Chuc N T, Larsson M, Falkenberg T, Do N T, Binh N T, Tomson G B
Hanoi Medical University, Division of International Health, Vietnam.
Ann Pharmacother. 2001 Oct;35(10):1283-8. doi: 10.1345/aph.10313.
To investigate the knowledge and practice among private pharmacy staff in Hanoi regarding case management of mild acute respiratory infection (ARI) in children.
Sixty private pharmacies in Hanoi were randomly selected. Knowledge was assessed through interviews with pharmacy staff using a questionnaire; practice was assessed through the Simulated Client Method.
In the questionnaire, 20% of the pharmacy staff stated that they would dispense antibiotics. In practice, 83% of the pharmacies dispensed antibiotics. Only 36% of the cases were handled according to guidelines. In the questionnaire, 81% of interviewees stated that antibiotics are not effective in short therapeutic courses. In practice, 48% of the antibiotics were dispensed in courses less than five days. Traditional herbal medicines were dispensed in 41% of the encounters. In the questionnaire, 53% of the pharmacy staff stated that they would ask the patient about difficulty of breathing. In practice, questions related to difficulty of breathing were asked in less than 10% of the encounters.
Dispensing of antibiotics for mild ARI was common practice among private pharmacies, and there was a significant difference between knowledge and practice. Interventions are needed to improve pharmacy practice in Hanoi.
调查河内市私立药房工作人员在儿童轻度急性呼吸道感染（ARI）病例管理方面的知识和实践情况。
随机选取河内市60家私立药房。通过使用问卷对药房工作人员进行访谈来评估知识水平；通过模拟客户法评估实践情况。
在问卷中，20%的药房工作人员表示会配发抗生素。在实际操作中，83%的药房配发了抗生素。只有36%的病例是按照指南处理的。在问卷中，81%的受访者表示抗生素在短疗程治疗中无效。在实际操作中，48%的抗生素疗程少于五天。41%的就诊中配发了传统草药。在问卷中，53%的药房工作人员表示会询问患者呼吸困难情况。在实际操作中，不到10%的就诊询问了与呼吸困难相关的问题。
私立药房中为轻度ARI配发抗生素是常见做法，知识与实践之间存在显著差异。需要采取干预措施来改善河内市的药房实践。
