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加纳布朗阿哈福地区金坦波市立医院5岁以下上呼吸道感染儿童抗生素的合理处方

Rational prescribing of antibiotics in children under 5 years with upper respiratory tract infections in Kintampo Municipal Hospital in Brong Ahafo Region of Ghana.

作者信息

Sumaila Abdul-Nasiru, Tabong Philip Teg-Nefaah

机构信息

Pharmacy Department, Jema District Hospital, Ghana Health Services, Accra, Brong Ahafo Region, Ghana.

Department of Social and Behavioural Sciences, School of Public Health, University of Ghana, Legon, Accra, Ghana.

出版信息

BMC Res Notes. 2018 Jul 4;11(1):443. doi: 10.1186/s13104-018-3542-z.

Abstract

OBJECTIVE

The aim of the study was to assess the rational use of antibiotics in children with URTIs in the Kintampo Municipal Hospital in Ghana.

RESULTS

A total of 839 medicines were prescribed, 237 were antibiotics. The mean number of medicines prescribed per patient encounter was 3.1. The percentage of patient encounters with antibiotics was 28.2 and 0.4% for injections. The percentage of medicines prescribed by generic was 93.8% and from the essential medicines list was 94.9%. Ninety-two of patients received amoxicillin. Polypharmacy was common as prescriptions with five to six medicines per patient encounter was found. Some prescribers are not following the WHO/INRUD requirement of prescribing medicines in their generic and from the essential medicine list of the country.

摘要

目的

本研究旨在评估加纳金坦波市立医院治疗上呼吸道感染儿童抗生素的合理使用情况。

结果

共开出839种药物,其中237种为抗生素。每次就诊为患者开具的药物平均数量为3.1种。使用抗生素的就诊患者比例为28.2%,注射用抗生素的比例为0.4%。使用通用名开具的药物比例为93.8%,来自基本药物清单的药物比例为94.9%。92%的患者接受了阿莫西林治疗。多药联用情况常见,发现每次就诊为患者开具五到六种药物的处方。一些开处方者未遵循世界卫生组织/国际合理用药网络关于使用本国通用名和基本药物清单中的药物开处方的要求。

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