Piovani Daniele, Clavenna Antonio, Bonati Maurizio
Laboratory for Mother and Child Health, Public Health Department, IRCCS - Istituto di Ricerche Farmacologiche "Mario Negri", Milan, Italy.
Acta Paediatr. 2014 Dec;103(12):e532-7. doi: 10.1111/apa.12783. Epub 2014 Oct 2.
Most Italian children are cared for by a family paediatrician until they are 14 years old, and their duties include prescribing drugs recommended by specialists so that they are free. This study aimed to draw up a list of the drugs most commonly prescribed by family paediatricians.
We surveyed 64 experienced family paediatricians to find out what drugs they prescribed over an 8-week period, including those recommended by a specialist, using cartons of drugs as the unit of measurement. A list of commonly prescribed drugs was then drawn up.
A total of 381 active substances were prescribed. The most commonly prescribed drugs were amoxicillin (25.8% of the cartons), amoxicillin clavulanate (9.2%) and cetirizine (9.0%). The most commonly prescribed drug classes were antibiotics (43.8%), anti-asthmatics (12.9%) and antihistamines (11.8%). A list of 38 commonly prescribed drugs belonging to 16 therapeutic subgroups and covering 83.1% of cartons was identified. Of these, 33 were prescribed by 50% or more of the paediatricians and five were mainly prescribed following the recommendation of a specialist.
Our review of the prescribing habits of family paediatricians showed that 38 commonly prescribed drugs were sufficient to treat most common diseases in children under 15 years of age.
大多数意大利儿童在14岁之前由家庭儿科医生照料，其职责包括开具专科医生推荐的免费药物。本研究旨在列出家庭儿科医生最常开具的药物清单。
我们调查了64位经验丰富的家庭儿科医生，以了解他们在8周内开具了哪些药物，包括专科医生推荐的药物，以药盒为计量单位。然后列出了常用药物清单。
共开具了381种活性物质。最常开具的药物是阿莫西林（占药盒的25.8%）、阿莫西林克拉维酸（9.2%）和西替利嗪（9.0%）。最常开具的药物类别是抗生素（43.8%）、抗哮喘药（12.9%）和抗组胺药（11.8%）。确定了一份包含38种常用药物的清单，这些药物属于16个治疗亚组，占药盒的83.1%。其中，33种药物由50%或更多的儿科医生开具，5种药物主要是在专科医生的推荐下开具的。
我们对家庭儿科医生处方习惯的回顾表明，38种常用药物足以治疗15岁以下儿童的大多数常见疾病。
