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Journal of Pharmaceutical Care & Health Systems最新文献

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Understanding the Semantics of Health Care 理解卫生保健的语义
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-2
D. Mackintosh
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引用次数: 0
Two Directions for a Health System 卫生系统的两个方向
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-16
D. Mackintosh
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引用次数: 0
Organized Care 组织护理
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-4
D. Mackintosh
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引用次数: 0
Independent Practitioners 独立的实践者
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-10
D. Mackintosh
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引用次数: 0
Economics and Finance of Health Care 卫生保健经济学和金融学
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-11
D. Mackintosh
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引用次数: 0
Government Health Care Activities 政府医疗服务活动
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-9
D. Mackintosh
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引用次数: 0
Spaceship Earth, Evolution, and Health Care 宇宙飞船,地球,进化和医疗保健
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-17
D. Mackintosh
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引用次数: 0
The U.S. Health Care Delivery System: Background 美国卫生保健服务系统:背景
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-3
D. Mackintosh
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引用次数: 0
Disjointed Community Efforts To Organize the Delivery of Health Care 脱节的社区努力组织提供卫生保健
Pub Date : 2019-07-16 DOI: 10.4324/9780429308147-7
D. Mackintosh
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引用次数: 0
Antibiotics Prescription Practice for Inpatients Clients at St. Paulandrsquo;s Hospital Mellinium Medical College in Addis Ababa, Ethiopia: Cross Sectional Study 埃塞俄比亚亚的斯亚贝巴St. Paulandrsquo医院Mellinium医学院住院病人抗生素处方实践:横断面研究
Pub Date : 2019-03-28 DOI: 10.35248/2376-0419.19.6.204
D. Ketema, A. Mekonnen, Demissie Db
Background: Antibiotics are one of the most widely used groups of drugs. Irrational and uncontrolled use of these agents both in developing and developed countries has resulted in an evolution of resistant strains in addition to poor health outcome. The abusive use of antibiotics is a worldwide problem and worth investigation. The regional data from Ethiopia is contributing to worldwide understanding of the situation. Objective: To assess prescription practice for inpatients clients at St Paul’s Hospital millennium Medical College in Addis Ababa, Ethiopia 2018. Methods: Data was collected prospectively from March 1-30/2018 G.C. through chart abstraction, observation and interview by following patients from admission to discharge, death or left against medical advice. Sample size was calculated using a single population proportion formula and the calculated sample size was 264. Data was analyzed using (SPSS) version 24.0. Descriptive statistics were done by running frequencies. Results: Antibiotics for systemic use were prescribed to 87.5% of the patients which was nine out of ten. Of total admitted patients for 87.50% antibiotics were prescribed as treatment, of which only 38.50% prescription of antibiotics were prescribed based on treatment guidelines. The most frequently prescribed antibiotics were third generation cephalosporin alone which accounts 48.92% of all antibiotics prescribed for clients and cephalosporin (ceftriaxone, cefotaxime and ceftazidime) in combination with metronidazole were 16.88% and cephalosporin in combination with Vancomycin were prescribed for 9.96% for inpatients clients. Conclusions: In the present study for nine out of ten patients antibiotics were prescribed and more than half of prescription was inappropriate prescription 61.67% which indicated that an abusive use of antibiotics at inpatient setting of SPHMMC. Therefore, Health care practitioners’ would be better to adhered to drug prescription guideline regarding antibiotics and others drugs in developing countries Hospital settings for inpatient treatments.
背景:抗生素是应用最广泛的一类药物。在发展中国家和发达国家,不合理和不加控制地使用这些药物,除了造成不良的健康后果外,还造成了耐药菌株的演变。抗生素的滥用是一个世界性的问题,值得调查。来自埃塞俄比亚的区域数据有助于全世界对局势的了解。目的:评估2018年埃塞俄比亚亚的斯亚贝巴圣保罗医院千年医学院住院患者的处方实践情况。方法:对我院2018年3月1-30日住院至出院、死亡或医嘱离院患者进行随访,采用图表抽取、观察、访谈等方法进行前瞻性数据收集。样本量采用单总体比例公式计算,计算样本量为264。数据分析采用SPSS 24.0版本。通过运行频率进行描述性统计。结果:87.5%的患者使用全身性抗生素,占9 / 10。总住院患者中,有87.50%的患者使用抗生素进行治疗,其中仅38.50%的患者使用抗生素是按照治疗指南开具的。使用频率最高的抗生素是单独使用第三代头孢菌素,占所有患者使用抗生素的48.92%,住院患者使用头孢菌素(头孢曲松、头孢噻肟、头孢他啶)联合甲硝唑的占16.88%,使用头孢菌素联合万古霉素的占9.96%。结论:本研究中10例患者中有9例开具了抗生素处方,其中超过一半的处方为不适当处方(61.67%),表明SPHMMC住院环境存在抗生素滥用现象。因此,在发展中国家的医院环境中,卫生保健从业人员最好遵守关于抗生素和其他药物的药物处方指南进行住院治疗。
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引用次数: 0
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Journal of Pharmaceutical Care & Health Systems
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