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首页> 外文期刊>BMC Medical Informatics and Decision Making >Drug use pattern using WHO core drug use indicators in public health centers of Dessie, North-East Ethiopia
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Drug use pattern using WHO core drug use indicators in public health centers of Dessie, North-East Ethiopia

机译：药物用途模式使用世卫组织核心药物用途指标在东北埃塞俄比亚的公共卫生中心

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Rational drug use requires that patients receive and take medication appropriately. Though the process of diagnosis and pharmaceutical care is complex, World Health Organization (WHO)/international network for rational use of drugs (INRUD) core drug use indicators investigate drug use to minimize the hazardous effect of the drug and enhance the wise use of scares resources. This study assessed drug use patterns in health centers of Dessie town using WHO/INRUD indicators. A cross-sectional study was conducted in public health centers of Dessie town. Data were retrospectively collected from 1500 prescriptions dispensed from January 1, 2018, to December 31, 2018 using WHO data collection tool to assess prescribing indicators. For patient care and health facility indicators, 600 patients and 3 health centers were prospectively reviewed. Systematic random sampling was used to select samples. Data were analyzed using the Statistical Package for the Social Sciences version 20. The average number of drugs per encounter was 2.1. The percentage of encounters with antibiotics and injection was 44% and 13.9%, respectively. The percentage of drugs prescribed by generic name and from an essential drug list was 98% and 100%, respectively. On average, patients spent 4.7?min for consultation and 105?s for dispensing. From 1305 prescribed drugs, 92% were dispensed, while only 4% were labeled adequately. More than half (54.8%) of patients had adequate knowledge of their medication. None of the health centers had an essential drug list. The availability of key essential medicines was 64.10%. This study demonstrated irrational drug use practices in all healthcare facilities. Polypharmacy, antibiotics over-prescribing, short consultation and dispensing times, inadequate labeling of medicines, inadequate level of patients' knowledge about prescribed medicines, and unavailability of key drugs in stock were found to be the major problems. Continuous refreshment trainings on rational use of drugs and WHO recommendations should be given for prescribers and pharmacists. Further, we recommend studies involving large number of facilities to estimate overall prescribing practices.
机译：合理的药物用途要求患者适当地接受并服用药物。虽然诊断和制药的过程是复杂的，但世界卫生组织（WHO）/国际合理使用药物网络（INRUD）核心药物使用指标调查药物用来最小化药物的危险效果，增强明智的恐慌资源。本研究评估了Dessie镇健康中心的药物使用模式，使用谁/ inrud指标。在Dessie镇的公共卫生中心进行了横断面研究。从2018年1月1日至2018年12月31日，从2018年1月1日使用谁进行了数据收集工具来评估规定指标，从1500名处方收集数据。对于患者护理和健康设施指标，600名患者和3个卫生中心进行了审查。系统随机采样用于选择样品。使用统计包来分析数据，用于社会科学版本20.每次遭遇的药物的平均数是2.1。抗生素和注射率的百分比分别为44％和13.9％。由通用名称和必需药物清单规定的药物的百分比分别为98％和100％。平均而言，患者花费了4.7分钟，以便咨询和105次分配。从1305种规定的药物中，分配了92％，而只有4％的标记充分标记。超过一半（54.8％）的患者具有足够的药物知识。没有一个健康中心有一个必不可少的药物清单。关键基本药物的可用性为64.10％。本研究表明所有医疗保健设施中的药物使用实践。多酚疾病，抗生素过度规定，短期咨询和分配时间，药物的标记不足，患者对规定药物的知识不足，并且股票中的关键药物的不可用的可能性是主要的问题。应对药物和药剂师的合理使用戒毒和世卫组织建议的持续茶点培训。此外，我们建议涉及大量设施来估算整体规定实践的研究。

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