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[意大利国家卫生系统急诊科的解毒剂供应情况及全国解毒剂数据库的建立]

[Antidotes availability in Emergency Departments of the Italian National Health System and development of a national data-bank on antidotes].

作者信息

Locatelli Carlo, Petrolini Valeria, Lonati Davide, Butera Raffaella, Bove Angelo, Mela Lidia, Manzo Luigi

机构信息

Centro Antiveleni di Pavia e Centro Nazionale di Informazione Tossicologica,Servizio di Tossicologia, Istituto Scientifico di Pavia, IRCCS Fondazione Maugeri Clinica del Lavoro e della Riabilitazione e Università degli Studi, Pavia.

出版信息

Ann Ist Super Sanita. 2006;42(3):298-309.

Abstract

The availability of antidotes in Italian hospitals has been evaluated through the answers to a specific questionnaire sent to all Italian Emergency Departments, Intensive Care Units, 118 emergency response system, and Poison Centres. Five Poison Centres and, approximately, the 30% of the Emergency Departments and Intensive Care Units of all Italian emergency hospitals answered to the questionnaire. The results point out an insufficient availability of antidotes in the Italian emergency hospitals, with an almost total absence of those necessary for the treatment of less frequent and less known poisonings (e.g. digoxin, industrial agents), also when the antidote is a lifesaving drug. To improve the antidotes availability for the toxicological emergencies and to facilitate its supplying, a "national antidotes data-base" (BaNdA) has been realized, freely available to the hospital services which register themselves and make their antidotes stockpile available.

摘要

通过向意大利所有急诊科、重症监护病房、118应急响应系统和中毒控制中心发送的一份特定调查问卷的回复,对意大利医院解毒剂的可获得性进行了评估。五个中毒控制中心以及意大利所有急诊医院约30%的急诊科和重症监护病房回复了该问卷。结果表明,意大利急诊医院解毒剂的可获得性不足,对于治疗较少见和较不为人知的中毒(如地高辛、工业制剂)所需的解毒剂几乎完全缺失,即便该解毒剂是一种救命药物。为提高中毒紧急情况时解毒剂的可获得性并便利其供应,已建立了一个“国家解毒剂数据库”(BaNdA),供自行登记并提供其解毒剂库存的医院服务部门免费使用。

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