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

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: 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

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

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.


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 ◽  
Mohammad Javed Ansari

Aim: The present study aimed to describe the outpatient use of ascorbic acid in a public healthcare organization in Riyadh Region. Methodology: This is a retrospective study included reviewing the outpatient electronic prescriptions that contained ascorbic acid in a public healthcare organization in Riyadh Region. Results: More than 51% of the patients who received ascorbic acid in the hospital during 2018 were females and the age of 57.14 % of them was less than 30 years. Most of the prescriptions were regular prescriptions (88.57%) and only 5.71% of the prescriptions were urgent prescriptions. More than 42% of the patients received ascorbic acid for 1 week and 37.14% of them received it for 1 month. Most of the prescriptions were prescribed by residents (85.71%) and most of these prescriptions were prescribed by emergency department (80.00%). Conclusion: The prescribing of ascorbic acid was uncommon in the public hospital. More studies are needed to know the frequency and the pattern of using ascorbic acid in the public hospital and in other healthcare organizations in Riyadh Region.


Author(s):  
Nehad J. Ahmed ◽  
Gamal A. Gabr ◽  
Abeer A. El-Sherbiny

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.


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 ◽  
Mohamed R. Alsubaie ◽  
Abdullah T. Almutairi

Aim: This study aimed to describe the use of dydrogesterone in the outpatient setting in Al-Kharj. Methodology: This is a retrospective study that includes reviewing the electronic prescriptions of dydrogesterone among outpatients in a public hospital in Alkharj. Results: During the study period between January 2018 to June 2018, 48 patients received dydrogesterone. The age of 41.67% of the patients was between 20 and 29 years. Most of dydrogesterone prescriptions were written by residents (89.58%) and more than 60% of dydrogesterone prescriptions were written by emergency department (60.42%). Conclusion: The present study showed that the prescribing of dydrogesterone was uncommon in the outpatient setting. More studies are needed to explore the frequency of its prescribing in other settings and to explore the prescribing of other medications that are used for gynecological conditions.


Author(s):  
Nehad Jaser Ahmed ◽  
Hasan Soliman Yusufoglu

Aim: The present study aimed to describe the use of ophthalmic and nasal naphazoline in the outpatient setting. Methodology: This was a retrospective study that includes reviewing the electronic prescriptions of naphazoline among outpatients in a public hospital in Alkharj. Results: During the study period of 6 months, 393 patients received naphazoline. Most of them were male patients (77.35%) and the age of 34.35% of them was between 20 and 29 years. The majority of the prsecriptions that contained naphazoline were prescribed by residents (99.75%). Most of the patients received naphazoline as nasal drops either alone (47.84%) or combined with chlorpheniramine (36.13%). The majority of the prescriptions were written by the emergency department (99.24%). Conclusion: The present study showed that naphazoline was commonly prescribed in Alkharj. Further studies are needed to explore the frequency and pattern of naphazoline use as well as to explore the frequency of prescribing other sympathomimetic vasoconstrictors in different settings.


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