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全科医疗中精神药物和抗生素处方的家庭趋势

Family trends in psychotropic and antibiotic prescribing in general practice.

作者信息

Howie J G, Bigg A R

出版信息

Br Med J. 1980 Mar 22;280(6217):836-8. doi: 10.1136/bmj.280.6217.836.

Abstract

A ten-year retrospective study of the consultations of 50 families with a city general practice was used to test the hypothesis that mothers who receive an excess of psychotropic drugs have children who receive an excess of antibiotics for episodes of acute respiratory illness. The children of the 10 mothers classed as high psychotropic users were seen twice as often with acute respiratory illness and received twice as many antibiotics as the children of the mothers who had received no psychotropic medication. The association between high psychotropic and high antibiotic use was not linked in time, and indeed the time of highest antibiotic use coincided with the time when the mother received fewest psychotropic prescriptions. It is suggested that at many of these consultations the mother rather than the child should have been treated as the patient.

摘要

一项针对城市全科医疗中50个家庭会诊的十年回顾性研究,旨在检验以下假设:接受过量精神药物治疗的母亲,其子女在急性呼吸道疾病发作时会接受过量抗生素治疗。被归类为高精神药物使用者的10位母亲的孩子,因急性呼吸道疾病就诊的频率是未接受精神药物治疗母亲的孩子的两倍,接受的抗生素剂量也是其两倍。高精神药物使用与高抗生素使用之间的关联在时间上并无联系,实际上,抗生素使用量最高的时期与母亲接受精神药物处方最少的时期相吻合。研究表明,在许多此类会诊中,应将母亲而非孩子视为患者。

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