Category: Professional Posters
Purpose: The study aims to compare the application of pediatric acute bronchitis in public and private hospitals, and further to find out their differences and the reasons of irrational drug use, so that to provide important supports for rational acute bronchitis use in children.
Methods: Two hundred electronic prescriptions from August to December 2018 at public and private hospitals were randomly collected. Retrospectively analysis was carried out on these pediatric prescriptions, the drug use and unreasonable prescriptions were reviewed.
Results: Proprietary Chinese medicines, especially combination proprietary Chinese medicine with chemical medicines, are used more widely in public hospital than in private hospitals. There are more types of drugs used in public hospitals than in private hospitals. The use of antimicrobial and expectorant drugs were similar in public and private hospitals. The types of antiasthmatic drugs used in public hospitals were different from those in private hospitals. In public hospitals, montelukast sodium chewable tablet was most commonly used. While in private hospitals, inhalation of salbutamol sulfate solution was most commonly used. Public hospitals and private hospitals have different tendency to use antiallergic drugs. Loratadine syrup was most commonly used in public hospitals, while cetirizine hydrochloride drops are mostly used in private hospitals. The reasons for unreasonable drug use including repeated medications, improper drug choice and computer input errors are usually appeared in public hospitals, while unreasonable dosage and over-prescription are usually appeared in private hospitals.
Conclusion: The medications for acute bronchitis in pediatric outpatients of public and private hospitals have their own characteristics, and the rationality of medication still both needs to be strengthened, but the direction and degree of improvement are different.