关于皮肤病外科患者药物使用模式的研究:孟加拉国达卡第三级护理教学医院的横截面研究,孟加拉国
1Dr Halima Begum, Associate Professor, Department of Pharmacology, Enam Medical College and Hospital (EMCH), Dhaka, Bangladesh;
Mymensingh medical journal : MMJ
|December 31, 2024
概括
这项研究分析了孟加拉国600份皮肤病学处方,发现抗组胺剂,抗菌剂和抗真菌剂是最常见的. 观察到不合理的处方和多药制,很少使用仿制药名称.
科学领域:
- 皮肤病学 皮肤病学
- 药理学 药理学是指药理学的学科.
- 公共卫生 公共卫生
背景情况:
- 皮肤病是全球残疾的主要原因,导致皮肤病门诊部门的患者数量很高.
- 不合理的药物处方在临床实践中是一个重大问题,它会影响患者的治疗结果和医疗保健成本.
研究的目的:
- 调查药物使用模式,并评估三级护理皮肤科门诊病房患者处方的合理性.
- 确定最常被处方的药物类别,并评估遵守孟加拉国基本药物清单 (EDL).
主要方法:
- 一项观察性,单中心研究,涉及600名患者参加了孟加拉国Enam医学院和医院 (EMCH) 的皮肤病外科 (OPD).
- 通过患者访谈和预先设计的表格,收集了六个月的数据,分析了600个药物说明书,以对人口和皮肤学资料进行分析.
主要成果:
- 抗胰岛素 (16.95%),抗菌 (14.69%),抗真菌 (10.73%) 和皮质类固醇 (8.47%) 是最常被处方的药物类别.
- 组合治疗 (口服+局部) 是常见的 (61.80%),多药店平均每处方3.54种药物. 只有1.97%的药物名称是用通用书写的.
- 处方药的比例很低,来源于孟加拉国基本药物清单 (EDL).
结论:
- 该研究强调了皮肤病学中普遍存在的药物使用模式,包括经常使用抗组胺剂和组合疗法.
- 观察到的多药和低仿制药处方需要进行干预,以提高处方的合理性.
- 建议定期进行审计,以促进皮肤病治疗中的标准化和合理的处方实践.
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