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哮喘患儿的临床症状与“超说明书”用药

Clinical symptoms and 'off-label' prescribing in children with asthma.

作者信息

McCowan Colin, Hoskins Gaylor, Neville Ron G

机构信息

Tayside Centre for General Practice, University of Dundee, Dundee, UK.

出版信息

Br J Gen Pract. 2007 Mar;57(536):220-2.

PMID:17359609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2042555/
Abstract

A UK-wide database of structured asthma review consultations was used to investigate the prevalence of 'off-label' anti-asthma prescriptions in relationship to clinical symptoms of asthma control. The 1050 children (6.1%) aged 16 years or under issued with an off-label prescription reported more nighttime, daytime and activity asthma symptoms, and used more short-acting beta(2)-agonist medication than their peers. Off-label prescribing for children with asthma in UK primary care is associated with worse levels of self-reported asthma control.

摘要

一个覆盖全英国的结构化哮喘复诊咨询数据库被用于调查“超说明书”抗哮喘处方的流行情况及其与哮喘控制临床症状的关系。1050名16岁及以下开具了超说明书处方的儿童(占6.1%)报告称,他们夜间、白天和活动时的哮喘症状更多,且比同龄人使用了更多的短效β2受体激动剂药物。在英国初级医疗保健中,给哮喘儿童开超说明书处方与自我报告的哮喘控制水平较差有关。

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引用本文的文献

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BMC Pulm Med. 2010 May 14;10:29. doi: 10.1186/1471-2466-10-29.
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Br J Gen Pract. 2007 Mar;57(536):179-80.

本文引用的文献

1
The economic and human costs of asthma in Scotland.苏格兰哮喘的经济和人力成本。
Prim Care Respir J. 2003 Dec;12(4):115-118. doi: 10.1038/pcrj.2003.64. Epub 2003 Dec 1.
2
An academic, pharmaceutical and practice collaboration to implement asthma guidelines.一项旨在实施哮喘指南的学术、制药与实践合作。
Prim Care Respir J. 2005 Apr;14(2):106-11. doi: 10.1016/j.pcrj.2004.10.008.
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Off licence and off label prescribing in children: litigation fears for physicians.儿童的无执照和超说明书用药:医生面临诉讼风险。
Arch Dis Child. 2005 Feb;90 Suppl 1(Suppl 1):i17-8. doi: 10.1136/adc.2004.058867.
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BMJ. 2002 Jun 1;324(7349):1313-4. doi: 10.1136/bmj.324.7349.1313.
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Unlicensed and off label drug use by children in the community: cross sectional study.社区中儿童使用未获许可及超说明书用药情况:横断面研究
BMJ. 2002 Jun 1;324(7349):1312-3. doi: 10.1136/bmj.324.7349.1312.
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BMJ. 2002 Jun 1;324(7349):1311-2. doi: 10.1136/bmj.324.7349.1311.
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Worldwide variations in the prevalence of asthma symptoms: the International Study of Asthma and Allergies in Childhood (ISAAC).全球哮喘症状患病率的差异:儿童哮喘和过敏国际研究(ISAAC)
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