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La auto-prescripción a través de farmacias en tres países asiáticos en desarrollo
Lancet (London, England)
|September 13, 1986
Resumen
La mayoría de las farmacias asiáticas no proporcionaron el asesoramiento adecuado para la diarrea infantil, a menudo dispensando medicamentos innecesarios. Esto pone de relieve las brechas críticas en la atención médica pediátrica y la seguridad de los medicamentos en la región.
Área de la Ciencia:
- Práctica de Farmacia Práctica de Farmacia
- Enfermedades Infecciosas Pediátricas
- Salud global La salud global.
Sus antecedentes:
- La diarrea sigue siendo una de las principales causas de mortalidad infantil en muchos países asiáticos.
- Las prácticas inadecuadas de administración de medicamentos pueden exacerbar los problemas de salud y contribuir a la resistencia a los antimicrobianos.
- El manejo efectivo de la diarrea infantil se basa en el asesoramiento y el tratamiento adecuados, incluida la terapia de rehidratación oral.
Objetivo del estudio:
- Evaluar la calidad de los consejos y las prácticas de dispensación de medicamentos para la diarrea infantil en las farmacias asiáticas.
- Evaluar el cumplimiento de las directrices establecidas para el manejo de enfermedades diarreicas.
Principales métodos:
- Se presentó un caso infantil simulado de diarrea a 75 farmacias en Bangladesh, Sri Lanka y la República Árabe de Yemen.
- Los datos recopilados incluyeron el asesoramiento dado y los medicamentos dispensados por los farmacéuticos.
Principales resultados:
- Solo 16 de las 75 farmacias proporcionaron el asesoramiento adecuado, como la rehidratación oral o la derivación.
- Una gran proporción de farmacias dispensaron medicamentos, incluidas combinaciones de dosis fijas de antibióticos y medicamentos antidiarreicos, a menudo sin la indicación adecuada.
- Las tasas de distribución variaron según el país, con el 76% en Bangladesh, el 64% en Sri Lanka y el 96% en la República Árabe de Yemen.
Conclusiones:
- Existen deficiencias significativas en las prácticas farmacéuticas con respecto al manejo de la diarrea infantil en las regiones asiáticas estudiadas.
- Las prácticas actuales de dispensación pueden socavar las políticas nacionales de control de la diarrea y contribuir a la resistencia a los antimicrobianos.
- La metodología del estudio muestra potencial como herramienta para monitorear la calidad de la atención farmacéutica.
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