542例儿科电话药物咨询分析

Pediatric Drug Counseling Telephone Service:Analysis of 542 Cases

目的:了解儿科药物咨询服务和药品不良反应发生的特点。方法:对我院2006年2月～2008年4月的药物咨询电话记录进行分析,并对其中药品不良反应问题进行分类。结果:542例药物咨询电话记录中,列前3位的分别为药物的用法用量(29.15%)、药物推荐与选择(13.28%)、药物相互作用(10.52%);其中,41例药品不良反应问题主要与抗感染药和中成药的使用有关,最常见表现为消化系统损害。结论:开展电话药物咨询,不仅能提高患儿的用药依从性,促进合理用药,而且对于儿科临床药师的学习提高也有很大帮助。

OBJECTIVE： To probe into the pediatric drug counseling service and the characteristics of adverse drug reactions （ADR）. METHODS： The telephone records of drug consultation from Feb. 2006 to Apr. 2008 in our hospital were statistically analyzed and the problems related to adverse drug reactions were classified. RESULTS： Among the 542 cases of drug consulting telephone records, the top 3 consulting questions were the usage and dosage of drugs （29.15%）, recommendation and choice of drugs （13.28%） and drug interactions （10.52%）. Of which, 41 cases of ADR problems were about the use of antibacterials and Chinese traditional patent drugs. The most common manifestation of ADR was the lesion of digestive system. CONCLUSION： Drug consulting telephone service can not only enhance children patients＇ medication compliance and promote rational use of drugs but also improve the learning of clinical pharmacists.