Elbouti Anass, Rafai Mostafa, Chouaib Naoufal, Jidane Said, Belkouch Ahmed, Bakkali Hicham, Belyamani Lahcen
Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
Pan Afr Med J. 2016 Nov 16;25:162. doi: 10.11604/pamj.2016.25.162.7080. eCollection 2016.
The objectives of this study are to describe prescribing practices, to evaluate their appropriateness and their compliance with guidelines and to examine their influencing factors. We conducted a cross-sectional study of antibiotic prescriptions data of 105 patients in the medical and surgical Emergency Department of the Military Hospital of Instruction Mohammed V in Rabat over a period of one month. Data were collected by means of a questionnaire including demographic and anamnestic data, patient's history, allergies, specific clinical examination data, paraclinical data, detailed antibiotic prescription. Collected data were then evaluated by a referring physician, who was responsible for detecting any treatment error. Among infections requiring the prescription of antibiotics, respiratory and urinary system diseases were at the forefront, the most commonly used antibiotic families were penicillins, quinolones and cephalosporins. 74 prescriptions (70.5%) were both pertinent and compliant versus 9 prescriptions (8.6%) justified but nonpertinent and 6 prescriptions (5.7%) which were considered unjustified by the referring physician due to absence of infection. The evaluation of the existing medical practice is rarely conducted in health facilities; with this in mind, our case study aims to improve appropriate antibiotic prescribing and to optimize its compliance with guidelines.
本研究的目的是描述处方行为，评估其合理性及其与指南的符合程度，并研究其影响因素。我们对拉巴特穆罕默德五世军事教学医院内科和外科急诊科105例患者一个月内的抗生素处方数据进行了横断面研究。通过一份问卷收集数据，问卷包括人口统计学和既往史数据、患者病史、过敏情况、具体临床检查数据、辅助检查数据、详细的抗生素处方。然后由一位负责发现任何治疗错误的会诊医师对收集到的数据进行评估。在需要使用抗生素处方的感染中，呼吸系统和泌尿系统疾病最为常见，最常用的抗生素类别是青霉素类、喹诺酮类和头孢菌素类。74份处方（70.5%）既合理又符合要求，而9份处方（8.6%）有理由但不合理，6份处方（5.7%）被会诊医师认为因无感染而不合理。卫生机构很少对现有的医疗行为进行评估；考虑到这一点，我们的案例研究旨在改善抗生素的合理处方，并优化其与指南的符合程度。
