苏丹白尼罗地区性传播感染疾病处方模式的变化
Changing the prescribing patterns of sexually transmitted infections in the White Nile Region of Sudan.
作者信息
Eltayeb I B, Awad A I, Mohamed-Salih M S, Daffa-Alla M A, Ahmed M B, Ogail M A, Matowe L
机构信息
Department of Pharmacology, Faculty of Pharmacy, University of Khartoum, Sudan.
出版信息
Sex Transm Infect. 2005 Oct;81(5):426-7. doi: 10.1136/sti.2004.014001.
BACKGROUND
The number of inappropriate prescriptions for sexually transmitted infections (STIs) in Sudan is suspected to be high. Simple multifaceted interventions directed at prescribers may improve prescribing patterns in the Sudan.
OBJECTIVE
To evaluate the effect of multifaceted interventions on prescribing for STIs in the White Nile State, Sudan.
METHODS
The study involved 20 health centres randomly assigned to four different multifaceted interventions to improve prescribing.
RESULTS
Prescriber targeted interventions involving audit and feedback together with academic detailing and practice guidelines reduced the number of inappropriate prescriptions by 50% (p < 0.001). Audit and feedback together with seminars and practice guidelines reduced inappropriate prescriptions by 43% (p < 0.001). Audit and feedback alone reduced inappropriate prescriptions by 16% (p = 0.127).
CONCLUSION
Prescribing for STIs in the White Nile State of Sudan needs improving. Multifaceted interventions appear effective in improving prescribing.
背景
据怀疑，苏丹性传播感染（STIs）不适当处方的数量很高。针对开处方者的简单多方面干预措施可能会改善苏丹的处方模式。
目的
评估多方面干预措施对苏丹白尼罗州性传播感染处方的影响。
方法
该研究涉及20个保健中心，随机分配到四种不同的多方面干预措施以改善处方。
结果
针对开处方者的干预措施，包括审核与反馈、学术详述和实践指南，将不适当处方的数量减少了50%（p < 0.001）。审核与反馈、研讨会和实践指南相结合，将不适当处方减少了43%（p < 0.001）。仅审核与反馈将不适当处方减少了16%（p = 0.127）。
结论
苏丹白尼罗州性传播感染的处方需要改进。多方面干预措施似乎对改善处方有效。
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