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

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: 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.


Author(s):  
Nehad J. Ahmed

Aim: This study aimed to describe the prescribing pattern of medications in ear, nose and throat outpatient department of a public hospital in Alkharj. Methodology: The present retrospective study included collecting data from outpatient pharmacy prescriptions from a public hospital in Alkharj. The data was processed using Microsoft Excel 2016 and the descriptive data was represented as frequencies and percentages. Results: Most of the prescriptions were written by residents (79.12%). Most of the medications were prescribed as Tablet/Capsule (39.06), Nasal Drop (20.03) and Nasal Spray (16.00%). The most prescribed medication was budesonide (16.16%) followed by xylometasoline (11.62%), paracetamol (11.45%) and amoxicillin/clavulanic Acid (9.60%) Conclusion: The study revealed that the most common classes of drug prescribed for E.N.T patients were steroids such as budesonide, antibiotics amoxicillin/clavulanic acid and decongestants such as xylometasoline. It is important to increase the awareness of healthcare providers and patients about these drugs. It is also important to monitor medications prescribing to make sure that they are prescribed and used appropriately.


Author(s):  
Nehad J. Ahmed

Aim: The aim of this study was to evaluate the drugs’ prescribing pattern in general surgery department of a public hospital in Alkharj. Methodology: The present retrospective study included collecting data from the general surgery outpatient pharmacy prescriptions from a public hospital in Alkharj from 1st of June 2018 to 31th December 2018. Results: The total number of outpatients who received prescriptions from general surgery outpatient department was 319. Most of them were males (52.35%) and aged less than 50 years (79.31%). Most of the prescriptions were written by residents (47.02). The most prescribed medication was paracetamol (21.32%) followed by amoxicillin/clavulanic acid (12.85%), ciprofloxacin (12.85%), and metronidazole (6.27%). Conclusion: The study showed that antibiotics and analgesics were the most commonly prescribed drug classes in outpatient surgery department. Continuous monitoring for the prescribing of these drugs is essential to increase the wise use of these medications. More awareness workshops and educational programs for surgeons are needed for the prescribing of these drugs.


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 ◽  
Menshawy A. Menshawy

Objective: The aim of this study was to determine digoxin prescribing pattern in the outpatient setting in Alkharj. Methods: This retrospective study included a review of outpatient records between in 2017 and 2018. It included the entire outpatient who received digoxin during the study period. Results: Only 38 patients received digoxin during 2017 and in 2018, 31 patients received digoxin. More than half of the patients receiving digoxin in 2018 were males (58.06%) and about 54.84% of them aged more than 59 years. Most of the prescribers were residents (77.42%). More than 61 % of the prescriptions were written by cardiology department followed by emergency department (22.58%). Conclusion: The use of digoxin is uncommon in the outpatient department in Alkharj nonetheless it has a narrow therapeutic window and it should be prescribed carefully because of its adverse events. It is also important to increase the awareness of healthcare providers and patients about digoxin use.


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

Aim: This study was conducted to demonstrate the prescribing pattern of bromhexine in a public hospital in Alkharj. Methodology: This is a retrospective study that included evaluating outpatient antibiotic prescriptions from 1st of January/2018 to 30th of June/2018 in a public hospital Al-kharj. The collected data were the personal data of the patients, the prescribing’ departments, the duration of bromhexine use, and the level of the prescribers. Results: Most of the patients were in the age group of 20-29 (32.35%) followed by 10-19 (20.59%). About 73.53% of the prescriptions were written by the emergency department, followed by the chest department (20.59%). All of the prescriptions were written by residents. Most of the patients used bromhexine for 5 days (76.47%) followed by 1 week (20.59%). Conclusion: The present study showed that bromhexine use in the outpatient setting was uncommon. More studies are needed to explore the frequency of prescribing other mucolytic 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

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 ◽  
Menshawy A. Menshawy

Objective: The aim of this study was to describe the prescribing pattern of isosorbide dinitrate in outpatient department. Methods: The study was carried out at outpatient department in Alkharj. The collected data included personal data, dosage forms of the prescribed isosorbide dinitrate, the prescribing departments and the level of the prescribers. Results: Isosorbide dinitrate was prescribed to 57 patients in the outpatient department; about 61.4% of them aged more than 59. About 80.7% of patients received isosorbide dinitrate tablets and 19.3% of them received sublingual tablets. Most of the prescriptions were prescribed by cardiology department (56.14%) followed by Internal Medicine department (26.32%). Conclusion: Isosorbide dinitrate prescribing was uncommon in the outpatient setting but it can cause several side effects and drug interactions, besides some patients are allergic to it. So the doctor should judge that the benefit to the patient is greater than the risk of side effects.


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.


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