scholarly journals The Prescribing Pattern of Medications in Ear, Nose and Throat Outpatient Department of a Public Hospital

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

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 present study was undertaken to describe the prescribing pattern of medications in the ophthalmology department in a public hospital in Alkharj. Methodology: This is a cross sectional study included collecting data from outpatient pharmacy prescriptions in a public hospital in Alkharj. All of the outpatients who received prescriptions from the ophthalmology department between the beginning of July till the end of December 2018 were included in the study. Results: During the study period, 324 patients received outpatient prescriptions that were written by ophthalmology department. Artificial tears eye drops were the most commonly prescribed drug (29.32%) followed by olopatadine (12.96%), fusidic acid (11.42%) and fluorometholone (10.19%). Most of the prescribers who wrote the prescriptions were residents (98.15%). Eye drop was the most commonly prescribed dosage form (73.77%) followed by ointment (18.21%). Conclusion: The present study showed that the most commonly prescribed drugs in outpatient ophthalmology department were artificial tears, olopatadine, fusidic acid and fluorometholone. It is also important to increase the awareness of healthcare providers and patients about the appropriate use of these drugs.


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 ◽  
Menshawy A. Menshawy

Objective: The aim of this study is to analyze the prescribing pattern of Xylometazoline in the outpatient department in a public hospital. Methods: This is a retrospective cross-sectional study that was conducted in a public hospital in alkharj. Prescription data was collected from electronic medical records in the outpatient department. Results: A total of 600 patients received xylometazoline during the study time. 55% of them were males and more than 57% of them aged less than 10 years. More than 86% of the prescriptions were prescribe by the emergency department followed by E.N.T department (13%). Most of the patients received xylometazoline for 3 days and 15.17% of them received it for 5 days. Conclusion: Xylometazoline was prescribed commonly in the outpatients department and could cause several adverse events so its prescribing should be assessed continuously to prevent its adverse effects and to decrease its interactions with drugs.


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

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.


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