苏丹喀土穆地区基层医疗中心处方模式评估
Assessment of prescription pattern at primary healthcare centres in Khartoum locality, Sudan.
作者信息
Abdin Yassir M, Mohammed Faiza S M
机构信息
MSc of Family Medicine Program, University of Medical Science and Technology, Khartoum, Sudan.
Department of pediatrics and Child health, Faculty of Medicine, National University, Khartoum, Sudan.
出版信息
Sudan J Paediatr. 2021;21(1):23-29. doi: 10.24911/SJP.106-1585060471.
To promote rational drug use in developing countries, it is important to assess drug use pattern, using the World Health Organisation (WHO) drug indicators. The aim of this study was to assess the prescription patterns at the primary healthcare centres in Khartoum locality, compare prescription habits between consultants and medical officers and identify polypharmacy and its effect on prescription quality using WHO drug indicators. The study was descriptive and cross-sectional. The sample was selected using systematic random sampling. Five hundred and four patient prescriptions were reviewed. The study showed that the average number of drugs prescribed per encounter was 2.4%, the percentage of drugs' generic name was 49.8% the percentage of encounter with antibiotic was 34.1%. Other important components for completeness of prescription including prescribers name were mentioned in almost all encounters, whereas the patient's age was stated in 38.3%. Drug strength, quality and doses frequency were stated in 64.1%, 69.4% and 70.4%, respectively. Consultant tendency towards polypharmacy prescription was in 14.9% compared to medical officers (85.1%). The quality of prescriptions was classified as complete, incomplete or deficient with 29.4%, 60.7% and 9.9%, respectively.
为促进发展中国家合理用药，利用世界卫生组织（WHO）的药物指标评估用药模式十分重要。本研究旨在评估喀土穆地区基层医疗中心的处方模式，比较会诊医生和医务人员的处方习惯，并使用WHO药物指标确定联合用药情况及其对处方质量的影响。该研究为描述性横断面研究。采用系统随机抽样法选取样本。共审查了504份患者处方。研究表明，每次就诊开具的药物平均数量为2.4%，药物通用名的比例为49.8%，使用抗生素的就诊比例为34.1%。几乎在所有就诊记录中都提到了处方完整性的其他重要组成部分，包括开处方者姓名，而记录患者年龄的比例为38.3%。药物强度、质量和给药频率的记录比例分别为64.1%、69.4%和70.4%。会诊医生联合用药处方的倾向为14.9%，而医务人员为85.1%。处方质量分为完整、不完整或有缺陷，比例分别为29.4%、60.7%和9.9%。
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