Use of Enoxaparin in Obstetrics and Gynecology Department

2020 ◽  
pp. 1-5
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Adverse Effects ◽  
Public Hospital ◽  
Obstetrics And Gynecology ◽  
Efficacy And Safety ◽  
Descriptive Data ◽  
Prescription Patterns ◽  
Female Patients ◽  
Outpatient Prescriptions

Aims: This study aims to demonstrate the use of enoxaparin in obstetrics and gynecology department in Alkharj. Methodology: This is a retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to evaluate the prescription patterns of enoxaparin. The data were collected and analyzed using Excel software, the descriptive data were represented by frequencies and percentages. Results: About 86.32% of the prescriptions contain enoxaparin syringe were prescribed for female patients. The majority of enoxaparin prescriptions were from obstetrics & gynecology department (79.48%).Moreover, the majority of enoxaparin prescriptions were prescribed by consultants (62.39%). Conclusion: The result of this study show that enoxaparin was prescribed commonly in the obstetrics and gynecology department for female patients because of its efficacy and safety profile. Enoxaparin is safer than other anticoagulants but still could cause many adverse effects so it is important to increase the health care professional awareness about its use.

scholarly journals Trends in the Outpatient Prescribing of Clopidogrel

2020 ◽  
pp. 1-5
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Internal Medicine ◽  
Retrospective Study ◽  
Drug Interactions ◽  
Public Hospital ◽  
Descriptive Data ◽  
Prescription Patterns ◽  
Prescribing Practice ◽  
Outpatient Prescriptions

Aim: This study aims to evaluate the trends in outpatient prescribing of clopidogrel in order to guide the physicians to appropriate clopidogrel prescribing practice in Alkharj. Methodology: This is a retrospective study that was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to evaluate the prescription patterns of clopidogrel in the period between 01-01- 2018 and 31-12-2018. The data were collected and analyzed using Excel software; the descriptive data were represented by frequencies and percentages. Results: The majority of the patients who received clopidogrel were in the ages between 50 to 69. The majority of the prescribing physicians were residents followed by specialists. Cardiology (50.00%) followed by Internal Medicine (23.71%) were the departments that prescribed the majority of Clopidogrel. Conclusion: Clopidogrel was used frequently and mainly alone without combination. It is prescribed primarily by resident prescribers who are usually with less experience than specialists and consultants. It is important to prescribe it appropriately and it is the responsibility of pharmacists to check for the appropriateness of its dispensing and to check for drug-drug interactions before dispensing it.

scholarly journals The Prescribing Pattern of Medications in the Cardiology Outpatient Department of a Public Hospital

2021 ◽  
pp. 70-74
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Health Care Professionals ◽  
Public Hospital ◽  
Outpatient Department ◽  
Microsoft Excel ◽  
Descriptive Data ◽  
Prescribing Pattern ◽  
Cardiology Department ◽  
Pharmacy Prescriptions

Aim: This study aimed to describe the prescribing pattern of medications in the cardiology outpatient department of a public hospital. Methodology: This is a retrospective study included collecting data from outpatient pharmacy prescriptions from a public hospital in Alkharj. The data was analyzed using Microsoft Excel and after that the descriptive data was represented as percentages and frequencies. Results: The most prescribed medication was aspirin (11.6%) followed by bisoprolol (8.06), atorvastatin (7.5%) and furosemide (6.79%). Most of the prescriptions were written by residents (85.15%). Most of the medications were prescribed as tablets (88.26%) and capsules (9.05%). Conclusion: It is important to evaluate the prescribing pattern of medications in the cardiology department to ensure that these medications are prescribed appropriately and to increase the awareness of the health-care professionals about these medications.

scholarly journals The Outpatient Use of Furosemide in a Public Hospital

2020 ◽  
pp. 79-83
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Public Hospital ◽  
Monitoring And Evaluation ◽  
Outpatient Setting ◽  
Prescribing Pattern ◽  
Prescription Patterns ◽  
The Public ◽  
Cardiology Department ◽  
Outpatient Prescriptions

Aim: The prescribing pattern of furosemide helps the prescribers in the monitoring and evaluation of the drugs and helps them in recommending the necessary modifications. So the aim of the present study is to demonstrate the outpatient use of furosemide in a public hospital. Methodology: This is a retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to demonstrate the prescription patterns of furosemide. The study included all outpatient prescriptions that contains furosemide in 2018. Results: Furosemide was prescribed in 46.27% of diuretics prescriptions in the outpatient setting. The majority of the patients were female patients. Most of the patients were more than 39 years old. Most of the furosemide prescriptions were prescribed mainly by resident prescribers, mainly in the cardiology department. Conclusion: Furosemide is an important medication for treating cardiovascular diseases specially in the presence of edema. It is important to increase the awareness of health care professionals and patients regarding the use of furosemide. Moreover, it is important to increase the awareness of the public regarding the importance of adherence to furosemide.

scholarly journals The Standard of Prescription of Medicines in Obstetrics and Outpatient Gynecology of a Public Hospital

2021 ◽  
pp. 40-44
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Retrospective Study ◽  
Data Collection ◽  
Health Professionals ◽  
Ferrous Sulfate ◽  
Public Hospital ◽  
Obstetrics And Gynecology ◽  
Microsoft Excel ◽  
Descriptive Data ◽  
Ferrous Hydroxide ◽  
Electronic Prescriptions

Objective: This study aimed to describe the pattern of prescription ofmedications in the department of obstetrics and gynecology in a public hospital in Alkharj. Methodology: This is a retrospective study that included data collection of outpatient electronic prescriptions at a public hospital in Alkharj. Data were collected and analyzed using Microsoft Excel. Descriptive data were represented as percentages and numbers. Results: The total number of outpatients who received prescriptions from the obstetrics and gynecology outpatient clinic was 722. The majority were between 20 and 39 years old (76.04%). Most prescriptions were written by consultants (55.12%) followed by residents (42.38%). Most drugs were prescribed as tablets (63.43%) followed by capsules (17.17%) and ampoule/syringe (9.42%). The most prescribed medication was paracetamol (14.68%) followed by ferrous sulfate/ferrous hydroxide (13.85), amoxicilline (8.17%). Conclusion: The pattern of prescription of medications in the department of obstetrics and gynecology, especially during pregnancy, needs to be continuously evaluated in order to promote rational prescription of medications in order to decrease morbidity and mortality associated with therapy. It is important to raise the awareness of health professionals about the use of supplements and antimicrobials.

scholarly journals Outpatient Doxycycline Therapy: Frequency of Its Use and Its Prescribing Patterns in a Public Hospital

2020 ◽  
pp. 13-17
Author(s):  
Nehad J. Ahmed
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Health Care Professionals ◽  
Public Hospital ◽  
Prescribing Patterns ◽  
Prescription Patterns ◽  
Resident Physicians ◽  
Study Results ◽  
Outpatient Settings ◽  
Outpatient Prescriptions

Aim: The aim of this study was to identify the outpatient doxycycline therapy: Frequency of its use and its prescribing patterns in a public hospital. Methodology: This was a retrospective study which was conducted in a public hospital in Alkharj City in 2018. The outpatient prescriptions were reviewed to evaluate the prescription patterns of Doxycycline. Results: The study results found that about 48.38% of the patients were female and about 62.90% were from Saudi Arabia. Doxycycline was prescribed mainly by resident physicians. Doxycycline was prescribed mainly in the emergency department followed by obstetrics & gynecology department. Conclusion: Doxycycline was prescribed infrequently in the outpatient settings; it is reserved only for specific conditions. It is important to use antibiotics wisely by the patients and to prescribe and dispense antibiotics including doxycycline appropriately by health care professionals.

Utility of Anakinra in Acute Crystalline Diseases: A Retrospective Study Comparing a University Hospital with a Veterans Affairs Medical Center

2018 ◽  
Vol 46 (7) ◽  
pp. 748-750 ◽  
Author(s):  
Julianna Desmarais ◽  
Cong-Qiu Chu
Keyword(s):  
Retrospective Study ◽  
Adverse Effects ◽  
Medical Center ◽  
Veterans Affairs ◽  
Hospitalized Patients ◽  
University Hospital ◽  
Acute Gout ◽  
Efficacy And Safety ◽  
Inpatient Management ◽  
Gout Flares

Objective.To evaluate the efficacy and safety of anakinra in inpatient management of acute gout and pseudogout.Methods.Hospitalized patients with acute gout (n = 77) or pseudogout (n = 11) or both (n = 3) were analyzed for response to anakinra and adverse effects.Results.Half of all patients had comorbidities limiting the treatment choice. Anakinra was well tolerated, and 92% of gout flares and 79% of pseudogout flares responded to treatment.Conclusion.Anakinra is an effective and safe treatment for acute gout and pseudogout in hospitalized patients, particularly in those with comorbidities.

scholarly journals Efficacy and Safety of Rituximab in Immunobullous Diseases: A Retrospective Study from a Tertiary Care Centre of Nepal

2020 ◽  
Author(s):  
Sudip Parajuli ◽  
Jyoti Vidhan ◽  
Dinesh Binod Pokhrel ◽  
Upama Paudel
Keyword(s):  
Retrospective Study ◽  
Adverse Effects ◽  
Tertiary Care ◽  
Data Entry ◽  
Pemphigus Vulgaris ◽  
University Teaching ◽  
Efficacy And Safety ◽  
Tertiary Care Centre ◽  
Cutaneous Lesions

Introduction: Rituximab is effective and safe treatment of immunobullous disorders. There are variations in doses of drugs used in different studies and uncertainties on when to use it along with use of adjuvant therapies. Efficacy and safety of this drug has not been described in Nepalese population till date. Dermatologists have hesitation in starting this drug in immunobullous diseases because of lack of data on efficacy and safety. Aim: To assess the efficacy and side effects of Rituximab therapy in treating immunobullous disorders in Nepalese patients. Materials and Methods: This was a retrospective study of patients with immunobullous diseases treated with Rituximab in Dermatological ward of Tribhuvan University Teaching Hospital, Kathmandu, Nepal from May 2018 to August 2019. Data were analysed for duration of disease and treatment received before Rituximab therapy, duration of steroid used before Rituximab, adverse effects due to prolonged steroid use, time to remission from 1st Rituximab pulse, duration of remission, relapse, duration of steroid and adjuvant drug used post 1st pulse and adverse effects associated with Rituximab. SPSS version 20 was used for data entry and descriptive statistics was used for analysis of the data. Results: Nine patients (Pemphigus Vulgaris-8 (PV-8), Bullous Pemphigoid-1 (BP-1) were treated with Rituximab. Seven were treated for refractory disease not controlled by conventional therapy and two received Rituximab as first-line therapy. The patients were under follow-up for 15-60 weeks (mean 31.89±15.62 weeks). Out of these nine patients, eight were free of lesions in one to eight weeks (mean 5.125±2 weeks) of first pulse. One patient with Oral Pemphigus had persistence of old lesions, however there were no new cutaneous lesions after first pulse. Adverse effects were seen in four patients that included infusion reaction in one and infection in three. There was relapse in one patient at last follow-up. Conclusion: Rituximab is efficacious and is safe in treating immunobullous disorders in Nepalese Population.

scholarly journals The Outpatient Prescribing of Topical Betamethasone in Al-Kharj

2021 ◽  
pp. 66-70
Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy ◽  
Mohd. Faiyaz Khan
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Health Care Workers ◽  
Public Hospital ◽  
Outpatient Setting ◽  
Prescribing Pattern ◽  
Dermatology Department ◽  
Topical Corticosteroids ◽  
Care Workers ◽  
Electronic Prescriptions

Aim: The present study aimed to describe the prescribing pattern of topical betamethasone in the outpatient setting in Alkharj. Methodology: This retrospective study that included collecting data from the electronic prescriptions in a public hospital in Alkharj in 2018. Results: During the study period from Jan to Dec 2018 only 46 patients received topical betamethasone. Most of the patients were female (63.04%). About 71.74% of the prescribed betamethasone was in ointment form and 28.26% in lotion form. Most of the prescribers were residents (97.83%). Most of the prescriptions were written by dermatology department (58.70%). Conclusion: The use of topical betamethasone was uncommon and this could be due to the availability of other topical corticosteroids and other alternatives. It is important to increase the knowledge of health care workers and the patients regarding the use of topical corticosteroids.

scholarly journals The Outpatient Prescribing Pattern of Norethisterone in Al-Kharj

2021 ◽  
pp. 244-247
Author(s):  
Nehad J. Ahmed ◽  
Gamal A. Gabr ◽  
Abeer A. El-Sherbiny
Keyword(s):  
Retrospective Study ◽  
Public Hospital ◽  
Outpatient Setting ◽  
Obstetrics And Gynecology ◽  
Prescribing Pattern ◽  
Alternative Drugs

Aim: This study was conducted to demonstrate the prescribing pattern of norethisterone in Al-Kharj. Methodology: This is a retrospective study includes evaluating outpatient prescribing of norethisterone from 1st of January 2018 to 30th of June 2018 in a public hospital in Alkharj. Results: The age of about 31.03% of the patients who used norethisterone was between 40 and 49 years, the age of 24.14% of them was between 30 and 39, and the age of 24.14% of them were between 20 and 29 years. About 31.03% of the patients used norethisterone for 3 weeks and 17.24% of them used norethisterone for 10 days. Most of the prescriptions that contained norethisterone were prescribed by obstetrics and gynecology department (68.97%). Conclusion: The prescribing of norethisterone was uncommon in the outpatient setting due to the availability of several alternative drugs. Further studies are needed to investigate the prescribing of norethisterone and its alternatives by the different settings.

scholarly journals Budesonide Use in the Outpatient Department in a Public Hospital in Al-Kharj

2021 ◽  
pp. 107-111
Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy
Keyword(s):  
Retrospective Study ◽  
Nasal Spray ◽  
Respiratory System ◽  
Public Hospital ◽  
Outpatient Setting ◽  
Dosage Forms ◽  
Outpatient Department ◽  
Prescribing Pattern ◽  
Outpatient Prescriptions

Aim: This study aimed to describe the prescribing pattern of budesonide nebulizer and budesonide nasal spray in a public hospital in Alkharj. Methodology: This retrospective study was conducted in a public hospital in Alkharj city. The outpatient prescriptions were reviewed to describe the use of budesonide in the period between 01-01- 2018 and 31-06-2018.  The study included budesonide forms that are delivered directly to the respiratory system, so budesonide nebulizer and budesonide nasal spray were included in the study and other dosage forms were excluded. Results: About 53.12% of the prescribed budesonide was in the form of nebulizer and 46.88% was in the form of nasal spray. Most of them were males (62.50%) and about 43.75% of them were less than 10 years. More than 53% of the prescriptions were written by residents and 40.62% were written by consultants. The most commonly prescribed department was pediatrics department (43.75%) followed by Ear-Nose-Throat (E.N.T) department (18.75%) and emergency (18.75%). Conclusion: The present study showed that the use of budesonide was uncommon in the outpatient setting. More studies are needed to explore the frequency of prescribing other dosage forms of budesonide and to explore the frequency of prescribing other alternative agents.

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