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題 名 | 兒童急性呼吸道感染的門診處方型態與用藥品質之探討=Discussing the Prescribing Patterns and Prescription Quality in Ambulatory Children with Acute Respiratory Tract Infections |
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作 者 | 歐善福; 陳建州; 何慈育; | 書刊名 | Medical Journal of South Taiwan |
卷 期 | 8:2 2012.12[民101.12] |
頁 次 | 頁69-79 |
分類號 | 417.53 |
關鍵詞 | 呼吸道感染; 處方型態; 用藥品質; Respiratory tract infection; Prescribing patterns; Prescription quality; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:比較兒童急性呼吸道感染在不同專科的門診處方型態與用藥品質,以提升小兒用藥安全。方法:本研究採回溯性橫斷面方式,收集自2009年6月至2010年6月間,18(含)歲以下急性呼吸道感染兒童在南部某區域教學醫院小兒科、家醫科和耳鼻喉科三科的門診病歷記錄,以描述性和推論性方法分析其處方型態與用藥品質,推論性方法包括卡方檢定、變異數分析和多重比較的事後檢定。結果:本研究共分析1380個就診人,其中小兒科526人次,家醫科423人次,耳鼻喉科431人次。結果如下:一、處方型態方面:(一)在平均用藥筆數方面, 以耳鼻喉科的4.01±1.37筆最多(p<0.001)。(二)在平均給藥天數方面,以家醫科的4.20±1.246日最少(p <0.001)。(三)在平均處方藥費和日藥費方面,三科沒有明顯差異。(四)在藥物類別方面,抗氣喘藥劑、解熱鎮痛劑和抗生素在三科之間有明顯差異(p <0.001)。二、用藥品質方面:在抗生素合理性、開立相同藥理作用藥物、不良藥物反應和藥物交互作用等方面,三科無明顯差異,但在不適當處方方面,小兒科最少(p = 0.002)。結論:兒童急性呼吸道感染雖然在不同專科的處方型態上有明顯差異,但在用藥品質方面大致維持良好。 |
英文摘要 | Objective: To compare the prescribing patterns and prescription quality in ambulatory children with acute respiratory tract infections among different specialists and to look forward to benefit for medication safety.Methods: This study is a retrospective cross-section design. From June 2009 to June 2010, all the children aged less than 18 years diagnosed to be acute respiratory tract infections and visited in the outpatient and otolaryngology in a regional teaching hospital were enrolled. We analyzed the medical charts with descriptive and inferential methods in terms of the prescribing patterns and prescription quality among different specialists. Inferential methods included Chi-square, analysis of variance (ANOVA) and Scheffe's tests.Results: A total of 1,380 ambulatory services, 526 from pediatrists, 423 from family medicine physicians, and 431 from otolaryngologists, were enrolled. 1. Prescribing patterns: (1)the highest average prescription numbers was 4.01±1.37 items by the otolaryngologist (p<0.001); (2)the lowest average priscription duration was 4.20±1.25 days by the family medicine physician(p<0.001); (3) the average medication costs and average daily medication costs were no significant differences among specialists.(4) anti-asthma, antipyretic and antibiotic drugs had significant differences among specialists(p<0.001). 2.Prescription quality: there were no significant differences in terms of reasonability of antibiotics, repeated drugs use, adverse drug reactions and drug interactions. However, podiatrists contributed the lowest rate to inappropriate prescriptions(p = 0.002).Conclusions: Evidence of significant differences on the prescribing patterns among different specialists was disclosed from this study. However, the prescription quality maintained identically well. |
本系統中英文摘要資訊取自各篇刊載內容。