Berih A A, McIntyre L, Lynk A D
Public Health. 1989 Nov;103(6):455-8. doi: 10.1016/s0033-3506(89)80056-3.
In order to study the dispensing practices of Khartoum and Khartoum North pharmacies with respect to the management of infantile diarrhoea, a Sudanese woman presented pharmacists with a brief description of an infant with acute diarrhoea. Sixty-three pharmacies were visited; only 3 (5%) recommended oral rehydration salts (ORS) alone. An additional 4 pharmacies (6%) recommended ORS plus either an antimicrobial agent or a physician visit. 39 pharmacies (62%) recommended antimicrobial therapy alone, 9 (14%) recommended a physician visit alone and 7 pharmacies (11%) had no available treatment. On average, antimicrobials cost four times more than two packets of ORS. In order to increase pharmacists' recommendation of ORS, health professional training may be required, perhaps in association with dispensing subsidies. Increased public awareness of ORS should also be encouraged.
为研究喀土穆和北喀土穆药房在婴幼儿腹泻管理方面的配药做法,一名苏丹女性向药剂师简要描述了一名患急性腹泻的婴儿。走访了63家药房;只有3家(5%)仅推荐口服补液盐(ORS)。另外4家药房(6%)推荐ORS加抗菌剂或建议看医生。39家药房(62%)仅推荐抗菌治疗,9家(14%)仅建议看医生,7家药房(11%)没有可用的治疗方法。平均而言,抗菌药物的费用是两包ORS费用的四倍。为了增加药剂师对ORS的推荐,可能需要对卫生专业人员进行培训,或许还可提供配药补贴。还应鼓励提高公众对ORS的认识。