Рекомендации к действию. 1. Правительствам и работникам здравоохранения следует разработать политику рационального управления для контроля диарейных заболеваний


1. Правительствам и работникам здравоохранения следует разработать политику рационального управления для контроля диарейных заболеваний. В нее должно входить предоставление ясной и объективной информации, а также обучение пациентов и потребителей надлежащему лечению диареи.

2. Следует изъять с фармацевтического рынка все продукты, обозначенные как противодиарейные препараты и содержащие противомикробные средства.

3. Использование противомикробных препаратов в лечении диареи должно быть ограничено теми лекарствами и особыми показаниями, которые установила ВОЗ (смотри таблицу 5.4)

4. Следует изъять с рынка все педиатрические лекарственные продукты, содержащие средства, которые понижают моторику кишечника.

5. Следует изъять с рынка противодиарейные препараты, эффективность которых не доказана, такие как адсорбенты и препараты кишечных бактерий.

6. У всех противодиарейных препаратов на упаковке должно быть крупно и ясно написано, что основным видом лечения при диарее является ПРТ; такая же информация должна содержаться во всех информационных и рекламных материалах.


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40. UNICEF, The State of the World's Children 1991, Oxford and New York, Oxford University Press, 1990, p12.

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42. WHO, 1989, op cit, p4.

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50. AMA, 1986, op cit at note 9, p964.

51. Claeson, M.E. and Clements, M.L., op cit at note 21, pp527-8.

52. WHO, 1989, op cit, p3.

53. AMA, 1986, op cit at note 9, p971.

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56. Medawar С. and Freese, В., Drug Diplomacy, London, Social Audit, 1982, p51.

57. Lanza, O. and Kerkvliet, E., Ojo con los antidiarreicos: el abuso de antidiarreicos en America Latina, Montevideo, AIS/IOCU, 1991, pp35-40.


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