scholarly journals Prescribing Practices of Medications in the Outpatient Dermatology Department of a Public Hospital

Author(s):  
Nehad J. Ahmed

Aim: This study aims to describe the prescribing pattern of medications by dermatology outpatient department in a public hospital in Alkharj. Methodology: This is a retrospective study that included collecting data from outpatient electronic prescriptions in a public hospital in Alkharj. All of the outpatients who received prescriptions written by the dermatology department between 1st of January till 30th of June 2018 were included in the study. The data were collected and analyzed using Microsoft Excel. Results: A total of 328 patients received outpatient prescriptions written by dermatology department. Most of them were females (62.80%) and aged less than 40 years (67.38%). The most prescribed drug in the present study was Hydrocortisone (14.33%) followed by White Soft Paraffin (8.84), Fusidic acid (8.54%) and Cetirizine (8.23%). Most of the medications were prescribed as ointment (28.66%) followed by creams (28.04%). Conclusion: Females were found to be more predominant with dermatological diseases when compared to males. The most commonly prescribed drugs were hydrocortisone, white soft paraffin, fusidic acid and cetirizine. It is important to evaluate prescribing pattern of the drugs periodically to improve the quality of prescriptions.

Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy ◽  
Mohd. Faiyaz Khan

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.


Author(s):  
Nehad J. Ahmed

Introduction: Several previous studies reported a high prescribing rate of cephalosporin antibiotics such as cefuroxime. The inappropriate outpatients prescribing of cefuroximeleads to the development of bacterial resistance. Aim: This study was conducted to demonstrate the prescribing pattern of cefuroxime in the outpatient setting in Alkharj. Methodology: This retrospective study was conducted to know the prescribing pattern of cefuroxime. The data were collected from electronic prescriptions in a public hospital in Alkharj in 2018. The data were collected and analyzed using Excel software and represented as frequencies and percentages. Results: In 2018, there were 316 prescriptions containing cefuroxime. The majority of the patient was males (56.01%). The majority of cefuroxime prescriptions include tablet dosage form (81.96%). About 62.03% of the outpatient prescriptions were prescribed by the emergency department. Conclusion: Cephalosporin group (including cefuroxime) was one of the most commonly prescribed antibiotic groups to treat several infections. A high percentage of antibiotic prescriptions were prescribed inappropriately. It is important to increase the awareness about the wise use of antibiotics and to start the implementation of antimicrobial stewardship programs.


Author(s):  
Nehad J. Ahmed

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.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

Aim: This study aimed to describe the prescribing pattern of calamine lotion in a public hospital in Alkharj. Methodology: This retrospective study included the electronic prescriptions of outpatients in a public hospital in Al-kharj and aimed to describe the prescribing pattern of calamine lotion. The collected data included the personal data of the patients, the number of calamine lotion prescriptions in different months, the duration of calamine lotion, the level of prescribers, and the prescribing’ departments. Results: Most of the patients who used calamine lotion were male patients (62.12%) and most of them were less than 10 years old (72.73%). Most of the patients used calamine for 7 days (63.64%) and about15.15% of them used it for 5 days. All of the prescribers were residents (100.00%). Most of the calamine prescriptions were prescribed by emergency department (98.48%). Conclusion: Calamine lotion prescribing was uncommon in the outpatient setting in Al-kharj. More studies are needed to explore the frequency of prescribing of calamine lotion in other setting, and to explore the frequency of prescribing other alternative agents.


Author(s):  
Nehad J. Ahmed ◽  
Menshawy A. Menshawy

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.


Author(s):  
Nehad J. Ahmed

Aim: This study aimed to describe the prescribing pattern of methyldopa in a public hospital in Alkharj. Methodology: This is a retrospective study that was conducted to know the prescribing pattern of methyldopa. The data were collected from the outpatient electronic prescriptions in a public hospital in Alkharj in 2017 and 2018. Results: Only 27 patients in the outpatient setting received methyldopa in 2017 and 23 patients in 2018. all of the patients who received methyldopa were females. Most of the prescribers were residents (82.61%) and only 17.39% were consultants. About 82.61 % of the prescriptions were written by obstetrics and gynecology department. Conclusion: The prescribing of methyldopa is infrequent in the outpatient setting. Although it is generally safe, it may cause numerous side-effects as well as it can interact with other medications, so it is important to monitor its prescribing trends to ensure that it is prescribed appropriately.


Author(s):  
Nehad J. Ahmed

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.


Author(s):  
Nehad J. Ahmed

Aim: The study of prescribing pattern is essential since it gives an idea to physicians about the process of monitoring and assessment of the drugs and endorses the required modifications. This study aimed to assess the outpatient prescribing pattern of ranitidine in a public hospital in Alkharj. Methodology: This is a retrospective study was conducted at the outpatient setting in a public hospital in Alkharj. The outpatient electronic prescriptions were reviewed to evaluate the prescription patterns of ranitidine drug by the help of pharmacy department in the hospital. Results: Throughout the study, 697 patients received ranitidine. About 51.65 % of the patients were females. Most of the patients who were included in the study were in the age level between 20-49 (61.68%). Moreover, most of the prescriptions were prescribed by emergency department (70.30%). Conclusion: Prescribing of ranitidine drug is indeed popular among outpatients in the study. This study investigated the frequency of ranitidine use but further studies are warranted to investigate the appropriateness of its prescriptions.


Author(s):  
Nehad J. Ahmed ◽  
Mohammad Javed Ansari

Aim: The present study aimed to describe the prescribing pattern of topical lidocaine in the outpatient setting in Al Seih. Methodology: This is a retrospective study that includes reviewing the electronic prescriptions that contained topical lidocaine among outpatients in a public hospital in Al Seih. Results: More than 52% of the patients who received topical lidocaine were males and the age of 36.84% of them was between 30 and 39 years.  Most of the patients who received topical lidocaine for 7 days (64.47%). Topical lidocaine prescriptions were written mainly by residents (96.05%). More than 55% of the topical lidocaine prescriptions were prescribed by the emergency department and 38.16% of the prescriptions were prescribed by general surgery department. Conclusion: The present study showed that the prescribing of topical lidocaine was uncommon in Al Seih. Further studies are required to investigate the pattern and the frequency of topical lidocaine and other topical anesthetics in the outpatients setting and in other settings.


Author(s):  
Nehad J. Ahmed ◽  
Mohd Faiyaz Khan

Aim: The present study aimed to explore the outpatient prescribing pattern of sevelamer in Al Seih. Methodology: This was a retrospective study that included reviewing the electronic prescriptions that contained sevelamer among outpatients in the city of Al Saih. Results: During 2017 and 2018, 47 patients received sevelamer from the outpatient pharmacy in a public hospital in Alkharj. More than 23 % of the prescriptions were prescribed in January and about 21.28% of the prescriptions were prescribed in May. All of the prescriptions that contained sevelamer were prescribed for the duration of 1 month (100.00%), all of the sevelamer prescriptions were written by residents (100.00%) and all of the prescriptions were prescribed by nephrology department (100.00%). More than half of the patients who received sevelamer were females (60.00%). The age of about 90% of the patients who received sevelamer was more than 39 years. Conclusion: The present study showed that the prescribing of sevelamer was uncommon in Al Seih. Further studies are required to investigate the pattern and the frequency of sevelamer in the outpatients setting and in other settings.


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