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评估一个三级教学医院的药物处方模式,使用世界卫生组织的指标。

Assessment of drug prescribing pattern using world health organization indicators in a tertiary care teaching hospital.

机构信息

Junior Resident, Department of Pharmacology and Therapeutics, King George's Medical University, Lucknow, Uttar Pradesh, India.

Senoir Resident, Department of Pharmacology and Therapeutics, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

Indian J Public Health. 2018 Apr-Jun;62(2):156-158. doi: 10.4103/ijph.IJPH_429_16.

DOI:10.4103/ijph.IJPH_429_16
PMID:29923544
Abstract

This cross-sectional study was carried out to assess drug prescribing pattern at a tertiary care teaching medical institute. One thousand prescriptions were randomly collected and analyzed using the world health organization prescribing indicators. The average number of drugs per prescription was 2.91. The percentage of drugs prescribed by generic name, from the essential drug list (National) and as fixed dose combinations (FDCs) was 10.05%, 22.57%, and 49.22%, respectively. The total percentage of encounters with antibiotics, injectables, and FDCs was 19.70%, 2.20%, and 73.60%, respectively. The most common group of drug prescribed was gastrointestinal tract drugs (26.38%) followed by Vitamins and Minerals (23.12%), cardiovascular system drugs (11.56%) and antimicrobials (9.63%). The prescribing practices were not appropriate as they consist of polypharmacy, lesser prescription by generic name, and overprescription of FDCs. There is a need for improvement in the standards of prescribing patterns in many aspects.

摘要

这项横断面研究旨在评估一所三级教学医疗研究所的药物处方模式。随机抽取 1000 份处方,使用世界卫生组织处方指标进行分析。每张处方的平均用药数为 2.91。按通用名、国家基本药物目录和固定剂量复方(FDC)开出处方的比例分别为 10.05%、22.57%和 49.22%。抗生素、注射剂和 FDC 的总使用比例分别为 19.70%、2.20%和 73.60%。开出处方最常见的药物类别是胃肠道药物(26.38%),其次是维生素和矿物质(23.12%)、心血管系统药物(11.56%)和抗菌药物(9.63%)。处方实践并不合适,因为它们包括多种药物、较少按通用名开处方和过度开 FDC。在许多方面都需要改进处方模式的标准。

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