scholarly journals Impact of Drug Information Services on Promotion of Rational Use of Antimicrobial Agents: A Descriptive Retrospective Study

Author(s):  
Soanker Radhika ◽  
MVS Subbalaxmi ◽  
Butul Maleha ◽  
Pingali Usharani

Introduction: Drug Information Services (DIS) is dedicated to provide information about drugs and pharmacotherapy, on request from health care professionals, organisations or patients. World Health Organisation (WHO) recommends DIS to promote rational use of medicines. Aim: The study was done to understand the impact of DIS on promotion of rational use of antimicrobial agents, at a tertiary care hospital. Materials and Methods: In this retrospective descriptive study, 126 cases with infection related medication issues requiring opinion related to appropriate antimicrobial therapy from January 2014-June 2018 were included and studied in September 2018. Data related to culture/susceptibility results, treatment offered, reason for referral and suggestions given by the DIS captured in the case details form were analysed. The number of antimicrobials prescribed per case before and after DIS opinion was compared using paired t-test. Results: Of the 126 cases (mean age: 35±18.2 years), 82 were culture positive, of which 43 samples reported Multi-Drug Resistant (MDR) organisms. Of 126 case referrals, 53 (42.1%) were regarding opinion on appropriate antimicrobial therapy, 18 (14.3%) for suspected ADRs and rechallenge opinion, 27 (21.5%) for dosage adjustment of antimicrobials and 12(9.5%) for suspected drug-drug interactions. Based on DIS recommendations, mean number of antimicrobials prescribed per patient reduced from 3.4±1.85 to 1.62±1.38 (p<0.0001) when tested by paired t-test. Sixteen culture-negative cases were referred for opinion on appropriate antimicrobial therapy. Conclusion: DIS is a very useful resource, which provides unbiased, factual drug information to clinicians and patients and must be established in all healthcare facilities. DIS strengthen rational use of antimicrobials.

2018 ◽  
Vol 4 (3) ◽  
pp. 497-503
Author(s):  
Yousef Ahmed Alomi ◽  
Saeed Jamaan Alghamdi ◽  
Radi Abdullah Alattyh

Objective: To explore the National Survey of Drug Information Centers practice in Saudi Arabia: Leadership and Practice management at Ministry of Health hospital. Method: It is a cross-sectional four months national survey of Drug Information Services at Ministry of Health hospital. It contained ten domains with 181 questions designed by the authors. It was derived from Internal Pharmaceutical Federation, American Society of Health-System Pharmacists best practice guidelines. This survey was distributed to forty hospital pharmacies that run drug information services. In this study, domain of Drug Monitoring and Patient Counselling System explored and analyzed. It consisted of eight questions about the written policy and procedure and application methods for Leadership and Practice management in the drug information centers. All analysis was done through survey monkey system. Results: The survey distributed to 45 of hospitals, the response rate, was 40 (88.88%) hospitals. The highest score of the DIC had policy and procedures with a clear mission, vision, and values were Evidence of valid Saudi Council of Health Specialties license to practice in Saudi Arabia did not exist in 3 (7.5%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug information centers had a space, adequate furniture, hours of operation were determined and announced as well as there was a qualified and licensed staffing. All Drug Information Centers staff had valid licenses from Saudi Commission for Health Specialties to practice in Saudi Arabia, did not exist in 6 (15%) hospitals while 30 (75%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers Supervisor, reports workload statistics to the appropriate and leadership number of Full Time Employee staff and actual workload published was the answering question depends on the priority of the question did not exist in 6 (15%) hospitals while only 22 (55%) of hospitals 100% applied the elements. The highest score of the Drug Information Centers showed evidence of Quality Improvement, and the process for Drug Information Centers Networking. The reporting any questionable drug quality to Pharmacy director, did not exist in 4 (10 %) hospitals while only 25 (62.5%) of hospitals 100% applied the elements. Conclusion: There were an acceptable implementation leadership and practice management in drug information centers practice. The drug information centers workload analysis and quality management should improve. Drug information centers network indication required an implementation to improve the services at Ministry of Health hospital in Kingdom of Saudi Arabia.


Author(s):  
Adeleh Sadeghloo ◽  
Parna Shamsaee ◽  
Elham Hesari ◽  
Golbanhar Akhondzadeh ◽  
Hamid Hojjati

Abstract Introduction Thalassemia, as the most common chronic hereditary blood disorder in humans, can impose many adverse effects on parents and their affected children. On the other hand, positive thinking is the method or the result of a positive focus on a constructive issue, so by teaching positive thinking, we can improve physical and social function, and promote emotional health and overall quality of life. The aim of this study was to determine the effect of positive thinking training on the quality of life of parents of adolescents with thalassemia. Methods This quasi-experimental study was performed on 52 parents of adolescents with thalassemia who attended Taleghani Hospital in Golestan province, Iran in 2017. Samples were randomly assigned into two groups of intervention and control. The positive thinking training (based on the theory of Martin Seligman) was carried out in the intervention group in 10 (45–60 min) sessions over a 5-week period. Data collection tools in this study were the World Health Organization (WHO) quality of life questionnaire (WHOQOL-BREF) and a demographic information questionnaire. Data were analyzed by SPSS-16 software using independent t-test, the paired t-test and a covariance test. Results The results of paired t-test showed a significant difference in the score of quality of life in intervention group before and after the intervention (p < 0.001). However, this test did not show any significant difference in the control group (p = 0.11). The covariance test, after removing the pre-test score, showed a significant difference between the intervention and control groups in terms of the score of quality of life, so that 13% of the changes after the intervention were due to the intervention (p = 0.009, η = 0.13). Conclusion The positive thinking training increased the quality of life of parents of adolescents with thalassemia. Therefore, using this program can be an effective way of improving the quality of life of parents. Thus, positive thinking training is suggested to be used as an effective strategy for increasing the quality of life of parents with ill children.


1999 ◽  
Vol 29 (3) ◽  
pp. 171-176 ◽  
Author(s):  
◽  
Judith M Bingham ◽  
Helen Matthews ◽  
Alan Saunders ◽  
Graeme Vernon ◽  
...  

2005 ◽  
Vol 62 (23) ◽  
pp. 2514-2516 ◽  
Author(s):  
Amy Friedman Wilson ◽  
Kevin G. Moores ◽  
Cathy L. Bartels ◽  
Linda K. Ohri ◽  
Patrick M. Malone

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Mira Agusthia ◽  
Rachmawati M. Noer ◽  
Intan Susilawati

Berat badan bayi merupakan salah satu hal pertama yang dinilai untuk mengambarkan derajat atau status kesehatan bayi baru lahir, oleh karena itu Bayi Berat Lahir Rendah (BBLR) dapat menjadi permasalahan. Menurut World Health Organization (WHO) diperkirakan sebanyak 20,6 juta bayi lahir setiap tahunnya adalah BBLR, dan hampir sepertiganya meninggal sebelum status kesehatannya stabil atau dalam 12 jam pertama kehidupan bayi. Untuk dapat mencapai kondisi kesehatan stabil dan berat badan normal, BBLR membutuhkan upaya pelestarian suhu tubuh, pemberian nutrisi dan pencegahan dari infeksi. Perawatan Metode Kanguru merupakan salah satu metode yang dapat memenuhi kebutuhan tersebut. Penelitian ini bertujuan untuk mengetahui pengaruh Perawatan Metode Kanguru terhadap peningkatan berat badan BBLR diruang Perinatologi RSUD Muhammad Sani. Desain penelitian yang digunakan Quasi-eksperimen pre test post test without control. Populasi dalam penelitian ini adalah semua bayi dengan berat badan lahir 1500 - 2500 gram. Sampel sebanyak 17 bayi dengan menggunakan teknik Total Sampling.. Data di kumpulkan dengan lembaran observasi, diolah dan dianalisa secara komputerisasi. Hasil analisa univariat diketahui rerata berat badan bayi sebelum dilakukan Perawatan Metode Kanguru (PMK) adalah 173,652 gram, dan sesudah dilakukan PMK interminten 2 jam perhari selama 7 hari, rerata berat badan meningkat menjadi 1861,76 gram. Terdapat perbedaan rerata berat badan sebelum dan sesudah sebesar 129,118 gram. Hasil uji paired t test adalah p = 0,000 >0,05. Disimpulkan bahwa ada pengaruh PMK terhadap peningkatkan berat badan BBLR di Ruang Perinatologi RSUD Muhammad Sani Tahun 2019. Diharapkan Rumah Sakit menerapkan semua Komponen Perawatan Metode Kanguru dan mengevalusi atas implementasinya.


Author(s):  
Krishnaveni K. ◽  
Kameswaran R. ◽  
Sumitha S. K. ◽  
Achsah Susan Sajan

Background: To evaluate the performance of Drug Information Centre (DIC) in providing quality drug information services to the health care professionals.Methods: It was a prospective study carried out for a period of six months (June-November 2017). The drug information services provided by the pharmacist at the DIC during ward rounds, direct access, telephone and mail were documented in the drug information request and documentation forms. The quality of drug information provided was assessed with the help of feedback questionnaire which was filled by receivers.Results: A total of 283 queries were received, with a maximum from ward rounds 140(49.47%). On evaluation, it was found that most of the queries were from physicians 207 (73.14%) followed by nurses 33(11.66%), pharmacists 26 (9.18%), patients 17 (6.07%). Among that 178 (62.89%) queries were received from department of general medicine. Most of the queries were intended to update knowledge 110 (38.86%) and for the purpose of better patient care 90 (31.81%). The time frame for an authentic reply ranged from minutes to 24 hours, where a maximum of 110 (38.86%) queries had sent a 24 hours deadline. The majority of the queries were for adverse drug reactions [ADR-60 (21.20%)] and most preferred resources were primary 188 (66.43%).Conclusions: The DIC has always presented and offered itself to be an impressive resource, which is used routinely as an information source by all levels of professionals involved in the health system, in addition to the patients themselves.


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