Sana Boukary, Kaboré Ahmed, Hien Hervé, Zoungrana Brice Evance, Meda Nicolas
Direction Générale de l'Accès aux Produits de Santé, Ouagadougou, Burkina Faso.
Université Joseph Ki Zerbo, Département de Santé Publique, Ouagadougou, Burkina Faso.
Pan Afr Med J. 2019 Dec 12;34:194. doi: 10.11604/pamj.2019.34.194.19613. eCollection 2019.
Rational medical prescription is a concern for the health systems and policies of African countries. The purpose of this study was to analyze the use of medicines in children aged 0 to 5 years receiving free care.
We conducted a cross-sectional study considering the use of medicines in 20 randomly selected health facilities level 1 in Ouagadougou. The reference of the World Health Organization and of the International Network for the Rational Use of Drugs (WHO/INRUD) was used to analyze data. Descriptive statistics were used as the average and standard deviation. Differences were measured using ANOVA test.
In total, 1.206 prescriptions were reviewed between April 2016 and March 2017. The number of medicines issued on prescription was 2.9, the percentage of generic medicines prescribed was 88.7% and 97.7% of medicines prescribed were registered on the National List of Essential Medicines. The percentage of consultations during which antibiotics were prescribed was 83.2%, and 9.3% of prescriptions contained at least one injectable product.
Irrational prescription is mainly relates to the use of antibiotics. Essential alertness should be given to the treatment of children less than 5 years to avoid an excessive consumption of medicines and the emergence of antibiotic resistance.
合理用药是非洲国家卫生系统和政策关注的问题。本研究的目的是分析在接受免费治疗的0至5岁儿童中的用药情况。
我们进行了一项横断面研究,考虑了瓦加杜古随机选取的20家一级卫生机构的用药情况。使用世界卫生组织和国际合理用药网络(WHO/INRUD)的参考标准来分析数据。描述性统计采用平均值和标准差。差异采用方差分析检验进行测量。
2016年4月至2017年3月期间共审查了1206份处方。处方开出的药品数量为2.9种,开具的通用药品百分比为88.7%,开具的药品中有97.7%列入了国家基本药物清单。开具抗生素的会诊百分比为83.2%,9.3%的处方至少包含一种注射用产品。
不合理处方主要与抗生素的使用有关。应高度警惕对5岁以下儿童的治疗,以避免药物过度消费和抗生素耐药性的出现。