Irrational prescription of surfactant replacement therapy in neonatal respiratory distress.
<h4>Purpose</h4>Respiratory distress is known as one of the leading causes of neonatal death. In recent decades, surfactant therapy has revolutionized respiratory failure. Since the implementation of the health system reform plan as well as the allocation of new financial resources for h...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0268774 |
| _version_ | 1828268805056364544 |
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| author | Nader Jahanmehr Reyhane Izadi Abbas Habibolahi Setareh Yousefzadeh Soheila Khodakarim |
| author_facet | Nader Jahanmehr Reyhane Izadi Abbas Habibolahi Setareh Yousefzadeh Soheila Khodakarim |
| author_sort | Nader Jahanmehr |
| collection | DOAJ |
| description | <h4>Purpose</h4>Respiratory distress is known as one of the leading causes of neonatal death. In recent decades, surfactant therapy has revolutionized respiratory failure. Since the implementation of the health system reform plan as well as the allocation of new financial resources for health system in Iran, the rate of irrational prescription has increased and prescription of surfactant for neonates, has raised unexpectedly, which is thought to be due to irrational prescriptions partly. The present study aimed to determine the rate of irrational prescription of surfactant for neonates with respiratory distress.<h4>Methods</h4>This research was a cross-sectional descriptive study, which was conducted retrospectively. In the current study, determining the rate of irrational prescription was done in terms of the surfactant prescription guideline. Finally, the medical data of 846 neonates who underwent surfactant therapy in Iran in 2018, were extracted from the information system of the Ministry of Health and the neonatal medical records.<h4>Results</h4>The results show that drug selection index, dose index, and time index were irrational for 14.30%, 27.42%, and 1.06% of neonates, respectively. Moreover, the total index of drug prescription, which is a combination of the above-mentioned three components, was found to be irrational for 31.47% of neonates.<h4>Conclusions</h4>The results of the present study are considered as a warning to providers and decision makers in the field of neonatal health to reduce irrational prescriptions of surfactant for neonates. This study suggests the use of educational interventions in order to reduce irrational prescriptions due to drug selection as well as the use of computer alert approaches in order to reduce irrational prescriptions due to wrong dose. |
| first_indexed | 2024-04-13T05:23:15Z |
| format | Article |
| id | doaj.art-c505d2ea9a55473b80d101f4e99216d7 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T05:23:15Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-c505d2ea9a55473b80d101f4e99216d72022-12-22T03:00:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01176e026877410.1371/journal.pone.0268774Irrational prescription of surfactant replacement therapy in neonatal respiratory distress.Nader JahanmehrReyhane IzadiAbbas HabibolahiSetareh YousefzadehSoheila Khodakarim<h4>Purpose</h4>Respiratory distress is known as one of the leading causes of neonatal death. In recent decades, surfactant therapy has revolutionized respiratory failure. Since the implementation of the health system reform plan as well as the allocation of new financial resources for health system in Iran, the rate of irrational prescription has increased and prescription of surfactant for neonates, has raised unexpectedly, which is thought to be due to irrational prescriptions partly. The present study aimed to determine the rate of irrational prescription of surfactant for neonates with respiratory distress.<h4>Methods</h4>This research was a cross-sectional descriptive study, which was conducted retrospectively. In the current study, determining the rate of irrational prescription was done in terms of the surfactant prescription guideline. Finally, the medical data of 846 neonates who underwent surfactant therapy in Iran in 2018, were extracted from the information system of the Ministry of Health and the neonatal medical records.<h4>Results</h4>The results show that drug selection index, dose index, and time index were irrational for 14.30%, 27.42%, and 1.06% of neonates, respectively. Moreover, the total index of drug prescription, which is a combination of the above-mentioned three components, was found to be irrational for 31.47% of neonates.<h4>Conclusions</h4>The results of the present study are considered as a warning to providers and decision makers in the field of neonatal health to reduce irrational prescriptions of surfactant for neonates. This study suggests the use of educational interventions in order to reduce irrational prescriptions due to drug selection as well as the use of computer alert approaches in order to reduce irrational prescriptions due to wrong dose.https://doi.org/10.1371/journal.pone.0268774 |
| spellingShingle | Nader Jahanmehr Reyhane Izadi Abbas Habibolahi Setareh Yousefzadeh Soheila Khodakarim Irrational prescription of surfactant replacement therapy in neonatal respiratory distress. PLoS ONE |
| title | Irrational prescription of surfactant replacement therapy in neonatal respiratory distress. |
| title_full | Irrational prescription of surfactant replacement therapy in neonatal respiratory distress. |
| title_fullStr | Irrational prescription of surfactant replacement therapy in neonatal respiratory distress. |
| title_full_unstemmed | Irrational prescription of surfactant replacement therapy in neonatal respiratory distress. |
| title_short | Irrational prescription of surfactant replacement therapy in neonatal respiratory distress. |
| title_sort | irrational prescription of surfactant replacement therapy in neonatal respiratory distress |
| url | https://doi.org/10.1371/journal.pone.0268774 |
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