Limits...
Evaluation of trends of drug-prescribing patterns based on WHO prescribing indicators at outpatient departments of four hospitals in southern Ethiopia.

Summoro TS, Gidebo KD, Kanche ZZ, Woticha EW - Drug Des Devel Ther (2015)

Bottom Line: Anti-infective and analgesic drugs are found to be the most frequently prescribed medicines.There was a significant deviation in the use of injectables in two of the four hospitals (50%), whereas their use in the other two hospitals was within the acceptable range.Generally, it seems that there is need for improvement of the prescribing patterns in the hospitals, although this should be consolidated with further studies to link the patient diagnosis and the prescribed medications.

View Article: PubMed Central - PubMed

Affiliation: School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

ABSTRACT

Background: Rational prescribing is a primary step to ensure rational drug use. Often, half of the medicines are prescribed irrationally and half of these are even used incorrectly as the patients fail to take their medicines appropriately. The aim of this research was to evaluate drug-prescribing patterns of four hospitals in southern Ethiopia.

Methods: A retrospective cross-sectional study was conducted between May 15 and June 25, 2014, to evaluate the drug-prescribing patterns based on the World health Organization (WHO) prescribing indicators. The prescription papers, kept for the last 1 year in the outpatient departments of the four hospitals, were analyzed according to WHO guidelines. Also, prescriptions in the hospitals were analyzed to determine the most frequently prescribed drugs. All the statistical calculations were performed using SPSS(®) version 20.0 software.

Results and discussion: The average number of drugs per prescription ranges from 1.82±0.90 to 2.28±0.90, whereas the percentage of use of antibiotics and injections ranged from 46.7 to 85 and 15 to 61.7, respectively. The average percentages of drugs prescribed by generic name and from the essential drugs list were 95.8 and 94.1, respectively. Anti-infective and analgesic drugs are found to be the most frequently prescribed medicines. In terms of polypharmacy, there was a slight deviation in prescribing patterns from what is acceptable according to the WHO criteria. Prescribing by generic name and from essential drug list was almost optimal. There was a significant deviation in the use of injectables in two of the four hospitals (50%), whereas their use in the other two hospitals was within the acceptable range. The use of antibiotics in all the hospitals in present study was higher than the acceptable range.

Conclusion: Generally, it seems that there is need for improvement of the prescribing patterns in the hospitals, although this should be consolidated with further studies to link the patient diagnosis and the prescribed medications.

No MeSH data available.


Related in: MedlinePlus

Comparison of some prescribing indicators in the four hospitals.Abbreviations: SCH, Sodo Christian Hospital; DSMGH, Dubo St. Mary’s General Hospital; TZH, Tercha Zonal Hospital; WSUTRH, Wolaita Sodo University Teaching and Referral Hospital; EDL, essential drugs list.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4539081&req=5

f1-dddt-9-4551: Comparison of some prescribing indicators in the four hospitals.Abbreviations: SCH, Sodo Christian Hospital; DSMGH, Dubo St. Mary’s General Hospital; TZH, Tercha Zonal Hospital; WSUTRH, Wolaita Sodo University Teaching and Referral Hospital; EDL, essential drugs list.

Mentions: In total 2,999 drugs were prescribed for 1,440 patient encounters, making the overall average number of drugs per encounter 2.08±0.98. The frequency of number of drugs per prescription and the average number of drugs per prescription in each hospital are summarized in Table 2. The other prescribing indicators, including the percentage of drugs prescribed by generic name, percentage of antibiotic drug encounter per prescription, percentage of encounter with injectable drugs per prescription, and percentage of drugs prescribed from EDL, are summarized separately in Figure 1. Prescriptions from two hospitals (WSUTRH and SCH) were also evaluated to identify the most frequently prescribed medications. A total of 2,270 prescribed medications from the two hospitals (WSUTRH =1,437 and SCH =833) were analyzed to identify the most frequently prescribed medications is summarized in Table 3.


Evaluation of trends of drug-prescribing patterns based on WHO prescribing indicators at outpatient departments of four hospitals in southern Ethiopia.

Summoro TS, Gidebo KD, Kanche ZZ, Woticha EW - Drug Des Devel Ther (2015)

Comparison of some prescribing indicators in the four hospitals.Abbreviations: SCH, Sodo Christian Hospital; DSMGH, Dubo St. Mary’s General Hospital; TZH, Tercha Zonal Hospital; WSUTRH, Wolaita Sodo University Teaching and Referral Hospital; EDL, essential drugs list.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4539081&req=5

f1-dddt-9-4551: Comparison of some prescribing indicators in the four hospitals.Abbreviations: SCH, Sodo Christian Hospital; DSMGH, Dubo St. Mary’s General Hospital; TZH, Tercha Zonal Hospital; WSUTRH, Wolaita Sodo University Teaching and Referral Hospital; EDL, essential drugs list.
Mentions: In total 2,999 drugs were prescribed for 1,440 patient encounters, making the overall average number of drugs per encounter 2.08±0.98. The frequency of number of drugs per prescription and the average number of drugs per prescription in each hospital are summarized in Table 2. The other prescribing indicators, including the percentage of drugs prescribed by generic name, percentage of antibiotic drug encounter per prescription, percentage of encounter with injectable drugs per prescription, and percentage of drugs prescribed from EDL, are summarized separately in Figure 1. Prescriptions from two hospitals (WSUTRH and SCH) were also evaluated to identify the most frequently prescribed medications. A total of 2,270 prescribed medications from the two hospitals (WSUTRH =1,437 and SCH =833) were analyzed to identify the most frequently prescribed medications is summarized in Table 3.

Bottom Line: Anti-infective and analgesic drugs are found to be the most frequently prescribed medicines.There was a significant deviation in the use of injectables in two of the four hospitals (50%), whereas their use in the other two hospitals was within the acceptable range.Generally, it seems that there is need for improvement of the prescribing patterns in the hospitals, although this should be consolidated with further studies to link the patient diagnosis and the prescribed medications.

View Article: PubMed Central - PubMed

Affiliation: School of Medicine, College of Health Sciences and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.

ABSTRACT

Background: Rational prescribing is a primary step to ensure rational drug use. Often, half of the medicines are prescribed irrationally and half of these are even used incorrectly as the patients fail to take their medicines appropriately. The aim of this research was to evaluate drug-prescribing patterns of four hospitals in southern Ethiopia.

Methods: A retrospective cross-sectional study was conducted between May 15 and June 25, 2014, to evaluate the drug-prescribing patterns based on the World health Organization (WHO) prescribing indicators. The prescription papers, kept for the last 1 year in the outpatient departments of the four hospitals, were analyzed according to WHO guidelines. Also, prescriptions in the hospitals were analyzed to determine the most frequently prescribed drugs. All the statistical calculations were performed using SPSS(®) version 20.0 software.

Results and discussion: The average number of drugs per prescription ranges from 1.82±0.90 to 2.28±0.90, whereas the percentage of use of antibiotics and injections ranged from 46.7 to 85 and 15 to 61.7, respectively. The average percentages of drugs prescribed by generic name and from the essential drugs list were 95.8 and 94.1, respectively. Anti-infective and analgesic drugs are found to be the most frequently prescribed medicines. In terms of polypharmacy, there was a slight deviation in prescribing patterns from what is acceptable according to the WHO criteria. Prescribing by generic name and from essential drug list was almost optimal. There was a significant deviation in the use of injectables in two of the four hospitals (50%), whereas their use in the other two hospitals was within the acceptable range. The use of antibiotics in all the hospitals in present study was higher than the acceptable range.

Conclusion: Generally, it seems that there is need for improvement of the prescribing patterns in the hospitals, although this should be consolidated with further studies to link the patient diagnosis and the prescribed medications.

No MeSH data available.


Related in: MedlinePlus