Investigation and analysis of the use of acetaminophen in primary medical institutions of Shaanxi province
OBJECTIVE To investigate and analyze the use of acetaminophen in primary medical institutions of Shaanxi province,and to provide evidence for promoting the standardized and rational use of acetaminophen.METHODS According to the method of cluster stratified random sampling,all prescriptions of acetaminophen issued by primary medical institutions in one district and one county(or two districts)were randomly selected from 10 provincial cities of Shaanxi province from 2020 to 2023;the existing clinical diagnoses were classified by using the International Classification of Diseases(ICD)code,and the drug information of collected prescriptions was analyzed descriptively.SPSS 25.0 software was used for single-factor analysis and Logistic regression analysis to find out the key factors affecting the duration of medication＞10 d.RESULTS A total of 7 375 valid prescriptions for acetaminophen were collected in this study.The patients who used acetaminophen were mainly female(52.11%)and aged 19-64(66.73%).Based on the ICD code,the disease categories most involved in the use of acetaminophen were musculoskeletal system,connective tissue diseases or symptoms and signs(43.48%);the top 3 clinical diagnoses were joint disease(25.59%),fracture(9.95%),and toothache(8.58%).Among the 7 175 prescriptions with clear drug usage and dosage,3 366 were in line with the recommendation of acetaminophen instruction,and 5.63%of the prescriptions exceeded the maximum dose limit of acetaminophen 2.0 g/d.There were 4 051 prescriptions exceeding the conventional limit of treatment duration(7 d),and 1 336 prescriptions exceeding the limit of treatment duration(10 d).The main factors affecting the duration of drug treatment＞10 d were the region and type of medical institutions,the gender and age of patients,and the phenomenon of the duration of drug treatment＞10 d was common in the primary medical institutions from southern Shaanxi,township health centers,the elderly and female patients.CONCLUSIONS There are some unreasonable clinical applications of acetaminophen in primary medical institutions of Shaanxi province,which are mainly manifested in inappropriate usage and dosage,unsuitable clinical diagnosis and drug duration.The region,type of medical institution,age and gender of patients will affect the duration of this drug prescription.
acetaminophenprimary medical institutionsanalgesicsrational drug useShaanxi province
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