Andrew M, Toverud E L
Institutt for farmakoterapi, Universitetet i Oslo.
Nord Med. 1991;106(2):50-2, 68.
The first part of a project initiated at the Department of Pharmacotherapeutics, University of Oslo, on use of drugs in the treatment of children involved a study of prescriptions in September 1986. All pharmacies in the country were asked to record all drugs prescribed to 0-12 year old children during one week. 87 per cent of all Norwegian pharmacies took part in the study and data were recorded for 7587 prescribed drugs. Drug prescribing was highest in the county of Hedmark, and lowest in the county of Troms. For the age group 0-10 years 23 per cent more drugs were prescribed to boys than to girls. Infants (0-1 year) were prescribed drugs ten times more often than the oldest children. 3 per cent of the infants (0-1 year) were prescribed drugs during the week the study took place. More than 43 per cent of the total prescriptions were for drugs for the respiratory organs. Anti-asthmatics comprised the largest subgroup (796 prescribed drugs). Boys were prescribed 65 per cent more anti-asthmatics than girls. Every 20th of the total prescriptions was for an oral decongestant. There are few rational reasons for prescribing drugs in this group. As a single group, systemic antibiotics were the drugs most often prescribed, and accounted for as much as 30 per cent of the total prescriptions. The observed choice of antibiotics does not seem to agree with Norwegian recommendations.
奥斯陆大学药物治疗学系发起的一个关于儿童用药治疗的项目的第一部分,涉及对1986年9月处方的研究。该国所有药店被要求记录一周内给0至12岁儿童开的所有药物。87%的挪威药店参与了该研究,记录了7587种处方药的数据。药物处方量在海德马克郡最高,在特罗姆瑟郡最低。在0至10岁年龄组中,给男孩开的药比女孩多23%。婴儿(0至1岁)被开处方药的频率是年龄最大儿童的10倍。在研究进行的那一周,3%的婴儿(0至1岁)被开了药。超过43%的总处方是用于呼吸器官的药物。抗哮喘药是最大的亚组(796种处方药)。给男孩开的抗哮喘药比女孩多65%。每20张总处方中就有一张是用于口服减充血剂的。在这一组中开药的合理理由很少。作为一个单独的类别,全身性抗生素是最常被开的药物,占总处方量的30%。观察到的抗生素选择似乎与挪威的建议不一致。