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我院104份儿科住院病历超说明书用药调查分析

支文煜 张桂芬 唐慧

儿科药学杂志2017,Vol.23Issue(12):42-46,5.
儿科药学杂志2017,Vol.23Issue(12):42-46,5.DOI:10.13407/j.cnki.jpp.1672-108X.2017.12.015

我院104份儿科住院病历超说明书用药调查分析

Investigation and Analysis of Off-Label Drug Use in Pediatric Inpatient of Our Hospital

支文煜 1张桂芬 1唐慧1

作者信息

  • 1. 常熟市第一人民医院,苏州大学附属常熟医院,江苏常熟215500
  • 折叠

摘要

Abstract

Objective:To understand the off-label drug use in the pediatric inpatient cases in our hospital,promote children's medication safety and provide the basis for normalizing the off-label drug use.Methods:One hundred and four inpatient cases (8.13%) were randomly selected in the pediatric inpatients from December 2016 to February 2017.The children's basic information was retrieved from the electronic medical records system.The admission notes were referred to and the medication orders were reviewed in order to determine whether off-label drug use based on drug instructions and pharmaceutical knowledge.The type and quantity of offlabel drug use were statistically analyzed.Results:One hundred and four inpatient cases included 1,739 medical orders and involved 18 categories and 81 kinds of drugs.There were 412 off-label drug use orders (23.69%).In the off-label drug use,antiviral drugs,vitamins and mineral substance and respiratory drugs were mostly.The proportions of the overdosage,the superfit population,and superfit age of administration were the top 3 (33.98%,25.24% and 19.42%).Conclusion:There are off-label drug uses in pediatric inpatient medical orders.We shall gradually improve the instructions for children's medication information,strengthen the supervision and management of the use of drugs and promote safe and rational use of drugs in pediatrics.

关键词

超说明书用药/儿科/住院/医嘱/合理用药

Key words

off-label drug use/pediatric/inpatient/medical order/rational use of drugs

分类

医药卫生

引用本文复制引用

支文煜,张桂芬,唐慧..我院104份儿科住院病历超说明书用药调查分析[J].儿科药学杂志,2017,23(12):42-46,5.

儿科药学杂志

OACSTPCD

1672-108X

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