Ismail Samina
Department of Anaesthesia, Aga Khan University Hospital, Karachi.
J Pak Med Assoc. 2010 Oct;60(10):857-60.
The medical personnel are vulnerable to substance abuse and dependence due to ready access to substance of abuse. Addiction is considered as an occupational hazard for those involved in the practice of anaesthesia for the same reason. Substance abuse is defined as a psychosocial biogenetic disease, which results from dynamic interplay between a susceptible host and favourable environment. According to the 5th and the last National Survey on Drug Abuse (NSDA) in 1993 by Pakistan Narcotic Control, there are nearly three million drug dependants in Pakistan, but no data is available to determine the prevalence among medical or anaesthesia personnel. In order to handle the rising trend of chemical abuse, we need to have more surveys and studies on this subject, written policy and educational programme in postgraduate training with proper control and frequent checking of narcotic dispensing. Reporting of drug abuse and rehabilitation of affected doctors are areas which need to be worked upon.
由于容易获得滥用药物，医务人员易遭受药物滥用和依赖问题。出于同样的原因，成瘾被认为是从事麻醉工作的人员的一种职业危害。药物滥用被定义为一种社会心理生物遗传疾病，它是由易感宿主与有利环境之间的动态相互作用导致的。根据巴基斯坦麻醉品管制局1993年进行的第五次也是最后一次全国药物滥用调查（NSDA），巴基斯坦有近300万药物依赖者，但没有数据可用于确定医疗或麻醉人员中的患病率。为了应对药物滥用不断上升的趋势，我们需要就这一主题进行更多的调查和研究，制定书面政策，并在研究生培训中开展教育计划，同时对麻醉药品的分发进行适当控制和频繁检查。药物滥用的报告以及受影响医生的康复是需要开展工作的领域。
