Drug prescribing for paediatric inpatients at a teaching hospital serving a developing community was investigated. A list of 695 patient record numbers was randomly generated from the 7637 children admitted over the period examined (9.1%). Prescribed drugs were computer-categorized and counted. Antibacterials (30.0%), vitamins, iron preparations and dietary supplements (20.0%), electrolytes (18.8%), analgesics (12.2%) and respiratory drugs (7.1%) comprised the most frequently-prescribed groups. The main (admitting) diagnoses of the sample were also classified. Infective diseases (42.0%), respiratory conditions (18.2%), perinatal disorders (14.9%) and nutritional deficiencies (9.9%) predominated. Data for individual drugs in the four dominant drug groups are presented. The margins between the top one or two drugs and the others in each therapeutic category are notable. Few drugs are extensively used. They include ampicillin, paracetamol, multivitamin syrup and Darrow's preparations. The implications of this picture in therapeutics are discussed.

译文

调查了为发展中的社区服务的教学医院儿科住院患者的药物处方。在检查期间 (9.1%),从收治的7637名儿童中随机生成了695名患者记录编号的列表。处方药是计算机分类和计数的。抗菌剂 (30.0%),维生素,铁制剂和膳食补充剂 (20.0%),电解质 (18.8%),镇痛药 (12.2%) 和呼吸系统药物 (7.1%) 是最常用的处方组。对样本的主要 (承认) 诊断也进行了分类。感染性疾病 (42.0%),呼吸系统疾病 (18.2%),围产期疾病 (14.9%) 和营养缺乏 (9.9%) 占主导地位。提供了四个主要药物组中单个药物的数据。在每种治疗类别中,前一两种药物与其他药物之间的边缘都很明显。很少有药物被广泛使用。它们包括氨苄西林,扑热息痛,多种维生素糖浆和Darrow的制剂。讨论了这张图片在治疗中的意义。

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