Thangaraju Pugazhenthan, Singh Harmanjit
Professor and Head, Department of Pharmacology, PGIMER , Chandigarh, India .
J Clin Diagn Res. 2013 Sep;7(9):2105-6. doi: 10.7860/JCDR/2013/6138.3422. Epub 2013 Sep 10.
The rapid developments in medical and biological sciences have led to emergence of huge information on drugs and various diseases. But accessing this vast information has limits and rational selection of drugs and utilization of drugs have become more complex. Information regarding the various aspects of drugs may be conveyed by drug information units which run only in specified tertiary care institutional units, to the physicians who treat the patients in the hospital and to the general practitioners outside, in emergencies and in normal situations.
The queries of clients were obtained by means of phone calls from 9.00 a.m to 5. 00 pm, during 1 month's stay in a DIU. A resident of Clinical Pharmacology collected necessary data on therapeutic problems of patients (age and sex of the patient, other drugs which were taken, present diseases, whether department was in PGIMER, the place etc.). After solving the problems by using electronic databases or hardcopy sources like established facts in standard text book of medicine , pharmacology or in standard articles and with a final approval from the senior clinical pharmacologist, resident delivered the information to the clients as early as possible, without any delay (by phone).
From the results, it was found that around 59% of the phone calls were regarding drug interactions and adverse reactions, 11% were regarding efficacy and that 30% were regarding the preferred routes and dosing. We concluded that the information that most of the healthcare professionals aimed to get, were the various drug interactions which had taken place during their therapeutic interventions.
医学和生物科学的快速发展导致了有关药物和各种疾病的大量信息的出现。但是获取这些海量信息存在局限性,合理选择药物和药物使用变得更加复杂。有关药物各个方面的信息可能由仅在特定的三级医疗机构单位运作的药物信息单位传达给在医院治疗患者的医生以及外部的全科医生,无论是在紧急情况还是正常情况下。
在药物信息单位停留1个月期间,从上午9点至下午5点通过电话获取客户的咨询。临床药理学住院医师收集有关患者治疗问题的必要数据(患者的年龄和性别、正在服用的其他药物、当前疾病、科室是否在全印医学科学研究所、地点等)。在使用电子数据库或硬拷贝资源(如医学、药理学标准教科书中的既定事实或标准文章)解决问题并获得高级临床药理学家的最终批准后,住院医师尽快(通过电话)将信息传达给客户,不做任何延迟。
从结果中发现,约59%的电话咨询是关于药物相互作用和不良反应,11%是关于疗效,30%是关于首选给药途径和剂量。我们得出结论,大多数医疗保健专业人员旨在获取的信息是他们治疗干预过程中发生的各种药物相互作用。