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加纳药店对尿道分泌物的综合征管理。

Syndromic management of urethral discharge in Ghanaian pharmacies.

作者信息

Adu-Sarkodie Y, Steiner M J, Attafuah J, Tweedy K

机构信息

School of Medical Sciences, University of Science and Technology, Kumasi, Ghana.

出版信息

Sex Transm Infect. 2000 Dec;76(6):439-42. doi: 10.1136/sti.76.6.439.

Abstract

OBJECTIVES

To evaluate the training of pharmacists in Accra, Ghana, in the syndromic management of STIs.

METHODS

We randomly selected 50 pharmacy outlets that had received the training (intervention) and 50 outlets that had not received the training (no intervention). Simulated clients described the symptoms of urethral discharge to the first pharmacy staff encountered and completed a standardised questionnaire after each encounter.

RESULTS

Correct drug provision for urethral discharge improved with the educational intervention but remained relatively low (no intervention 18%; intervention 39%; p < 0.05). More encouraging, treatment for gonorrhoea was usually correct without the intervention (64%) and improved further in the intervention outlets (76%). The treatment for chlamydia was less often appropriate but also improved (31% and 41%). Condom promotion was poor, with almost no outlets offering condoms.

CONCLUSIONS

The current training led to improvements in the treatment of urethral discharge. Future training needs to be improved, especially with regard to condom promotion. Moreover, since less than one third of simulated clients were seen by pharmacists, the training should be expanded to other pharmacy staff. With enhanced training of all pharmacy staff, the role of pharmacy outlets in STI management and prevention in Ghana and elsewhere can be optimised.

摘要

目的

评估加纳阿克拉药剂师在性传播感染综合征管理方面的培训情况。

方法

我们随机选取了50家接受过培训的药店(干预组)和50家未接受过培训的药店(非干预组)。模拟患者向遇到的首位药店工作人员描述尿道分泌物症状,并在每次问诊后完成一份标准化问卷。

结果

教育干预后,针对尿道分泌物的正确药物供应有所改善,但仍相对较低(非干预组为18%;干预组为39%;p<0.05)。更令人鼓舞的是,在未进行干预的情况下,淋病治疗通常是正确的(64%),在干预组药店中进一步提高(76%)。衣原体治疗的恰当性较低,但也有所改善(分别为31%和41%)。避孕套推广情况不佳,几乎没有药店提供避孕套。

结论

当前的培训使尿道分泌物的治疗得到了改善。未来的培训需要改进,尤其是在避孕套推广方面。此外,由于药剂师接待的模拟患者不到三分之一,培训应扩展到其他药店工作人员。通过加强对所有药店工作人员的培训,可以优化加纳及其他地区药店在性传播感染管理和预防中的作用。

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