巴基斯坦卡拉奇地区顾问医生的处方习惯。
Prescribing practices of consultants at Karachi, Pakistan.
作者信息
Das N, Khan A N, Badini Z A, Baloch H, Parkash J
机构信息
Department of Pharmacology and Therapeutics, Bolan Medical College, Quetta, Karachi.
出版信息
J Pak Med Assoc. 2001 Feb;51(2):74-7.
OBJECTIVE
To audit the prescribing practices of consultants.
DESIGN
A randomized sample survey of 354 consultants prescription for analysis of some basic parameters as recommended by World Health Organization (WHO).
MAIN OUTCOME MEASURES
To provide feedback to the prescribers for promoting rational drug therapy.
RESULTS
The average number of drugs for prescription were found to be 4.51 and the average daily cost of prescribed drugs was Rs: 133.41. The antimicrobials, vitamins/minerals and injections were over-prescribed. About half of the prescribed drugs were from the National Essential Drugs List of Pakistan (NEDLP) and only a little over 12% were prescribed by their generic names.
CONCLUSIONS
The prescribing practices of the consultants in Karachi are rather liberal and not rational. Overuse of antimicrobials and injections have been observed and there is general tendency of indulging in polypharmacy requiring continued medical education.
目的
审核顾问医生的处方行为。
设计
对354名顾问医生的处方进行随机抽样调查，以分析世界卫生组织（WHO）推荐的一些基本参数。
主要观察指标
向开处方者提供反馈以促进合理药物治疗。
结果
发现每张处方的平均用药数量为4.51种，所开药物的日均费用为133.41卢比。抗菌药物、维生素/矿物质和注射剂存在过度处方的情况。约一半的处方药来自巴基斯坦国家基本药物清单（NEDLP），只有略超过12%的药物以通用名开具。
结论
卡拉奇顾问医生的处方行为较为随意，不合理。观察到抗菌药物和注射剂的过度使用，并且普遍存在多药联用的倾向，这需要持续的医学教育。
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