Choudhry A J, Mubasher M
Department of Community Medicine, Allama Iqbal Medical College and Institute of Public Health, Lahore.
J Pak Med Assoc. 1997 Jan;47(1):32-5.
Two hundred sixty-two randomly sampled general physicians of Lahore were interviewed to study the current practices and factors affecting the management of acute watery diarrhoea (AWD) in children below 5 years of age. Among the physicians, 19% prescribed ORS alone, 61% ORS with some drug, 15% drugs alone and 5% increased fluid intake only. Physicians in government sector, recent graduates and those trained in a paediatrics unit prescribed more on the WHO guidelines (p<0.05). Attending a diarrhoea training unit (DTU) course, reading WHO guidelines for management of diarrhoea and total number of patients seen daily had no significant effect on prescribing practices. Two hundred fifty-five (97%) physicians thought that majority of other physicians prescribed drugs for the management of acute watery diarrhoea to satisfy the mothers of the children, their belief in the effectiveness of drugs and competition in practice.
对拉合尔随机抽取的262名普通医生进行了访谈，以研究当前5岁以下儿童急性水样腹泻（AWD）的治疗实践及影响治疗的因素。在这些医生中，19%仅开具口服补液盐（ORS），61%开具ORS并搭配某种药物，15%仅开具药物，5%仅建议增加液体摄入量。政府部门的医生、刚毕业的医生以及在儿科病房接受培训的医生更遵循世界卫生组织（WHO）的指南（p<0.05）。参加腹泻培训单元（DTU）课程、阅读WHO腹泻管理指南以及每日接诊的患者总数对处方行为没有显著影响。255名（97%）医生认为，大多数其他医生为治疗急性水样腹泻而开药是为了满足患儿母亲的需求、他们对药物有效性的信念以及医疗实践中的竞争。
