Nizami S Q, Khan I A, Bhutta Z A
Department of Paediatrics, Aga Khan University, Karachi, Pakistan.
J Diarrhoeal Dis Res. 1995 Mar;13(1):29-32.
Practice of 60 general practitioners (GPs) and 26 paediatricians for acute watery diarrhoea in children was observed. Later, these GPs and paediatricians were interviewed to record their self-reported prescribing behaviour. Fifty-two percent of the GPs and 12% of the paediatricians reported to prescribe antibiotics, but 77% of the GPs and 85% of the paediatricians were observed prescribing antibiotics for acute watery diarrhoea. Regarding antiamoebics, no difference was seen in number of self-reporting and observed GPs, but significant difference was seen in paediatricians. Of the paediatricians, only 12% reported to prescribe, but 62% were observed prescribing antiamoebics. Similarly, kaolin compounds were observed to be prescribed by smaller number of GPs (63%) than self-reporting ones (80%). Of the paediatricians, 31% reported to prescribe but 38% were observed prescribing kaolin compounds. These results show differences between self-reported and observed drug prescribing practices for acute watery diarrhoea in children. This difference was much wider in paediatricians than in GPs.
观察了60名全科医生（GP）和26名儿科医生针对儿童急性水样腹泻的诊疗行为。之后，对这些全科医生和儿科医生进行访谈，记录他们自我报告的开药行为。52%的全科医生和12%的儿科医生报告开具抗生素，但观察发现77%的全科医生和85%的儿科医生为急性水样腹泻开具抗生素。关于抗阿米巴药，自我报告和观察到的全科医生数量没有差异，但儿科医生存在显著差异。在儿科医生中，只有12%报告开具抗阿米巴药，但观察发现62%的儿科医生开具抗阿米巴药。同样，观察发现开具高岭土化合物的全科医生数量（63%）少于自我报告的数量（80%）。在儿科医生中，31%报告开具，但观察发现38%的儿科医生开具高岭土化合物。这些结果表明，儿童急性水样腹泻的自我报告开药行为和观察到的开药行为存在差异。儿科医生的这种差异比全科医生大得多。
