Observations were made of 996 encounters between children with diarrhoea and practitioners (28 paediatricians, 62 general practitioners) in Karachi, Pakistan.
Oral rehydration salt (ORS) was prescribed in more than 50% of encounters by 53% of general practitioners (GPs) and 61% of paediatricians.
Sixty-six percent of GPs and 50% of paediatricians prescribed antibacterials, 60% of GPs and 28% of paediatricians prescribed antidiarrhoeals and 39% of GPs and 32% of paediatricians prescribed antiamoebics in more than 30% of their encounters.
Looking at all the encounters, we observed that ORS was prescribed in 52 and 51%, antibacterials in 41 and 36%, antidiarrhoeals in 48 and 29%, and antiamoebics in 26 and 22% of encounters by GPs and paediatricians, respectively.
Cotrimoxazole was the most frequently prescribed antibacterial by both types of practitioners.
Antidiarrhoeals were prescribed more often by GPs than by paediatricians.
In 77% of their encounters, GPs dispensed drug formulations known as'mixtures'made in their own dispensing corners.
The mean duration of encounters between patients and GPs was 3 ± 2 minutes and between patients and paediatricians was 9 ± 4 minutes.
These results indicate inadequate prescription of ORS and excessive prescription of antibacterials, antidiarrhoeals and antiamoebics.
Intervention strategies need to be planned to improve the prescribing practices of both groups.
Mots-clés Pascal : Diarrhée, Enfant, Homme, Médecin généraliste, Pratique professionnelle, Prescription médicale, Médicament, Personnel sanitaire, Etude comparative, Pédiatrie, Pakistan, Asie, Appareil digestif pathologie, Intestin pathologie
Mots-clés Pascal anglais : Diarrhea, Child, Human, General practitioner, Professional practice, Medical prescription, Drug, Health staff, Comparative study, Pediatrics, Pakistan, Asia, Digestive diseases, Intestinal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0236321
Code Inist : 002B02H. Création : 199608.