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埃塞俄比亚北部默克莱市阿伊德综合专科医院的药物相互作用评估:一项回顾性研究。

Assessment of Drug-Drug Interaction in Ayder Comprehensive Specialized Hospital, Mekelle, Northern Ethiopia: A Retrospective Study.

作者信息

Gebretsadik Zeru, Gebrehans Micheale, Getnet Desalegn, Gebrie Desye, Alema Tsgab, Belay Yared Belete

机构信息

Mekelle University, School of Pharmacy, Pharmacoepidemiology and Social Pharmacy Courses and Research Team, Mekelle, Ethiopia.

Department of Pharmacy, Pharmacology and Toxicology Courses and Research Team, Adigrat University, Adigrat, Ethiopia.

出版信息

Biomed Res Int. 2017;2017:9792363. doi: 10.1155/2017/9792363. Epub 2017 Nov 8.

Abstract

INTRODUCTION

Adverse drug interaction is a major cause of morbidity and mortality. Its occurrence is influenced by a multitude of factors. The influences of drug-drug interactions (DDIs) can be minimized through creation of awareness to health care professionals.

OBJECTIVE

The objective of this study was to assess DDIs in Ayder Comprehensive Specialized Hospital (ACSH).

METHODOLOGY

A retrospective study design was employed on patient prescriptions available in the outpatient department of pharmacy and filled from September 2016 to February 2017 in ACSH.

RESULT

From the 600 prescription records assessed, the average number of drugs on single prescription was 2.73. Regarding the interaction observed 34 (9.63%) prescriptions with major drug-drug interaction, 210 (59.5%) moderate, 87 (24.65%) minor, and 22 (6.22%) unknown were identified. Age category showed significant association to affect the occurrence of DDIs and polypharmacy had statistically significant association with DDIs in bivariate analysis which was lost in adjusted OR.

CONCLUSION

From the current study it can be concluded that nearly half of the prescription ordered in ACSH contained DDIs and from the prescription with interacting medications majority of them had moderate DDIs.

摘要

引言

药物不良相互作用是发病和死亡的主要原因。其发生受多种因素影响。通过提高医护人员的意识,可以将药物相互作用(DDIs)的影响降至最低。

目的

本研究的目的是评估阿伊德综合专科医院(ACSH)的药物相互作用。

方法

采用回顾性研究设计,对ACSH药房门诊2016年9月至2017年2月期间的患者处方进行分析。

结果

在评估的600份处方记录中,单张处方的平均用药数量为2.73种。在观察到的相互作用中,确定有34份(9.63%)处方存在严重药物相互作用,210份(59.5%)为中度,87份(24.65%)为轻度,22份(6.22%)未知。在双变量分析中,年龄类别与药物相互作用的发生有显著关联,联合用药与药物相互作用有统计学显著关联,但在调整后的比值比中这种关联消失了。

结论

从当前研究可以得出结论,ACSH开出的近一半处方存在药物相互作用,在有相互作用药物的处方中,大多数为中度药物相互作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9451/5698828/b7037143ada2/BMRI2017-9792363.001.jpg

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