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Evaluation of Anti-Infectives on Acute Respiratory Infection in Patients at Three Primary Health Cares Centres in Depok, Indonesia

机译:在印度尼西亚德波市的三个初级卫生保健中心对患者急性呼吸道感染的抗感染药评估

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Introduction: The high prevalence of Acute Respiratory Infection (ARI) in Indonesia can increase anti-infective use and affect their patterns of use. Objective: This study aimed to evaluate anti-infective use in 2015 at 3 primary health care centres, Limo Primary Health Care (LPHC), Bojongsari Primary Health Care (BPHC), and Cipayung Primary Health Care (CPHC). Material and methods: This study was descriptive analytic research using retrospective data. Samples consisted of 20,41 ARI patients’ prescriptions containing anti-infective drugs during 2015. Anti-infective drugs were classified using the anatomical therapeutic chemical (ATC) classification system. Drug use was measured as Daily Defined Dose (DDD)/1000 patients/day. Drug use 90% and adherence to the National Formulary was evaluated as an indicator of the quality of prescribing drugs. Results: The highest amount of anti-infective use for ARI patients was at CPHC with a total quantity of 0.95 DDD/1000 patient/day. While at the LPHC amount of anti-infective use was 0.76 DDD/1000 patients/day and at BPHC was only 0.65 DDD/1000 patients/day. The most anti-infectives use at all primary health cares was amoxicillin. Ten anti-infectives were use at LPHC, 11 at BPHC and 7 at CPHC. Anti-infectives in the DU 90% segment at LPHC were amoxicillin, co-trimoxazole, and cefadroxil while amoxicillin was the only DU90% anti-infective used at CPHC and BPHC. The adherence to National Formulary were 70.00% at LPHC, 71.43%, at BPHC, and 63.64% at CPHC. Conclusion: The use of anti-infective varied and it showed that some did not adhere to National Formulary guidelines.
机译:简介:印度尼西亚的急性呼吸道感染(ARI)患病率很高,可以增加抗感染的使用并影响其使用方式。目的:本研究旨在评估2015年在Limo初级卫生保健(LPHC),Bojongsari初级卫生保健(BPHC)和Cipayung初级卫生保健(CPHC)三个初级卫生保健中心的抗感染使用情况。材料和方法:本研究是使用回顾性数据的描述性分析研究。到2015年,样本包括20,41例ARI患者处方中含有抗感染药物。抗感染药物使用解剖化学疗法(ATC)分类系统进行分类。药物使用量按每日定义剂量(DDD)/ 1000例患者/天进行测量。评估了90%的药物使用情况和对国家处方的依从性,以此作为处方药质量的指标。结果:ARI患者使用抗感染药物的最高剂量为CPHC,总量为0.95 DDD / 1000患者/天。在LPHC中,抗感染的使用量为0.76 DDD / 1000患者/天,而在BPHC中,仅为0.65 DDD / 1000患者/天。在所有初级卫生保健中使用的抗感染药最多的是阿莫西林。 LPHC使用10种抗感染剂,BPHC使用11种,CPHC使用7种。 LPHC的DU 90%区段中的抗感染药是阿莫西林,co-trimoxazole和头孢氨苄,而阿莫西林是CPHC和BPHC唯一使用的DU90%抗感染药。 LPHC对国家配方的遵守率为70.00%,BPHC对71.43%,CPHC对63.64%。结论:抗感染药的使用多种多样,表明有些药物不符合国家处方指南。

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