Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
Department of Community Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
J Epidemiol Glob Health. 2018 Dec;8(3-4):149-153. doi: 10.2991/j.jegh.2017.10.007.
Acute respiratory infections (ARI) are a major public health problem and one of the commonest reasons for visiting primary health care centers (PHC). In developing countries, seventy-five percent of the cases are treated with antibiotics, although the majority are caused by viral infection. Our aim was to observe the pattern of physician practices with respect to ARI, in comparison to WHO protocols and to provide recommendations for health promotion enhancement. The study was conducted in Makkah PHC centers, for 2 months. A total 14 PHC centers were randomly selected. And 908 prescriptions were obtained randomly from general practitioners (GP) and analyzed. We found that males were 522 and females were and 386. Weights were not recorded in 224 (24.7%) cases. In 87 cases (9.6%) no diagnosis was recorded. In 515 (62.34%) of cases, antibiotics were prescribed; most of these cases were of simple common cold, with antibiotics not recommended. To conclude, many physicians in Makkah are not following the WHO guidelines for Acute Respiratory Infection. Educational health programs should be conducted to sensitize the physicians regarding the appropriate method of diagnosis and rational use of antibiotics.
急性呼吸道感染（ARI）是一个主要的公共卫生问题，也是人们经常去基层医疗保健中心（PHC）的常见原因之一。在发展中国家，尽管大多数 ARI 是由病毒感染引起的，但仍有 75%的病例使用抗生素进行治疗。我们的目的是观察医生在治疗 ARI 方面的实践模式，与世界卫生组织（WHO）的方案进行比较，并为促进健康提供建议。这项研究在麦加 PHC 中心进行了 2 个月。随机选择了 14 个 PHC 中心。从全科医生（GP）中随机抽取并分析了 908 份处方。我们发现，男性为 522 人，女性为 386 人。224 例（24.7%）未记录体重。87 例（9.6%）未记录诊断。515 例（62.34%）处方开了抗生素；其中大多数是单纯的普通感冒，不推荐使用抗生素。总之，麦加的许多医生没有遵循世界卫生组织关于急性呼吸道感染的指南。应该开展教育卫生计划，使医生了解适当的诊断方法和合理使用抗生素。
