from tests and population averages. These parameters are then tailored to patient-specific variables such as diagnosis, demographics, and allergy status. Once therapy commences, therapeutic response monitoring is critical and achieved through clinical and physical...
Dosage Regimen: Individualization
Individualization in dosing regimens is the customization of medication doses for individual patients. Its necessity arises from the goal of maximizing therapeutic benefits while minimizing risks. This approach is pivotal because human responses to drugs can vary widely; what is effective for one person may be inadequate or excessive for another. Interpatient (intersubject) variability refers to differences in drug responses between individuals, while intrapatient (intrasubject) variability...
Acne Infection
Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
Anthelminthic Agents
Anthelmintic drugs differ significantly from antiparasitic therapies targeting protozoa, primarily due to differences in parasite biology. Whereas most protozoal treatments act on proliferating cells, anthelmintics are typically directed against mature, nonproliferative helminths. The therapeutic approach considers the helminth's reliance on neuromuscular coordination, glucose metabolism, and microtubular integrity for survival, reproduction, and localization within the host. Most anthelmintics...

