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德里一家三级医院眼科的处方和用药模式。

Patterns of prescription and drug use in ophthalmology in a tertiary hospital in Delhi.

作者信息

Biswas N R, Jindal S, Siddiquei M M, Maini R

机构信息

Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi-110029, India.

出版信息

Br J Clin Pharmacol. 2001 Mar;51(3):267-9. doi: 10.1046/j.1365-2125.2001.00350.x.

DOI:10.1046/j.1365-2125.2001.00350.x
PMID:11298073
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2015021/
Abstract

AIMS

The present study was carried out to describe the patterns of prescription and drug use in Ophthalmology in out-patients at Dr Rajendra Prasad (R.P.) Centre for Ophthalmic Sciences of All India Institute of Medical Sciences (A.I.I.M.S.), New Delhi.

METHODS

Prescriptions of 1017 out-patients were audited through a specially designed form and analysed for the following: average number of drugs per prescription, duration of treatment (recorded or not), dosage forms prescribed, frequency of administration (recorded or not), number of encounters with antibiotics and percentage of drugs prescribed by generic name.

RESULTS

Prescription analysis showed that the average number of drugs per prescription was 3.03. Duration of treatment was recorded for only 26.4% of the drugs prescribed. The maximum number of drugs prescribed were in the form of eye drops (76%), followed by tablets (10.9%), ointments (6.4%), syrups (1%), capsules (0.7%), lotions (0.3%) and injections (0.1%). No dosage form was recorded for 4.6% of the drugs prescribed. The frequency of administration was recorded for only 77.9% of the drugs prescribed. The number of antibiotics prescribed was 1059 which constitutes 34.2% of the total number of drugs prescribed. The percentage of drugs prescribed by generic name was only 35%.

CONCLUSIONS

The results obtained in this study indicated an awareness of polypharmacy but a high incidence of common prescription writing errors such as not recording the duration of therapy, frequency of administration and dosage form. Moreover prescribing by generic name was also low.

摘要

目的

本研究旨在描述新德里全印度医学科学研究所(AIIMS)拉金德拉·普拉萨德(R.P.)眼科科学中心门诊眼科的处方模式和用药情况。

方法

通过专门设计的表格对1017名门诊患者的处方进行审核,并分析以下内容:每张处方的平均用药数量、治疗时长(是否记录)、所开剂型、给药频率(是否记录)、使用抗生素的次数以及通用名开药的百分比。

结果

处方分析显示,每张处方的平均用药数量为3.03。仅26.4%的所开药物记录了治疗时长。所开药物数量最多的剂型是眼药水(76%),其次是片剂(10.9%)、药膏(6.4%)、糖浆(1%)、胶囊(0.7%)、洗剂(0.3%)和注射剂(0.1%)。4.6%的所开药物未记录剂型。仅77.9%的所开药物记录了给药频率。所开抗生素数量为1059,占所开药物总数的34.2%。通用名开药的百分比仅为35%。

结论

本研究结果表明存在多药联用的情况,但常见处方书写错误发生率较高,如未记录治疗时长、给药频率和剂型。此外,通用名开药的比例也较低。

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