Abstract
Background: Glucocorticoids are among the most commonly prescribed medications owing to their generic anti-inflammatory and immunosuppressive effects. Adrenal insufficiency and adrenal crisis are among the major serious adverse effects of long course glucocorticoid treatment. Patient education on sick day rules and the use of steroid treatment identifiers are some of the strategies that are commonly employed to mitigate the risk of AI and adrenal crisis. This study aimed to assess awareness of sick day rules and the use of steroid cards at a tertiary referral hospital in Ethiopia. Methods: A cross-sectional study was conducted at the outpatient medical clinics at Tikur Anbessa Specialized Hospital over a study period of consecutive six months. A total of 100 patients from medical and endocrine clinics who fulfilled the eligibility criteria were recruited to take part in the study on the day they attended their routine follow-up clinics. Interviewer administered questioner regarding sick day rules and use of steroid identifier was used and statistical analysis was done using SPSS software version 20.
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