儿科超说明书用药的问题与对策
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篇名: 儿科超说明书用药的问题与对策
TITLE:
摘要: 目的:了解儿科超说明书用药现状,探讨合理、可行的处理对策,促进儿科临床合理、合法用药。方法:从儿科超说明书用药的国内外现状、存在原因、利与弊等方面分析儿科超说明书用药问题,提出规范儿科超说明书用药的对策。结果:儿科超说明书用药类型主要为说明书未提及儿童用药信息、剂量和适应证超说明书;居前3位的年龄段依次为儿童期、青少年期和婴幼儿期;药品种类主要为呼吸系统用药、抗感染药和中成药。结论:可通过建立和完善相关法律法规,超说明书用药指南和管理规范的制订,增强医药企业的社会责任感,提高医务人员执业水平,说明书的修订制度化、规范化等对策规范儿科超说明书用药,促进临床合理、合法用药。
ABSTRACT: OBJECTIVE: To investigate the situation of pediatric off-label drug use, explore reasonable and practical countermeasures, and promote rational drug use in the clinic. METHODS: The problems of pediatric off-label drug use were analyzed in respects of domestic and foreign situation, reasons, advantages and disadvantage, etc. Countermeasures were put forward to standardize pediatric off-label drug use. RESULTS: The types of pediatric off-label drug use mainly are pediatric medication information, dosage and indications not mentioned in package inserts. Pediatric off-label drug use mainly occur in childhood, adolescence and infancy stage, and main drug types involved are respiratory system drug, anti-infectious agent and Chinese patent medicine. CONCLUSIONS: The pediatric off-label drug use can be standardized with countermeasures, such as establish and perfect relevant laws and regulations, formulate off-label drug use guidance and management standard, strengthen sense of social responsibility of pharmaceutical enterprises, improve practice level of medical staff, institutionalize and standardize package inserts revise, to promote rational and legal use of drugs in the clinic.
期刊: 2016年第27卷第2期
作者: 宋乐乐,邢蓉
AUTHORS: SONG Lele,XING Rong
关键字: 儿科;超说明书用药;原因;利弊;对策
KEYWORDS: Pediatric; Off-label drug use; Reason; Advantage and disadvantage; Countermeasure
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