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对塞拉利昂一家三级儿科医院五岁以下患者的处方模式进行评估。

An evaluation of the prescribing patterns for under-five patients at a Tertiary Paediatric Hospital in Sierra Leone.

作者信息

Cole Christine Princess, James Peter Bai, Kargbo Alusine Tommy

机构信息

Department of Clinical Pharmacy and Therapeutics, University of Sierra Leone, Sierra Leone.

Department of Pharmacognosy and Phytochemistry, Faculty of Pharmaceutical Sciences, College of Medicine and Allied Health Sciences, University of Sierra Leone, Sierra Leone.

出版信息

J Basic Clin Pharm. 2015 Sep;6(4):109-14. doi: 10.4103/0976-0105.168051.

DOI:10.4103/0976-0105.168051
PMID:26692736
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4660481/
Abstract

PURPOSE

There is limited information on pediatric prescribing in Sierra Leone. This study evaluated prescribing patterns for under-five patients at Ola During Children's Hospital (ODCH) and assessed the extent of rational prescribing.

METHODS

A descriptive, cross-sectional, retrospective study of 294 prescriptions, selected by systematic random sampling was conducted at the outpatient department of ODCH. The World Health Organisation prescribing indicators were analyzed using the SPSS package 16.0. The index of rational drug prescribing (IRDP) was calculated to assess rational prescribing.

RESULTS

The average number of medicines per prescription was 3.77. The percentage of medicines prescribed by generic names was 71.0%, while 74.8% and 21.1% of prescriptions had an antibiotic and injection, respectively. The percentage of medicines prescribed from the national essential medicines list was 70.6%. The most commonly prescribed pharmacological groups of medicines were vitamins (85.37%) and antibiotics (82.99%). The IRDP was 2.71, instead of the ideal value of 5.

CONCLUSION

Pediatric prescribing patterns at the outpatient department of ODCH cannot be said to be entirely rational, especially with regards to antibiotic and injection prescribing.

摘要

目的

关于塞拉利昂儿科处方的信息有限。本研究评估了奥拉·杜林儿童医院(ODCH)五岁以下患者的处方模式,并评估了合理用药的程度。

方法

在ODCH门诊部对通过系统随机抽样选取的294张处方进行了描述性横断面回顾性研究。使用SPSS 16.0软件包分析世界卫生组织的处方指标。计算合理用药指数(IRDP)以评估合理用药情况。

结果

每张处方的平均用药数量为3.77种。通用名开药的药品比例为71.0%,而分别有74.8%和21.1%的处方含有抗生素和注射剂。国家基本药物清单中的药品处方比例为70.6%。最常开具的药物药理学类别是维生素(85.37%)和抗生素(82.99%)。IRDP为2.71,而非理想值5。

结论

ODCH门诊部的儿科处方模式不能说是完全合理的,尤其是在抗生素和注射剂处方方面。

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