15岁以下儿童的自我药疗,在多哥lomoise的教学医院

Y. Potchoo, Anéwédom Awizoba
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引用次数: 0

摘要

目的:本研究旨在了解15岁以下住院儿童自我药疗的原因、药物使用类别和结果。材料与方法:我们于2016年6月18日至7月18日在lom两所教学医院进行描述性研究。采用自我用药问卷对儿科住院患者的家长/亲属进行访谈。根据所调查参数的频率(%)对数据进行分析。结果:共采访了204名举报人。自我药疗率为85.8% (n=175),主要归咎于母亲。患儿病理史为哮喘和镰状细胞病(16.0%)。自行用药的来源主要为药店(60%)、流动药品销售者(49.7%)和家中存放的剩余处方药(21.1%)。发热(85.1%)、头痛(49.7%)、腹痛(28%)、咳嗽和感冒(14.3%)、腹泻(12.6%)是自行用药的主要症状。92.6%的病例使用镇痛药和解热药。抗微生物药(抗生素、抗疟药和其他抗寄生虫药)在47.4%的患者中被自动使用。草药及其他土特产占41.7%。儿童自我药疗的结果是多种多样的,包括恶心和/或呕吐(89.7%)、贫血需要输血(39.9%)、皮肤过敏反应等。结论:父母自我药疗在多哥儿童中很常见。鉴于以往的结果,对儿童使用自我药疗是一种必须加以控制和合理的做法。
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Self-Medication Among Children Under 15 Years, At the Teaching Hospitals of Lomé, Togo
Objectives: The present study was aims to identify the causes, the categories of medicines used and the outcomes of self-medi-cation in hospitalized children under 15 years. Materials and Methods: We conducted a descriptive study from June 18 to July 18, 2016 in two Teaching Hospitals in Lomé. Parents/relatives of inpatient pediatric department were interviewed, using a questionnaire on self-medication. The data was ana-lyzed on the basis of frequencies (%) of parameters investigated. Results: We interviewed 204 informants. The self-medication prevalence was 85.8% (n=175) and mostly imputed to the mothers. Children’s pathological histories were asthma and sickle cell disease (16.0%). The sources of self-medication drugs were pharmacies (60%), itinerant sellers of medicines (49.7%) and left-over prescribed medicines stored at home (21.1%). Fever (85.1%), headaches (49.7%), abdominal pain (28%), cough and cold (14.3%) and diarrhea (12.6%) were the main symptoms responsible for self-medication. Analgesics and antipyretics were used in 92.6 % of cases. Anti-microbial (antibiotics, antimalarial, and other antiparasitics) was auto-administered in approximately 47.4%. Herbal medicine and other local products represented 41.7%. The outcomes of self-medication in children are multiple, including nausea and/or vomiting (89.7%), anaemia requiring transfusion (39.9%), allergic skin reactions and so on. Conclusion: Parental self-medication is common in Togolese children. In view of previous outcomes, the use of self-medication for children is a practice that must be controlled and reasoned.
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