沙特阿拉伯卡西姆地区初级保健医生对五岁以下儿童的处方模式。

Primary health care physicians' prescribing patterns for children under five in Qassim, Saudi Arabia.

作者信息

Jahan Saulat, Al-Saigul Abdullah Mohammed, Hamdelsseed Salih Ahmed

机构信息

Public HealthSpecialist, Research and Information Unit, Public Health Administration, Qassim, Saudi Arabia.

Chief, Research and Information Unit, Public HealthAdministration, Qassim, Saudi Arabia.

出版信息

Prim Health Care Res Dev. 2019 Jun 25;20:e89. doi: 10.1017/S1463423619000148.

DOI:10.1017/S1463423619000148

PMID:32799981

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8060844/

Abstract

BACKGROUND

Irrational prescription of drugs in children is reported to be widespread. There are scarce studies on the pediatric prescribing pattern especially at primary health care (PHC) level.

AIM

To determine the physicians' prescribing patterns for children under five years, to explore completeness of prescriptions' recorded information, and to analyze the core indicators of drug prescribing at primary health care centers (PHCC) in Qassim.

METHODS

This cross-sectional study was conducted on 25 randomly selected PHCCs. All prescriptions, for the first week of first six months of the year 1437 Hijrah (October 2015 to April 2016), were reviewed. Among 25 012 prescriptions, 4125 (16.5%) were for children under five years. We randomly selected 1212 prescriptions for the study. World Health Organization (WHO) specified drug use indicators, and index of rational drug prescribing (IRDP) with a maximum value of 5, were calculated. The physicians and pharmacists of sampled PHCCs were also surveyed to explore prescribing issues.

FINDINGS

The completeness of recorded date, patient age, and gender was more than 90%. The diagnosis was legibly written in 842 (69.5%), while the patient weight was recorded in 307 (25.3%) prescriptions. The least commonly recorded instruction was the drug strength (26.8%), while the dose and frequency of use were stated for 91.3% and 90.8% of the drugs, respectively. The average number of drugs per prescription was 2.35 ± 0.89; 72.97% drugs were prescribed by generic name; in 65.98% patient encounters, antibiotics were prescribed. The overall IRDP was 3.56. Most of the physicians and pharmacists reported availability of the drug list and Saudi PHC formulary in their PHCCs.

CONCLUSION

PHC physicians' drug prescribing was not at the optimal level of rational use, especially regarding prescription of antibiotics. Creating awareness about rational drug use and hazards of overuse of antibiotics is needed.

摘要

背景

据报道，儿童用药不合理处方现象普遍存在。关于儿科处方模式的研究很少，尤其是在初级卫生保健（PHC）层面。

目的

确定五岁以下儿童的医生处方模式，探索处方记录信息的完整性，并分析卡西姆初级卫生保健中心（PHCC）的药物处方核心指标。

方法

本横断面研究在25个随机选择的PHCC进行。对回历1437年（2015年10月至2016年4月）前六个月第一周的所有处方进行了审查。在25012张处方中，4125张（16.5%）是五岁以下儿童的处方。我们随机选择了1212张处方进行研究。计算了世界卫生组织（WHO）规定的药物使用指标以及最大分值为5的合理用药处方指数（IRDP）。还对抽样PHCC的医生和药剂师进行了调查，以探讨处方问题。

结果

记录日期、患者年龄和性别的完整性超过90%。842份（69.5%）处方的诊断书写清晰，而307份（25.3%）处方记录了患者体重。记录最少的医嘱是药物规格（26.8%），而91.3%的药物注明了剂量，90.8%的药物注明了使用频率。每张处方的平均药物数量为2.35±0.89；72.97%的药物以通用名开具；65.98%的患者就诊时开具了抗生素。总体IRDP为3.56。大多数医生和药剂师报告称，他们所在的PHCC有药品清单和沙特初级卫生保健处方集。