Pavlović M
Dispanzer za decu i omladinu, Zdravstveni centar, Krusevac.
Med Pregl. 1994;47(7-8):251-3.
Antibiotics are the most frequently prescribed drugs in the pediatric out-patient practice. The author, on the base of his personal experience, identifies and discusses relevant factors for the proper usage of antibiotics, through their behaviour under the conditions of economic blockade. These factors are: pharmaceutical industry, physician, patient and pharmacist. The shortage of many antibiotics as well as reduced communications of pharmaceutical companies with physicians, significantly disturb the therapeutical decision making process. Because of that, a physician has to confront optimal therapy, present situation in pharmacies, but also the economical power of patients--the availability of most antibiotics is possible only in the private sector. Wrong attitudes and habits of patients and of some physician with superficial approach to antibiotics irresponsible exchanges of antibiotics by some pharmacists and issuing antibiotics without prescription in the private sector, potentiate possibilities for misuse. Interaction of the mentioned factors determines present and future validity of antibiotics. The paper warns about the climate of their uncontrolled ways and suggests measurements for possible correction of present situation.
抗生素是儿科门诊最常用的处方药。作者基于个人经验，通过抗生素在经济封锁条件下的表现，确定并讨论了合理使用抗生素的相关因素。这些因素包括：制药行业、医生、患者和药剂师。许多抗生素短缺以及制药公司与医生之间沟通减少，严重干扰了治疗决策过程。因此，医生必须面对最佳治疗方案、药店的现状以及患者的经济实力——大多数抗生素仅在私营部门才有售。患者和一些医生的错误态度与习惯、一些药剂师不负责任地随意更换抗生素以及私营部门无处方开具抗生素的行为，都增加了滥用的可能性。上述因素的相互作用决定了抗生素目前和未来的有效性。本文警告了抗生素使用失控的现状，并提出了纠正当前状况的措施。
