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Drug Use Evaluation (DUE) of Ceftriaxone in Mubende Regional Referral Hospital, Uganda: A Cross-Sectional Survey 乌干达穆本德地区转诊医院头孢曲松用药评价(DUE):一项横断面调查
Pub Date : 2019-01-01 DOI: 10.26502/jppr.0024
L. Manirakiza, Victoria Nambasa, S. Nanyonga, Allan Serwanga, M. Alphonsus, Nankola Denis, H. Ndagije
Introduction: Ceftriaxone is a third generation cephalosporin recommended as first line treatment option for a number of diseases in Uganda. However, the National Drug Authority has in the recent past received complaints of suspected treatment failure from clinicians who use different brands of ceftriaxone in Uganda. The main aim of the study was to document the treatment outcome following use of ceftriaxone and evaluating the use of ceftriaxone against the current treatment guidelines in Uganda. Methods: A descriptive observational, non-intervention study design to document treatment outcomes after administration of Ceftriaxone injection in hospitalized patients was undertaken in Mubende. A total of 100 hospitalized patients treated with ceftriaxone were enrolled. Results: Overall, Ceftriaxone was used to treat pneumonia in the paediatric ward, presumptive therapy for infection following caesarean section (n=47) and PID in the post-natal ward, while on surgical and medical wards, Ceftriaxone was used to manage upper respiratory infection, bacterial infections and meningitis. There were no Adverse Events reported to have occurred during treatment with ceftriaxone. Of the patients treated with ceftriaxone 18% completed their doses and had regular administration. Majority 60% of the patients had irregular administration with completed doses and 22% did not complete their doses. Conclusion: There is low treatment outcome during use of Ceftriaxone and the empirically treatment is highly prevalent in the hospital. There is high number of inappropriate drug administration, in which patients usually miss doses or do not complete as prescribed. This practice has an effect of affecting the patient outcomes and aggravating antimicrobial resistance. Choice of ceftriaxone use is not guided by culture and sensitivity due to lack of inadequate laboratory infrastructure.
简介:头孢曲松是第三代头孢菌素,被推荐为乌干达许多疾病的一线治疗选择。然而,国家药品管理局最近收到乌干达临床医生关于使用不同品牌头孢曲松的疑似治疗失败的投诉。该研究的主要目的是记录使用头孢曲松后的治疗结果,并根据乌干达目前的治疗指南评估头孢曲松的使用情况。方法:在Mubende进行一项描述性观察性、非干预性研究,以记录住院患者给予头孢曲松注射液后的治疗结果。共纳入100例接受头孢曲松治疗的住院患者。结果:总体而言,头孢曲松在儿科病房用于治疗肺炎,在产后病房用于剖腹产后感染的推定治疗(n=47)和PID,而在外科和内科病房,头孢曲松用于治疗上呼吸道感染、细菌感染和脑膜炎。在头孢曲松治疗期间没有不良事件的报道。在接受头孢曲松治疗的患者中,18%的人完成了他们的剂量,并定期给药。60%的患者给药不规律,但完成了剂量,22%的患者没有完成剂量。结论:头孢曲松治疗效果低,经验性治疗在医院盛行。有大量不适当的药物给药,其中患者通常错过剂量或不按规定完成。这种做法影响了患者的预后,并加剧了抗菌素耐药性。由于实验室基础设施不足,头孢曲松的使用不以培养和敏感性为指导。
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引用次数: 4
Prescriptions of Strong Opioid Analgesics in Primary Care (Pharmacy Care) 初级保健中强效阿片类镇痛药的处方(药学服务)
Pub Date : 2019-01-01 DOI: 10.26502/JPPR.0014
A. Gažová, M. Kolesárová, M. Orinak, D. Kolesár, J. Kyselovič
Objective: Pain is a part of every human life and typically, example is a chronic pain in tumour diseases. In therapy of the chronic cancer pain, opioid analgesics have irreplaceable role. Methods: This retrospective analysis was conducted from January 2015 to March 2015 using the prescriptions of strong opioid analgesics accepted by pharmacy VITAE. Prescriptions of strong analgesics were written in the Oncology Institute in Kosice to adult patients. Opioid prescriptions for all patients in analyses had cancer medical diagnosis. Characterization of patients, diagnosis of cancer type, characterization of prescribed opioids analgesics – generic name and rug forms of prescribed medicament were analyzed in retrospective analyses of the prescriptions. Results: In total, there were 332 prescriptions (100 % of cancer) of strong opioids for 151 (54% male; 46% female) patients treated in the East-Slovak Oncology Institute in Kosice, Slovakia, during the study period. The youngest patient - woman was 27 and the oldest patient - woman was 88. The most frequent cancer diagnosis were the carcinoma of respiratory and thorax organs (male) and the carcinoma of breast (female). The number of package of strong opioids was 543 (fentanyl (44%), buprenorphine (26%), oxycodone (12%), tapentanol (10%), morphine (7%) and hydromorphone (1%)). Conclusions: Our analysis demonstrated, that despite the fact that morphine is still considered as a gold standard in the oncologic pain therapy, other opioids are more frequently prescribed as fentanyl, buprenorphine, oxycodone or new molecule tapentadol. All substances were prescribed for intense pain emerged from different type of advanced tumour diseases.
目的:疼痛是每个人生活的一部分,典型的例子是肿瘤疾病中的慢性疼痛。在慢性癌性疼痛的治疗中,阿片类镇痛药具有不可替代的作用。方法:回顾性分析2015年1月~ 2015年3月VITAE药房受理的强阿片类镇痛药处方。在科希策肿瘤研究所为成人患者开具强效镇痛药处方。在分析中,所有处方阿片类药物的患者都有癌症医学诊断。对处方进行回顾性分析,分析患者的特征、癌症类型的诊断、处方阿片类镇痛药的特征——处方药物的通用名称和药物形式。结果:151例(男性占54%;研究期间,在斯洛伐克科希策的东斯洛伐克肿瘤研究所接受治疗的患者(46%为女性)。最年轻的病人是27岁,最年长的病人是88岁。最常见的癌症诊断是呼吸和胸腔器官癌(男性)和乳腺癌(女性)。强阿片类药物的包装数量为543个(芬太尼(44%)、丁丙诺啡(26%)、羟考酮(12%)、他他醇(10%)、吗啡(7%)、氢吗啡酮(1%))。结论:我们的分析表明,尽管吗啡仍然被认为是肿瘤疼痛治疗的金标准,但其他阿片类药物更常被处方为芬太尼、丁丙诺啡、羟考酮或新分子他他多。所有的药物都是为不同类型的晚期肿瘤疾病引起的剧烈疼痛而开的。
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引用次数: 1
Binary Mixture of Pharmaceutical Residual Solvents and Their Thermodynamic Investigation 医药残留溶剂二元混合物及其热力学研究
Pub Date : 1900-01-01 DOI: 10.26502/fjppr.052
M. Rahman, M. Habibullah
Molecular interaction of pharmaceutical residual solvents mixture (2-Butanol with m-Xylene) were studied through deep investigation on thermodynamic properties (Enthalpy, Entropy, Free energy) over the entire range of composition at temperature of 298.15 K to 323.15 K and at atmospheric pressure. Results are interpreted and reported in the light of solvation process which is referred to as the transition of molecules from their own environment. Next, the excess thermodynamic properties were calculated, and these excess properties were fitted by the Redlich–Kister polynomial equation. The calculated excess properties are discussed in terms of molecular interactions between 2-Butanol and m-Xylene.
在298.15 K ~ 323.15 K和常压条件下,对药物残留溶剂(2-丁醇-间二甲苯)混合物在整个组成范围内的热力学性质(焓、熵、自由能)进行了深入研究。结果被解释和报告在溶剂化过程,这是指分子从自己的环境过渡。其次,计算了多余的热力学性质,并用Redlich-Kister多项式方程拟合了多余的热力学性质。从2-丁醇与间二甲苯分子相互作用的角度讨论了计算得到的过量性质。
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引用次数: 0
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Journal of pharmacy and pharmacology research
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