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冷链药品运输及配送至泰国医院的质量

Quality of cold storage drugs transportation and delivery to Thai hospitals.

作者信息

Sooksriwong Cha-Oncin, Bussaparoek Woranut

机构信息

Social and Administrative Pharmacy Excellence Unit, Department of Pharmacy, Faculty of Pharmacy, Mahidol University, 447 Sri Ayudhya Rd, Rajathewee, Bangkok 10400, Thailand.

出版信息

J Med Assoc Thai. 2009 Dec;92(12):1681-5.

Abstract

BACKGROUND

In Thailand there is no regulation and standard guideline to control the quality of drug transportation, including cold storage drugs.

OBJECTIVE

To explore the condition of cold storage drugs transportation and delivery to general public hospitals, community hospitals and private hospitals.

MATERIAL AND METHOD

This is a cross-sectional survey research. There were 301 questionnaires returned from 720 questionnaires sent (41.8% response rate)

RESULTS

The serious problems of cold storage drugs on delivery were (1) Cold storage drugs (2 degrees C - 8 degrees C) were delivered to the hospitals without controlled temperature boxes, was found in private, public and community hospitals at the rate of 46.7%, 48.3% and 72.9% respectively. (2) Cold storage drugs (-20 "C), i.e., polio vaccine came to the hospitals with a temperature higher than 8C or ice melting in the box, was found in private, public and community hospitals at the rate of 22.9%, 12.7% and 35.0% respectively.

CONCLUSION

There are differences in quality of cold storage drug transportation and delivery among types of hospitals. It is highly recommended that Thai FDA should develop a standard and implement the control system for logistics management of cold storage drugs.

摘要

背景

在泰国,没有用于控制药品运输质量的法规和标准指南,包括冷藏药品。

目的

探讨冷藏药品运输并交付至综合公立医院、社区医院和私立医院的情况。

材料与方法

这是一项横断面调查研究。在发出的720份问卷中,回收了301份(回复率为41.8%)。

结果

冷藏药品交付过程中的严重问题有:(1)冷藏药品(2摄氏度至8摄氏度)在未使用控温箱的情况下交付至医院,私立医院、公立医院和社区医院的发生率分别为46.7%、48.3%和72.9%。(2)冷藏药品(-20摄氏度),即脊髓灰质炎疫苗,到达医院时温度高于8摄氏度或箱内冰块融化,私立医院、公立医院和社区医院的发生率分别为22.9%、12.7%和35.0%。

结论

不同类型医院在冷藏药品运输和交付质量方面存在差异。强烈建议泰国食品药品管理局制定标准并实施冷藏药品物流管理控制系统。

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