Al-Niemat Sahar I, Aljbouri Tareq M, Goussous Lana S, Efaishat Rania A, Salah Rehab K
MSc in Pharmaceutical Services and Medicines Control (University of Bradford, UK). Royal Medical Services, Amman, Jordan.
Oman Med J. 2014 Jul;29(4):250-4. doi: 10.5001/omj.2014.67.
To investigate antibiotics prescribing patterns in the outpatient pediatric emergency clinic at Queen Rania Al Abdullah II Children's Hospital at Royal Medical Services in Amman, Jordan.
The data was collected from the emergency pharmacy over the period of a -five consecutive months. The methodology recommended by the World Health Organization for investigating drug use in a health facility was followed. The study measures the percentage of encounter with a prescribed antibiotic and the percentage share of each antibiotic category. The distribution of diagnostic categories that accounted for all antibiotics being prescribed and the distribution of each antibiotic being prescribed for upper respiratory tract infections (URTIs) were also measured.
Antibiotic prescribing was frequent during pediatric visits to the outpatient pediatric emergency clinic resulting in a high percentage of encounters (85%) when compared to appropriate. Emergency physicians continue to frequently prescribe broad spectrum antibiotics which accounted for approximately (60%) of the total prescribed antibiotics and (83%) of prescribed antibiotics for upper respiratory tract infections and macrolides (primarily azithromycin) were the leading class among them.
Our results showed high consumption of antibiotics by emergency department pediatricians which highlight the importance for interventions to promote rational and judicious prescribing. An insight into factors influencing antibiotics prescribing patterns by military prescribers is required.
调查约旦安曼皇家医疗服务机构中拉尼亚·阿卜杜拉二世王后儿童医院儿科门诊急诊诊所的抗生素处方模式。
数据收集自急诊药房连续五个月期间。遵循世界卫生组织推荐的用于调查医疗机构药物使用情况的方法。该研究测量了开具抗生素的就诊百分比以及各类抗生素的占比。还测量了所有开具抗生素的诊断类别分布情况以及针对上呼吸道感染（URTIs）开具的每种抗生素的分布情况。
儿科患者前往儿科门诊急诊诊所就诊时，抗生素处方很常见，与适当情况相比，就诊时开具抗生素的比例很高（85%）。急诊医生继续频繁开具广谱抗生素，约占总开具抗生素的（60%），而上呼吸道感染开具的抗生素中（83%）为广谱抗生素，其中大环内酯类（主要是阿奇霉素）是主要类别。
我们的结果显示急诊科儿科医生抗生素消耗量很高，这凸显了促进合理和明智处方干预措施的重要性。需要深入了解影响军队处方医生抗生素处方模式的因素。
