Evaluation of prescription pattern and patients’ opinion on healthcare practices in selected primary healthcare facilities in Ibadan, South-Western Nigeria

Adisa, Rasaq; Fakeye, Titilayo O.; Aindero, Victoria O

doi:10.4314/ahs.v15i4.35

Cited by 35 publications

(37 citation statements)

References 15 publications

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“…Our results showed the average number of drugs per prescription to be 3.3, which is similar to 3.4 reported in Pakistan [24] but higher than the ideal WHO standard of 1.6-1.8 [10] and 2.6 [19] reported in Southeastern Nigeria. However, higher values have been reported in Southwest Nigeria 3.9 [25], 5.8 [26], India 5.64 [11], 7.56 [15], Pakistan 4.63 [14]. The high number of drugs in our study is probably due to the type of patient prescription included in this study.…”

Section: Discussioncontrasting

confidence: 56%

Prescription Pattern of Cardiovascular and/or Antidiabetic Drugs in Abuja District Hospitals

Osuafor¹,

Ukwe²,

Okonta³

2019

Int J Pharm Pharm Sci

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Objective:The study aimed to describe the prescription pattern of cardiovascular and/or anti-diabetic drugs and adherence to the World Health Organization (WHO) prescribing indicators in Abuja District Hospitals.Methods: This descriptive retrospective study was carried out in Asokoro and Maitama District Hospitals Abuja. One thousand and nine prescriptions that contained a cardiovascular drug (CVD) and/or anti-diabetic drug issued between June 2017 and May 2018 from the Medical Outpatient Department were analyzed. Data were collected from the pharmacy electronic database, prescription pattern and adherence to WHO prescribing indicators were assessed. The analysis was done using descriptive statistics. Results were presented as percentages, means, and standard deviations. Results:The frequency of treatment was higher among women (58.8%) and the age group of 41-60 (54.8%). The average number of drugs prescribed was 3.3±1.6: the percentage of drugs prescribed in generic was (64%) and (78.8%) were from the Essential Drug List (EDL). Calcium Channel Blockers (CCB, 71.7%) and Biguanides (B, 92.4%) were the most prescribed CVD and anti-diabetic drug. The majority of the CVD (74.5%) and diabetes (63.6%) patients were on combination therapy. The most frequent CVD combination was CCB plus Angiotensin-Converting Enzyme Inhibitors/Angiotensin Receptor Blockers (29.7%). Compared to men, the proportion of females taking one or more CVD (61.3%) or antidiabetic (56.4%) was higher. Conclusion:The prescribing indicators are not optimal in Abuja district hospitals. Women received more treatment for cardiovascular and diabetes diseases than men while the age range of 41-60 was more treated than other age groups.

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Section: Discussioncontrasting

confidence: 56%

Prescription Pattern of Cardiovascular and/or Antidiabetic Drugs in Abuja District Hospitals

Osuafor¹,

Ukwe²,

Okonta³

2019

Int J Pharm Pharm Sci

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“…The prescription from EDL from the present study was about half (56.3%) the optimal value of 100% advocated by WHO. Higher values (88%-96%) have been reported from Ethiopia and Tanzania and even higher values from primary health facilities in Nigeria [14][15][16][17]20 . Prescription from EDL makes the procurement, storage and distribution of medicines easier and it is easier to remember fewer items for prescription and dispensing by professionals 11 .…”

Section: Discussionmentioning

confidence: 99%

Prescribing Indicators: A Review in the General Outpatient Clinic of a Nigerian Tertiary Hospital

Chijoke-Nwauche

Chukwumezie

Udezi³

2018

Journal of Health Science Research

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Background: Evaluating prescription pattern is a measure of drug utilisation review to assess irrational or inappropriate drug use which remains a problem in health facilities. It involves assessing the prescribing, dispensing and distribution of medicines. Studies have shown that more than 50% of all medicines worldwide are incorrectly prescribed. Increased resistance of micro-organisms to antibiotics, drug-drug interaction due to poly-pharmacy are all attributable to inappropriate prescription. Objective: The purpose of the study was to evaluate the drug prescription pattern in the General Outpatient Department of a tertiary hospital in Port Harcourt, South-South Nigeria based on WHO prescribing indicators. Methods: A cross-sectional retrospective study was carried in the GOPD of the hospital. A total of 2000 prescriptions issued between January to December 2015 were systematically selected and reviewed using the WHO/INRUD prescribing indicators. Data collected were entered into Excel, 2013 and transferred to and analysed with SPSS Version 23 software. Results: Out of a total of 6797 drugs prescribed, the average number of drugs prescribed per encounter (ANDPE) was 3.4±1.5, 2411 (35.5%) drugs were prescribed by generic name while 4382 (64.5%) were drugs prescribed by brand names, 4163 (61.3%) drugs were prescribed from the Essential Drug List (EDL) of Nigeria. Observation from the collected data showed that 653 (32.7%) of the total prescriptions analysed contained one or more antibiotics while 29 (1.5%) had one or more injections. Other drugs prescribed include 416 (20.8%) antimalarials, 580 (29%) antipyretics and 475 (23.8%) antihypertensives. Conclusion:The study revealed poor compliance to the WHO core prescribing indicators: polypharmacy, poor antibiotics and injection use as well as lack of compliance to EDL prescriptions. There is need for adequate monitoring of prescription writing in the health facility in order to ensure rational drug use.

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“…Together, these drugs are considered the main antimicrobial agents used in primary care in these countries. (18,19) Metronidazole is an antimicrobial with bactericidal activity against gram-negative anaerobic bacilli, all anaerobic cocci, and sporulated Gram-positive bacilli. It is recommended in wounds to control the odor caused by anaerobic bacteria, (20) besides the treatment of some protozoal infections (Giardia lamblia, Trichomonas vaginalis), which justifies its high demand in primary care.…”

Section: Discussionmentioning

confidence: 99%

Distribuição e custo de antimicrobianos na Atenção Primária

et al. 2018

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Objective: To analyze antimicrobial distribution and costs in primary care of a capital city in the Northeast region of Brazil. Methods: Cross-sectional, analytical study, developed in the city of Teresina, in the state of Piauí, Brazil. Data cover the period from June 2015 to July 2016. Descriptive statistics and the Kruskal-Wallis test were calculated to compare the medians of the independent data distributions. Results: A total of 1,651,516 antimicrobials were distributed in 15 different types, with amoxicillin (500mg) being the most distributed (75%) in psychosocial care centers, and in the basic health units (47%). The total cost for the period was 98,705.00 BRL. There were no statistically signifi cant differences among the costs medians in each zone of the studied municipality. Conclusion: These drugs are irregularly distributed among the units, according to the demand. The supply does not follow a specifi c protocol, and a possible increase or reduction in demand is not investigated. ResumoObjetivo: Analisar a distribuição e custos de antimicrobianos na Atenção Primária de uma capital da Região Nordeste do Brasil. Método: Estudo transversal, analítico, desenvolvido em Teresina, Piauí, Brasil. Os dados contemplam o período de junho de 2015 a julho de 2016. Calculou-se estatísticas descritivas e o Teste de Kruskal-Wallis para comparar as medianas das distribuições de dados independentes. Resultados: Foram distribuídos 1.651.516 antimicrobianos de 15 tipos diferentes dos quais a amoxicilina (500mg) foi o mais distribuído (75%) nos Centros de Atenção Psicossocial e nas Unidades Básicas de Saúde (47%). O custo total no período foi de 98.705,00 reais. Não houve diferenças estatisticamente signifi cante entre as medianas dos custos em cada zona do município estudado. Conclusão: A distribuição desses medicamentos é realizada de forma irregular entre as unidades, de acordo com a demanda. O fornecimento não segue protocolo específi co, e não se investiga um possível aumento na demanda ou redução. ResumenObjetivo: Analizar la distribución y costos de antimicrobianos en Atención Primaria de una capital del Noreste de Brasil. Método: Estudio transversal, analítico, desarrollado en Teresina, Piauí, Brasil. Datos obtenidos entre junio de 2015 y julio de 2016. Se aplicó estadística descriptiva y el Test de Kruskal-Wallis para comparar las medianas de las distribuciones de datos independientes. Resultados: Fueron distribuidos 1.651.516 antimicrobianos de 15 tipos diferentes, de los cuales la amoxicilina (500mg) fue el más entregado (75%) en Centros de Atención Psicosocial y en Unidades Básicas de Salud (47%). El costo total durante el período fue de 98.705,00 Reales. No hubo diferencia estadísticamente signifi cativa entre las medianas de costos en cada zona del municipio estudiado. Conclusión: La distribución de estos medicamentos se realiza de manera irregular entre las unidades, de acuerdo a la demanda. La provisión no cumple protocolos específi cos, y no se investiga un posible aumento o reducción de demanda.

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Evaluation of prescription pattern and patients’ opinion on healthcare practices in selected primary healthcare facilities in Ibadan, South-Western Nigeria

Cited by 35 publications

References 15 publications

Prescription Pattern of Cardiovascular and/or Antidiabetic Drugs in Abuja District Hospitals

Prescription Pattern of Cardiovascular and/or Antidiabetic Drugs in Abuja District Hospitals

Prescribing Indicators: A Review in the General Outpatient Clinic of a Nigerian Tertiary Hospital

Distribuição e custo de antimicrobianos na Atenção Primária

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