Drug use evaluation of cefepime at Khartoum North Teaching Hospital in Sudan

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

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PRN Medication for Psychiatric Inpatients

The Canadian Journal of Psychiatry ◽

10.1177/070674378703200308 ◽

1987 ◽

Vol 32 (3) ◽

pp. 199-203 ◽

Cited By ~ 31

Author(s):

John L. Craven ◽

Peter M. Voore ◽

George Voineskos

Keyword(s):

Personality Disorder ◽

Drug Use ◽

Psychotropic Drug ◽

Teaching Hospital ◽

Psychotropic Medication ◽

Psychotropic Drugs ◽

Psychiatric Inpatient ◽

Psychiatric Inpatients ◽

Psychotropic Medications ◽

Inpatient Units

Little is known about the extent of the use of prn psychotropic medication in psychiatric inpatient units. A survey of the prn prescription and administration of psychotropic drugs in a psychiatric teaching hospital revealed that a large number of inpatients were prescribed and administered such drugs on a prn basis. Although 50% of the prescriptions were never administered, only 25% were actively discontinued by physicians. A diagnosis of personality disorder was the factor most frequently associated with the rate of prn prescriptions and of administrations. A large number of prn prescriptions had no instructions for indications, minimum time spacing between doses or maximum daily dosage. It is suggested that hospitals monitor the prn use of psychotropic medications in their inpatient units, and explore the reasons for such use. Psychotropic drug use on a prn basis should preferably be reserved for emergencies, and the instructions of prn prescriptions should be clear and detailed.

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Ciprofloxacin Drug Utilization Review and Prospective Drug use Evaluation

DICP ◽

10.1177/106002809002400115 ◽

1990 ◽

Vol 24 (1) ◽

pp. 82-86

Author(s):

William F. Mcghan ◽

J. Lyle Bootman ◽

Raymond J. Townsend ◽

Morton P. Goldman

Keyword(s):

Drug Use ◽

Drug Utilization ◽

Utilization Review ◽

Drug Utilization Review ◽

Drug Use Evaluation

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Drug use evaluation

Managing Pharmacy Practice ◽

10.1201/9780203502891.ch13 ◽

2004 ◽

pp. 195-203 ◽

Cited By ~ 1

Author(s):

Andrew Peterson

Keyword(s):

Drug Use ◽

Drug Use Evaluation

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Drug use in acute otitis media: a prospective study at a tertiary care teaching hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20190141 ◽

2019 ◽

Vol 8 (2) ◽

pp. 240

Author(s):

Rushi N. Pandya ◽

Maulik M. Patel ◽

Varsha J. Patel

Keyword(s):

Drug Use ◽

Otitis Media ◽

Teaching Hospital ◽

Tertiary Care ◽

Acute Otitis Media ◽

Fixed Dose ◽

Tertiary Care Teaching Hospital ◽

Care Teaching ◽

Use Pattern ◽

Drug Use Pattern

Background: Drug use study identifies the problems that arise from prescription and highlights the current approaches to the rational use of drugs. The objective of the study was to assess drug use pattern in patients diagnosed of acute otitis media in tertiary care teaching hospital.Methods: This prospective observational study was carried in the Otorhinolaryngology department of a tertiary care teaching hospital over a period of twelve months. The data collected for patients with acute otitis media included the patient's demographic details and the drugs prescribed. Data were analysed for drug use pattern and cost per prescription and assessment of rationality of prescription.Results: Total 153 patients were analysed, 100 (65.35%) belonged to male patients and 53 (34.65%) belonged to female patients. Children less than 2years age were the most diagnosed with AOM 47.71%, the major diagnostic symptoms were earache (58.16%) and fever (54.90%) and signs were congestion (52.94%) and discharge (43.13%). In a total 153 prescriptions (469 drugs), 33.68% were antimicrobials, followed by mineral supplements (23.67%). Average number of drugs per prescription was found to be 3.0. Most common antibiotic prescribed was amoxicillin (with or without clavulanate) in 142 (92.81%) patients. Paracetamol alone or in fixed dose combination with antihistaminics were prescribed in 131 patients. Average cost per prescription was 87.74(±35.67) Indian rupees. Seventeen (11.11%) prescriptions were rational in all the aspects based on standard guidelines.Conclusions: The present study showed that paracetamol and amoxicillin with or without clavulanate were mostly commonly prescribed in children with AOM. Irrational prescribing was seen in maximum number of cases.

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