耳鼻喉科门诊的前瞻性用药评估分析:纳入基准和世界卫生组织指标

IF 1.8 Q3 PHARMACOLOGY & PHARMACY Turkish Journal of Pharmaceutical Sciences Pub Date : 2023-09-29 DOI:10.4274/tjps.galenos.2022.50246
Vinodkumar Mugada, Blessy Jayamon, Bindu Krishna Kosireddy, Bhagya Sri Palisetty, Apoorva Pinisetti
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引用次数: 0

摘要

背景:药物使用研究是确定药物使用效果的一种工具。我们的研究旨在结合既定基准和世界卫生组织(WHO)指标,评估耳鼻喉科门诊的药物使用模式。方法:我们对耳鼻喉科门诊部(OPD)的 800 名患者进行了药物使用评估(DUE)研究。首先,我们收集了当前处方药物的数据,并通过仔细分析找出了差异。为了纠正在医生中发现的不合理处方模式,我们利用了 "亲爱的医生 "信件和个人咨询等持续教育活动。我们采用了世界卫生组织的核心指标,特别是处方和患者护理指标,并制定了鼓励合理处方的基准。结果:最常见的三种诊断是咽炎(51.49%)、过敏性鼻炎(25.11%)和急性化脓性中耳炎(21.17%)。孟鲁司特联合左西替利嗪(13.77%)和阿莫西林联合克拉维酸(8.81%)是最常用的处方药。研究显示了一些处方指标,如每张处方的药物数量过多(4.2)、通用名使用率低(33.0%)以及对《基本药物目录》的依赖性不足(76.7%)。此外,病人护理指标也有改进的余地,尤其是就诊时间(6 分钟
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Prospective-Drug Utilization Evaluation Analysis in Ear, Nose, and Throat Outpatient Department: Incorporating Benchmarks and World Health Organization Indicators
Background : A drug utilization study is a tool for determining the effectiveness of drug use. Our research aims to evaluate the drug usage patterns in Ear, Nose, and Throat (ENT) outpatient settings by incorporating established benchmarks and World Health Organization (WHO) indicators. Methods : We conducted a drug utilization evaluation (DUE) study on 800 patients from the ENT outpatient department (OPD). Initially, we gathered data on the currently prescribed medications and, through careful analysis, identified discrepancies. To rectify any irrational prescribing patterns identified among physicians, we utilized continuing educational activities like 'Dear Doctor' letters and personal consultations. We applied the WHO's core indicators, specifically prescribing and patient care indicators, and established benchmarks to encourage rational prescribing. Results : The three most common diagnoses identified were pharyngitis (51.49%), allergic rhinitis (25.11%), and Acute Suppurative Otitis Media (21.17%). Montelukast, in combination with levocetirizine (13.77%) and amoxicillin paired with clavulanic acid (8.81%), were the most frequently prescribed medications. The study revealed prescribing indicators such as an excessive number of drugs per prescription (4.2), low usage of generic names (33.0%), and suboptimal reliance on the Essential Drugs List (76.7%). Furthermore, patient care indicators demonstrated room for improvement, particularly concerning consultation times (6mins
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