某三级医院儿科牙科前瞻性用药研究及药物经济学分析

Binaya Shrestha, M. Pradhan
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引用次数: 2

摘要

儿科牙科是牙科的一个分支,治疗从出生到青春期的儿童。儿童往往患有各种各样的牙齿疾病,这些疾病本质上主要是传染性的,因此需要昂贵的药物。药物使用数据对于制定和监测政策是必要的,因为关于药物支出的数据并不充分。方法:这是一项前瞻性横断面研究,于2019年7月至2019年12月在尼泊尔加德满都的一家三级保健教学机构的儿科学(儿科牙科)部门进行。研究期间共收集处方200张。使用MS excel 2016进行分析,使用Statistical Package for the Social Sciences v22.0进行进一步必要的分析。结果:研究期间共分析处方200张,其中男性126张,女性74张。最常开的药物是扑热息痛,而阿莫西林是最常开的抗生素。最常见的是根尖周围脓肿,但最昂贵的是间隙感染。男女患者用药费用差异无统计学意义。结论:处方模式合理。正如世卫组织所建议的那样,每个机构都必须有自己的药物和治疗委员会,以便通过减少经济负担和药物不良反应使患者受益,从而提高治疗效果。
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A Prospective Drug Utilisation Study and Pharmacoeconomic Analysis in Paediatric Dentistry at a Tertiary Hospital
Introduction: Paediatric dentistry is the branch of dentistry dealing with children from birth to adolescence. Children tend to suffer from various dental conditions which can be primarily infective in nature and hence requires drugs that can be expensive. Drug utilisation data are needed for developing and monitoring policies because data on drug expenditure are not sufficient. Methods: This was a prospective cross-sectional study conducted in the Department of Pedodontics (paediatric dentistry) of a tertiary care teaching institute in Kathmandu, Nepal from July 2019 to December 2019. During the study period a total of 200 prescriptions were collected. Analysis was conducted using MS excel 2016 and further required analysis was done using Statistical Package for the Social Sciences v22.0. Results: A total of 200 prescriptions were analysed during the study period, of which 126 were males whereas 74 were females. The most common drug prescribed was paracetamol whereas amoxicillin was the most commonly prescribed antibiotics. Most common condition was periapical abscess but space infection was the most expensive condition.There was no statistically significance between the cost of drugs prescribed for the male and female patients. Conclusions: The drug prescription pattern was found to be rational. Every institution must have their own Drugs and Therapeutics Committee as has been suggested by WHO, so that patients will be benefited through decreasing economical burden, and adverse drug reactions and that by this, therapeutic effect will be increased.
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审稿时长
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