産婦人科診療ガイドライン─産科編 2017「妊娠・授乳と薬」関連 CQ&Aに対する小児科医師の認知と評価  [in Japanese] "Clinical Guidelines for Obstetrical Practice in Japan, 2017 Edition" as a source of information on drugs used during pregnancy and lactation: A survey on the knowledge of pediatricians in Japanese hospitals  [in Japanese]

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Author(s)

    • 宮本 和恵 Miyamoto Kazue
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 大原 玲奈 Ohara Rena
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 八木 洋也 Yagi Hiroya
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 佐藤 豊実 Satoh Toyomi
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 濱田 洋実 Hamada Hiromi
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 堤 春香 Tsutsumi Haruka
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 木村 友沢 Kimura Yutaku
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 津曲 綾子 Tsumagari Ayako
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 飯場 萌絵 Iiba Moe
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 西田 恵子 Nishida Keiko
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba
    • 阿部 春奈 Abe Haruna
    • 筑波大学医学医療系産科婦人科学 Department of Obstetrics & Gynecology, Faculty of Medicine, University of Tsukuba

Abstract

<p> 【目的】妊娠・授乳期の医薬品使用に関する情報源としての「産婦人科診療ガイドライン─産科編2017」の小児科医師における認知と評価の状況を把握すること.</p><p> 【方法】全国の小児科専門医研修施設502施設の小児科部長に,郵送によるアンケート調査を行った.</p><p> 【成績】当該ガイドラインの妊娠・授乳と医薬品使用に関するCQ&A5項目の内容を認知していたのは,回答のあった小児科医師298名のうち63名(21%)であった.一方CQ&A5項目すべてについて,回答者の95%以上が「小児科医師にとって有用な情報」と評価した.</p><p> 【結論】小児科医師において当該ガイドラインの妊娠・授乳と医薬品使用に関するCQ&Aは有用な情報と考えられるが,広く認識されているとは言えなかった.妊娠・授乳期の適正な医薬品使用のために,産婦人科医師から新生児診療にかかわる小児科医師への正確な情報伝達と相互のさらなる情報共有が望まれる.</p>

<p> Aim</p><p> To investigate the knowledge of pediatricians in Japanese hospitals on the "Clinical Guidelines for Obstetrical Practice in Japan, 2017 Edition," as a source of information about drugs used during pregnancy and lactation.</p><p> Materials and methods</p><p> We distributed a mail-in survey to 502 pediatric departments of clinical training hospitals in Japan.</p><p> Results</p><p> A total of 298 hospitals(59%)responded to our questionnaire. Almost all the pediatricians stated that the information about drugs used during pregnancy and lactation described in the guidelines was useful; however, the actual proportion of pediatrician who were familiar with the guidelines was only 21%(63 of 298 hospitals). The Food and Drug Administration(FDA)pregnancy risk category was known to 169 of the included pediatricians (57%), whereas only 16(5%)were aware of the removal of the risk category from the label. Twenty-seven of included pediatricians(9%)were acquainted with the revision of "The Points of Compilation for Ethical Drug Package Insert in Japan," and 13(4%)knew these points in detail.</p><p> Conclusion</p><p> Although the "Clinical Guidelines for Obstetrical Practice in Japan, 2017 Edition" are useful source of information about drugs used during pregnancy and lactation, only 21% of the interviewed pediatricians knew the content of the guidelines. Therefore, it seems advisable to improve the exchange of information between obstetrician and pediatrician practicing neonatology.</p>

Journal

  • Journal of Japan Society of Perinatal and Neonatal Medicine

    Journal of Japan Society of Perinatal and Neonatal Medicine 56(1), 43-48, 2020

    Japan Society of Perinatal and Neonatal Medicine

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