处方分析和抗生素监测的数字平台在门诊设置。

IF 1.4 4区 医学 Q4 PHARMACOLOGY & PHARMACY
Indian Journal of Pharmacology Pub Date : 2025-01-01 Epub Date: 2025-05-06 DOI:10.4103/ijp.ijp_201_25
Saumya Kankanala, Krishna Prakash Joshi, Mohammad Nezamuddin Khan, Rohit Dixit, Rohini Gunasekaran, Tarun Gupta, Yogendra Kumar Gupta
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引用次数: 0

摘要

目的:处方分析对促进合理用药、减少用药差错、实现有效的抗菌药物监测具有重要作用。手工分析耗时、昂贵且容易出错。本研究旨在评估处方模式和抗菌监测使用一个新的数字分析平台在三级护理医院。方法:2024年6月至8月在印度一家三级保健医院进行了一项描述性观察研究。从门诊(普通内科、外科、儿科、肺科和骨科)收集处方数据,并使用VaidyaRx数字分析平台进行分析。应用世界卫生组织核心处方指标来评估处方趋势、仿制药使用情况、抗生素处方模式、固定剂量组合(FDC)以及对《国家基本药物清单》的遵守情况。数据分析采用MS Excel和VaidyaRx软件。结果:患者平均年龄为35.8±19.2岁,其中儿科(21.8%)、成人(73.3%)、老年(4.9%)。处方平均药品3.2种,仿制药占37.5%。抗生素占处方的24.9%,以外科处方最高(46.9%),以氧氟沙星+奥硝唑和阿莫西林+克拉维酸钾最为常见。NLEM用药占36.7%,非NLEM用药占40.9%,NLEM用药占8.3%。处方中只有64.5%的处方提到了剂量,引起了对处方完整性的担忧。结论:使用VaidyaRx数字平台,可以进行实时处方分析,有助于加强用药安全和抗菌药物管理。需要采取适当的干预措施,以减少多种用药,增加仿制药处方,确保合理使用抗生素,并改善处方做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Digital platform for prescription analytics and antibiotic surveillance in an outpatient department setup.

Objectives: The analysis of prescriptions plays a crucial role in promoting rational drug use, minimizing medication errors, and enabling effective antimicrobial surveillance. Manual analyzing is time-consuming, expensive, and error-prone. This study aimed to evaluate prescribing patterns and antimicrobial surveillance using a novel digital analytical platform in a tertiary care hospital.

Methodology: A descriptive observational study was conducted in a tertiary care hospital, in India, between June and August 2024. Prescription data were collected from outpatient departments (general medicine, surgery, pediatrics, pulmonology, and orthopedics) and analyzed using the VaidyaRx digital analytic platform. World Health Organization Core Prescribing Indicators were applied to assess prescribing trends, generic drug usage, antibiotic prescribing patterns, fixed-dose combination (FDC), and adherence to the National List of Essential Medicines (NLEM). Data were analyzed using MS Excel and VaidyaRx.

Results: Mean patient age was 35.8 ± 19.2 years, with pediatrics (21.8%), adult (73.3%), and geriatric (4.9%). The average drugs per prescription were 3.2, and generic prescriptions were 37.5%. Antibiotics were prescribed in 24.9% of prescriptions, highest in surgery (46.9%), with ofloxacin + ornidazole and amoxicillin + potassium clavulanate being the most common. NLEM drug use was 36.7%, with more FDCs from non-NLEM (40.9%) than NLEM (8.3%) drugs. Only 64.5% of prescriptions mentioned dosage, raising concerns about completeness.

Conclusions: Using the VaidyaRx digital platform, real-time prescription analysis was possible which helped in enhancing medication safety and antimicrobial stewardship. Suitable interventions are needed to reduce polypharmacy, increase generic prescribing, ensure rational antibiotic use, and improve prescribing practices.

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来源期刊
CiteScore
4.00
自引率
4.20%
发文量
53
审稿时长
4-8 weeks
期刊介绍: Indian Journal of Pharmacology accepts, in English, review articles, articles for educational forum, original research articles (full length and short communications), letter to editor, case reports and interesting fillers. Articles concerning all aspects of pharmacology will be considered. Articles of general interest (e.g. methods, therapeutics, medical education, interesting websites, new drug information and commentary on a recent topic) are also welcome.
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