首页|731例门诊儿童患者使用奥美拉唑肠溶剂合理性分析

731例门诊儿童患者使用奥美拉唑肠溶剂合理性分析

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目的 调查分析医院儿科门诊奥美拉唑肠溶剂使用情况,为药品临床综合评价提供证据支撑.方法 通过医院临床药学系统抽取贵州医科大学附属医院 2021 年 5 月 1 日~2022 年 4 月 30 日儿科门诊患者使用奥美拉唑肠溶片的处方信息,依据相关指南、共识或FDA说明书进行点评并汇总分析.结果 儿科门诊奥美拉唑肠溶剂处方共 731 张,不合理用药处方有 84 张,占点评处方的 11.50%,主要表现在:开具处方未写临床诊断或临床诊断书写不全、疗程不规范、适应证不适宜,药品剂型或给药途径不适宜、用法用量不适宜等.结论该院儿科门诊使用奥美拉唑肠溶剂存在不合理现象.该药超说明书用药、给药剂量不够精准、无适宜儿童剂型规格等问题也亟待解决.
Analysis of the rationality of the use of omeprazole enteric-coated formulation in 731 outpatient pediatric patients
Objective To investigate and analyze the use of omeprazole enteric-coated formulation in hospital pediatric outpatient clinics,and to provide evidence support for the comprehensive clinical evaluation of drugs.Methods The prescription information of omeprazole enteric-coated formulation used by pediatric outpatients in the Affiliated Hospital of Guizhou Medical University from May 1,2021 to April 30,2022 was extracted through the hospital's clinical pharmacy system,and reviewed and summarized for analysis based on relevant guidelines,consensus or FDA prescribing information.Results There were a total of 731 prescriptions for omeprazole enteric-coated in pediatric outpatient clinics,and there were 84 prescriptions for irrational use of the drug,accounting for 11.50%of the review prescriptions,mainly manifested in:prescriptions were written without a clinical diagnosis or with incomplete clinical diagnosis;the course of treatment was not standardized,the indications were inappropriate,the drug dosage form or the route of administration was inappropriate,Usage and dosage were inappropriate,and so on.Conclusion There are unreasonable phenomena in the use of omeprazole enteric-coated formulation in pediatric outpatient clinics of the hospital.Furthermore,there are issues regarding off-label use,imprecise dosing,and the lack of appropriate pediatric dosage forms for this medication that need to be addressed.

OmeprazoleProton pump inhibitorRational use of drugsPediatrics

李晓菲、李琳、李明

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贵州医科大学附属医院药学部,贵阳 550001

奥美拉唑 质子泵抑制剂 合理用药 儿童

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(7)
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