在印尼的初级保健机构中,为5岁及以下的儿童开处方抗生素
Yosi Irawati Wibowo1, Niken Firdhausi2, Nur Rahmah2
1Centre for Medicine Information and Pharmaceutical Care (CMIPC) and Clinical and Community Pharmacy Department, Faculty of Pharmacy, Universitas Surabaya, Surabaya, Indonesia.
Journal of infection in developing countries
|April 1, 2025
概括
印度尼西亚初级保健儿童的抗生素处方主要涉及急性呼吸道感染 (ARI) 和腹. 虽然在某些条件下遵守了指南,但需要改进文档和具体指南.
科学领域:
- 儿童传染病 儿童传染病
- 抗微生物药物管理管理
- 主要医疗保健研究研究.
背景情况:
- 儿童面临抗生素过度处方的高风险,在初级保健机构的监测有限.
- 这项研究调查了印度尼西亚初级卫生中心 (PHC) 儿科感染的抗生素处方模式.
研究的目的:
- 检查在参加PHC的儿童中感染模式和抗生素的使用情况.
- 对非肺炎急性呼吸道感染 (ARI),肺炎和腹的抗生素处方进行解释性分析.
主要方法:
- 一项观察性研究分析了印尼卫生保健中心2019年1月至2020年12月处方抗生素的5岁以下儿童记录.
- 收集的数据包括儿童特征,诊断和处方抗生素,分析基于国家指南.
主要成果:
- 急性呼吸道感染 (ARI) 是苏拉巴亚 (60.6%的非肺炎ARI,20.2%的肺炎) 和班贾马辛 (33.8%的非肺炎ARI,25.2%的肺炎) 最常见的抗生素处方指示.
- 肺炎 (89.3%) 和腹 (73.1%) 治疗的高准则一致性,但诊断文档往往不足,限制了全面的评估.
结论:
- 这项研究强调了印尼儿童抗生素处方的洞察力,确定了需要改进的,针对儿童的指导方针和更好的文档实践的需求.
- 建议进行进一步的大规模前性研究,以评估和优化全国抗生素处方.
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