Raghu M B, Balasubramanian S, Balasubrahmanyam G
Department of Pediatrics, Sri Ramachandra Medical College and Research Institute, Madras.
Indian J Pediatr. 1995 Jul-Aug;62(4):439-43. doi: 10.1007/BF02755064.
Forty eight Medical practitioners, 56 pharmacists and 55 mothers of children with diarrhoea were interviewed, using a prepared questionnaire, in an attempt to evaluate in each group, the awareness of and attitude towards oral rehydration therapy. 69% of mothers interviewed were aware of oral rehydration therapy, but only 66% among them practised it. 48% of mothers interviewed, received advice regarding oral rehydration therapy from medical personnel and health care providers. It was found that the ORS preparations not conforming to WHO formulation were the most widely stocked and used and the most widely sold. 9% of pharmacists advocated only glucose as a treatment for diarrhoea on their own. 60% of doctors advised and prescribed ORS preparation not conforming to WHO formulation, 44% of medical practitioners were not sure of the exact method of dilution and preparation of the commercially available preparations. The study has shown that there is more to be done towards realising the total success of ORT. We recommend that ORS preparations not conforming to WHO formulation be withdrawn from the market and further that the responsibility of their manufacture be undertaken by governmental agencies.
我们使用一份预先准备好的问卷,对48名医生、56名药剂师以及55名腹泻患儿的母亲进行了访谈,试图评估每组人群对口服补液疗法的认知和态度。接受访谈的母亲中有69%知晓口服补液疗法,但其中只有66%实施了该疗法。接受访谈的母亲中有48%从医务人员和医疗服务提供者那里获得了有关口服补液疗法的建议。结果发现,不符合世界卫生组织配方的口服补液盐制剂库存最多、使用最广且销量最大。9%的药剂师主张仅用葡萄糖单独治疗腹泻。60%的医生建议并开出处方使用不符合世界卫生组织配方的口服补液盐制剂,44%的医生不确定市售制剂的确切稀释和配制方法。该研究表明,要实现口服补液疗法的全面成功,还有更多工作要做。我们建议将不符合世界卫生组织配方的口服补液盐制剂撤出市场,并进一步建议由政府机构承担其生产责任。