伊朗门诊患者的抗生素处方患病率:专注于定义的每日剂量和AWaRe分类系统
Mohammad Mahdi Nasehi1, Mohammad Effatpanah2, Mohammad Gholamnezhad3
1Pediatric Neurology Research Center, Research Institute for Children's Health, Shahid Beheshti University of Medical Sciences, Tehran, Tehran, Iran; Pediatric Neurology Department, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Tehran, Iran.
在伊朗的门诊患者中发现了大量的抗生素使用,特别是"Watch"类药物,如阿齐思罗米. 这突显了迫切需要更好的抗生素管理和处方指南,以打击抗菌素耐药性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 过度使用和过度处方抗生素是全球重要的健康问题,导致抗菌素耐药性.
- 评估门诊抗生素处方模式对于公共卫生战略至关重要.
研究的目的:
- 评估伊朗门诊患者中抗生素处方的流行情况.
- 使用定义每日剂量 (DDD) 和访问,观察和储备 (AWaRe) 分类系统进行评估.
主要方法:
- 伊朗德黑兰电子系统性抗生素处方的回顾性分析 (2022年3月 - 2023年3月).
- 数据来源于伊朗健康保险组织.
- 每1000名居民每天的DDD计算和描述性统计数据.
主要成果:
- 分析了817,178份处方;57.43%的患者是女性,平均年龄为48岁.
- 每份处方平均使用1.89种抗生素.
- 超过63%的抗生素属于"观察"类;阿齐思罗米辛最常见 (27.56%). 总DDD:每1000名居民/天4.99元. 全科医生发行了58.02%的处方.
结论:
- "观察"组抗生素的高处方率需要改进处方实践.
- 加强抗生素管理教育和更严格的指导方针对于打击抗菌素耐药性至关重要.
- 持续监测门诊环境中的抗生素使用情况对于伊朗的优化至关重要.
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