Investigation and Analysis on Drug Manipulation for Pediatric Oral Dosing in Pediatric Hospitals

Guan Weiwei; Song Ziyang; Mei Dong; Jia Yuntao; Chen Zebin; Wang Xiaoling

doi:10.13407/ j.cnki.jpp.1672-108X.2022.02.008

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Investigation and Analysis on Drug Manipulation for Pediatric Oral Dosing in Pediatric Hospitals

更新时间：2022-11-03

- Investigation and Analysis on Drug Manipulation for Pediatric Oral Dosing in Pediatric Hospitals
- Vol. 28, Issue 2, Pages: 26-30(2022)
- 作者机构：
  
  1. 国家儿童医学中心，首都医科大学附属北京儿童医院,北京,100045
  2. 重庆医科大学附属儿童医院，国家儿童健康与疾病临床医学研究中心,重庆,400014
  3. 广东省深圳市儿童医院,广东,深圳,518038
- 作者简介：
- 基金信息：
- DOI：10.13407/ j.cnki.jpp.1672-108X.2022.02.008
  CLC：
- Published：2022，
  
  Published Online：10 February 2022，
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Guan Weiwei, Song Ziyang, Mei Dong, et al. Investigation and Analysis on Drug Manipulation for Pediatric Oral Dosing in Pediatric Hospitals. [J]. 28(2):26-30(2022)
DOI：

Guan Weiwei, Song Ziyang, Mei Dong, et al. Investigation and Analysis on Drug Manipulation for Pediatric Oral Dosing in Pediatric Hospitals. [J]. 28(2):26-30(2022) DOI： 10.13407/ j.cnki.jpp.1672-108X.2022.02.008.

摘要

目的：调查分析全国范围内儿科口服药品分剂量现状，了解临床上分剂量最频繁药品的种类与规格，给出改善药品分剂量现状的建议。方法：采用问卷形式，收集国内30家医院2019年12月儿童口服药品医嘱数据，分别从分剂量药品种类、医嘱数量、分剂量规格、最迫切需要规格等方面进行统计与分析。结果：本次参加调查单位口服分剂量药品共计16类282种，最常分剂量种类为抗感染药物、消化系统用药和心血管系统用药，最常分剂量药品为螺内酯片、氯化钾片和呋塞米片等药品。最常分剂量规格为1/2片、1/4片及1/5片，需求最迫切的规格多为1/2片、1/3片、1/4片及1/5片。螺内酯片、呋塞米片等7种药品不仅分剂量工作量大，而且最小分剂量规格≤1/20片。结论：普遍的分剂量现象反映出我国儿童适宜药品较为缺乏。为保障儿童用药安全、有效、可及，药品分剂量工作需要政产学研用多方面共同配合。

Abstract

Objective: To investigate and analyze the current status of drug manipulation for pediatric oral dosing in China

to understand the categories and specifications of the most frequent drug manipulation in clinic

so as to provide suggestions for improving the current status of drug manipulation. Methods: Questionnaire survey was used to collect the medical orders of oral drugs for children from 30 hospitals in China in Dec. 2019

and statistical analysis was performed in terms of drug categories

number of medical orders

specifications of drug manipulation and most urgent needs

etc. Results: Totally 16 categories

282 kinds of drug manipulation for pediatric oral dosing were collected. The most frequently categories of drug manipulation for pediatric oral dosing were anti-infective drugs

digestive system drugs and cardiovascular system drugs. The most frequently drugs of drug manipulation for pediatric oral dosing were spironolactone tablets

potassium chloride tablets and furosemide tablets. The most frequently specifications of drug manipulation for pediatric oral dosing were 1/2

1/4 and 1/5

the specifications of 1/2

1/3

1/4 and 1/5 were most commonly wanted. Spironolactone tablets

furosemide tablets and other 7 kinds of drugs not only had a large workload in drug manipulation

but the minimum drug manipulation specification was less than or equal to 1/20. Conclusion: The widespread phenomenon of drug manipulation for pediatric oral dosing reflects the lack of appropriate drugs for children in China. In order to ensure the safety

effectiveness and accessibility of drugs for children

the work of drug manipulation requires the cooperation of government

enterprises

universities

research institutions and hospitals.

关键词

儿童口服药品分剂量

Keywords

childrenoral drugsrug manipulation

references

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