ABSTRACT
Forty eight private medical practitioners and fifty six pharmacists were interviewed, using a prepared questionnaire in each group, in an attempt to evaluate the awareness and practice in the treatment of acute diarrhoea in children among private medical practitioners and the role of pharmacists in the dispensing of drugs for diarrhoea in children. 83% of the doctors prescribed an antibacterial agent, 56% prescribed loperamide, 19% of them prescribed diphenoxylate plus atropine while 31% prescribed an absorbent in children for the treatment of acute diarrhoea. Of fifty six pharmacists interviewed, 30 of them sold diphenoxylate on their own and 26 of them honoured a doctor's prescription of the same. 80% of pharmacists interviewed dispensed loperamide, more than 50% of them dispensed an antibacterial agent while 14% dispensed a binding agent such as pectin or kaolin for the treatment of acute diarrhoea without a valid prescription from a doctor. We recommend that the pharmaceuticals prominently display the harmful effects in children of drugs such as the antimotility drugs and immediately withdraw from the market, all pediatric preparations of the same.
Subject(s)
Acute Disease , Adult , Anti-Bacterial Agents/administration & dosage , Antidiarrheals/administration & dosage , Child , Child, Preschool , Diarrhea/diagnosis , Female , Gastroenteritis/diagnosis , Health Care Surveys , Humans , India , Infant , Male , Practice Patterns, Physicians'/standards , Prognosis , Surveys and QuestionnairesABSTRACT
Forty eight Medical practitioners, 56 pharmacists and 55 mothers of children with diarrhoea were interviewed, using a prepared questionnaire, in an attempt to evaluate in each group, the awareness of and attitude towards oral rehydration therapy. 69% of mothers interviewed were aware of oral rehydration therapy, but only 66% among them practised it. 48% of mothers interviewed, received advice regarding oral rehydration therapy from medical personnel and health care providers. It was found that the ORS preparations not conforming to WHO formulation were the most widely stocked and used and the most widely sold. 9% of pharmacists advocated only glucose as a treatment for diarrhoea on their own. 60% of doctors advised and prescribed ORS preparation not conforming to WHO formulation, 44% of medical practitioners were not sure of the exact method of dilution and preparation of the commercially available preparations. The study has shown that there is more to be done towards realising the total success of ORT. We recommend that ORS preparations not conforming to WHO formulation be withdrawn from the market and further that the responsibility of their manufacture be undertaken by governmental agencies.