Purpose Interprofessional collaboration between physicians and clinical pharmacists has been shown to improve patients’ outcome by reduce medical errors, costs and patient adherence. Thus, the purpose of this study was to investigate the medical doctors’ perceptions, expectations, experiences, and perceived barriers regarding clinical pharmacists in Wad Medani. Methods A cross-sectional study was conducted at five major hospitals in Wad Medani, between April and June 2021 using a self-administered questionnaire. The questionnaire was distributed among 178 physicians. The questionnaire consists of four sections, in addition to a demographic section. These four sections measure physicians’ perceptions, expectations, experience, and perceived barriers. Results A total of 178 physicians were enrolled in the study. Physicians were comfortable with clinical pharmacists detecting and preventing prescription errors (55.1%); providing patient education (56.3%). Generally, physicians had high expectations with agreement rate of all the items ranged from 51.7% to 85.4%. Most physicians (79.8%) agreed that clinical pharmacists were a reliable source of general and clinical drug information. 64.0% and 59.0% of physicians perceive the unclear responsibility of clinical pharmacists and the lack of physicians’ experience with clinical pharmacists were barriers that can hinder clinical pharmacists’ contributions, respectively. Conclusion Physicians had positive perceptions, expectations, and experiences with clinical pharmacists, and pointed out some barriers clinical pharmacists face. It was suggested that hospitals should recruit more clinical pharmacists to cover each unit within the hospital with clear job description and provide them CPD.
Sudan is a low-income country in sub-Saharan Africa with a population of approximately 40 million people. Approximately half of the population is living below the poverty line. The Sudanese government spends about 8.43% of its annual gross domestic product (GDP) on healthcare. 4 Healthcare in Sudan is delivered at three levels. At the apex are teaching, general and specialised hospitals providing secondary and tertiary healthcare. In the secondary level Background: Studies of unplanned attendances of cancer patients to outpatient oncology units in limited-resource settings are rare. Aim:The primary aim of the study was to determine the cause of unplanned visits of cancer patients to an outpatient clinic in a limited-resource setting. A secondary aim was to provide an overview of the demographic, clinical characteristics and outcomes of this cohort of patients.
Background: Antibiotics are one of the commonly prescribed drugs over the world. Overprescribing of antibiotics may result in serious bacterial resistance. The main cause of inappropriate prescription of antibiotics is the absence of guidelines and protocols for its use. The aim of this study was to evaluate the appropriate use of ceftriaxone (broad-spectrum third generation cephalosporin antibiotic) in internal medicine wards of Wad Medani teaching hospital in Sudan, as well as comparing its use with reference to the standard of Sudan treatment guidelines and reliable references like British National Formula (BNF) and Sanford guide. Methods: Prospective cross –sectional study conducted in the internal medicine department at Wad Medani Teaching hospital by reviewing the files of all in-patients admitted to medical wards, who received ceftriaxone between November and December, 2018 and the appropriateness use of ceftriaxone was evaluated depending on six criteria: indication, dose, frequency, duration of treatment, culture and sensitivity test and drug –drug interaction Results: A total of 280 admitted patient’s treatment chart containing ceftriaxone injection were analyzed. Ceftriaxone was indicated empirically in 91.1% mostly for respiratory tract infection (35%). Ceftriaxone appropriate dose was given in 59% of patients, inappropriate frequency in 68.9% and incorrect duration in 51.1%. Co-administered drugs with major interaction in 3.6% of patients. Conclusions: This study revealed high inappropriate use of ceftriaxone where it was given without implementing culture and sensitivity test in the majority of patients. This may result in treatment failure so educational programs is recommended to address the irrational use of antibiotic.
Objective: To assess medical doctors adherence to national protocol for treatment of severe pneumonia in under-five children.Methods: A descriptive, across-sectional among medical doctors and prospective among children study was conducted in the period from 10-25 th of October 2018. Children, less than five years of age admitted and treated for severe pneumonia were enrolled. Medical doctors of consultants, registrars, medical officers and house officers in charge of treating the children were enrolled. A pre-constructed questionnaire was distributed among medical doctors and data collection sheets were filled from patient's admission sheet. The data were organized and analyzed using the SPSS version.Results: Only 80 (72%) out of 110 enrolled patients treated by medical doctors according to national pneumonia protocol. Benzylpenicillin was most single used antibiotic followed by cefotaxime while cefepime was least one majority of patients 77 (70%) were responded to treatment 65 (59%) patients' responded that prescribed according to national pneumonia protocol. There was association between adherence to national pneumonia protocol and immunization status of patient's p-value 0.001, while association was not considered significant between response and the immunization status of patients. The barriers to follow the protocol by medical doctors includes lack of awareness about protocol, mimic seniors and patient factors such as low socio-economic status of families. Conclusion:Encouraging dissemination and hospital-level implementation of the national protocol by posters, workshops and better training of healthcare providers especially the junior doctors and critical review of implementing the protocol in prescriptions.
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