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印度北部一家政府医疗中心实习医生的用药模式

Drug prescribing pattern of interns at a government healthcare centre in northern India.

作者信息

Rehan Harmeet Singh, Lal Panna

机构信息

Department of Pharmacology, Maulana Azad Medical College, New Delhi, India.

出版信息

Trop Doct. 2002 Jan;32(1):4-7. doi: 10.1177/004947550203200105.

Abstract

Prescribing habits of interns posted at a primary health centre for a period of 2 months (January 1994 and February 1994) were studied. Among the 1457 prescriptions collected, the average number of drugs per prescription was 2.47. The commonest groups of drugs prescribed were antibiotics (33.9%), analgesics and anti-inflammatories (17.0%), vitamins (13.0%), cough syrups (10.5%) and antihistamines (8.6%). The use of injectables was uncommon (0.9%). Most of the drugs prescribed were from the local drugs list of the centre (84.2%) consisting of 36 drugs. The list contained 20 drugs with proprietary names of which six were fixed-dose combinations. The local drug list needs modification. The proportion of drugs prescribed by generic name was 49.5%. As per Kunin's criteria, 57.9% of the antibiotics used were appropriate. Interns often forget to write the diagnosis (43%), signs and symptoms (50.2%), dosages and frequency of treatment. The result of this baseline study may be useful in promoting the education necessary in order to achieve the objectives of good prescribing.

摘要

对在一家初级保健中心实习两个月(1994年1月和1994年2月)的实习生的处方习惯进行了研究。在收集的1457张处方中,每张处方的平均药物数量为2.47种。最常开具的药物类别是抗生素(33.9%)、镇痛药和抗炎药(17.0%)、维生素(13.0%)、止咳糖浆(10.5%)和抗组胺药(8.6%)。注射剂的使用并不常见(0.9%)。大多数开具的药物来自该中心的本地药品清单(84.2%),该清单包含36种药物。该清单中有20种有商品名的药物,其中六种是固定剂量组合。本地药品清单需要修改。按通用名开具的药物比例为49.5%。根据库宁的标准,所使用的抗生素中有57.9%是合适的。实习生经常忘记写明诊断(43%)、体征和症状(50.2%)、剂量和治疗频率。这项基线研究的结果可能有助于推动为实现良好处方目标所需的教育。

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