Management of childhood acute respiratory infections at private pharmacies in Vietnam
Management of childhood acute respiratory infections at private pharmacies in Vietnam
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DOI：
10.1345/aph.10313
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发表时间：
2001-10-01
影响因子：
2.9
通讯作者：
Tomson, GB
中科院分区：
文献类型：
--
作者：
Chuc, NTK;Larsson, M;Tomson, GB
目的：调查河内的私人药房工作人员之间的知识和做法，关于轻度急性呼吸道感染（ARI）的儿童病例管理。方法：在河内的60家私人药房被随机选择。知识进行了评估，通过与药房工作人员使用问卷采访，通过模拟客户端Method.RESULTS：在调查问卷中，20%的药房工作人员表示，他们将分发抗生素的做法进行了评估。在实践中，83%的药房分发抗生素。只有36%的案件是按照指导方针处理的。在调查问卷中，81%的受访者表示，抗生素在短期治疗过程中无效。在实践中，48%的抗生素是在少于5天的疗程内分发的。在41%的接触中，分发了传统草药。在调查问卷中，53%的药房工作人员表示他们会询问患者呼吸困难的情况。在实践中，有关呼吸困难的问题被问到不到10%的encounters.CONCLUSIONS：分配抗生素轻度ARI是私人药店之间的常见做法，有一个显着的差异之间的知识和实践。需要采取干预措施来改善河内的药房实践。
OBJECTIVE: To investigate the knowledge and practice among private pharmacy staff in Hanoi regarding case management of mild acute respiratory infection (ARI) in children.METHODS: Sixty private pharmacies in Hanoi were randomly selected. Knowledge was assessed through interviews with pharmacy staff using a questionnaire; practice was assessed through the Simulated Client Method.RESULTS: In the questionnaire, 20% of the pharmacy staff stated that they would dispense antibiotics. In practice, 83% of the pharmacies dispensed antibiotics. Only 36% of the cases were handled according to guidelines. In the questionnaire, 81% of interviewees stated that antibiotics are not effective in short therapeutic courses. In practice, 48% of the antibiotics were dispensed in courses less than five days. Traditional herbal medicines were dispensed in 41% of the encounters. In the questionnaire, 53% of the pharmacy staff stated that they would ask the patient about difficulty of breathing. In practice, questions related to difficulty of breathing were asked in less than 10% of the encounters.CONCLUSIONS: Dispensing of antibiotics for mild ARI was common practice among private pharmacies, and there was a significant difference between knowledge and practice. Interventions are needed to improve pharmacy practice in Hanoi.