Prescription pattern of antimalarial drugs in children below 5 years in a tertiary health institution in Nigeria

., E.U. Etuk; Egua, Maxwell Osaronowen; Muhammad, AA

doi:10.4103/1596-3519.55688

Cited by 10 publications

(12 citation statements)

References 6 publications

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“…This is a great improvement from the transitional years of antimalrial treatment policy change when the uptake of ACT was only 18.2% (21). The fixed-dose combination Artemeter-Lumefantrine (31.1%) was the most commonly prescribed antimalarial in our study.…”

Section: Discussionmentioning

confidence: 83%

Drug prescribing pattern for under-fives in a paediatric clinic in south-western Nigeria

Fadare¹,

Olatunya²,

Oluwayemi³

et al. 2015

Ethiop J Health Sci

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BACKGROUND: The audit of drug prescribing pattern in under-five children is essential in identifying the various types of non-rational prescribing such as polypharmacy and irrational use of antimicrobials. The primary objective of this study was to determine the drug prescribing pattern for children aged below five years attending the paediatric outpatient clinic of a tertiary hospital in Ado-Ekiti, South-West Nigeria. METHODS: A cross-sectional study was carried out using the medical records of patients who attended the paediatric clinic of the hospital between April 1 and October 30, 2013. The medical records of patients aged below five years were selected monthly for the period of the study using a regular interval ratio. Drug use indicators were assessed using the WHO guidelines on investigation of drug use in health care facilities. RESULTS: There were 293(55.7%) prescriptions collected from male patients and 233(44.3% from female patients with a total of 1369 prescribed drugs (2.6 ± 1.1 drugs per prescription). A total of three hundred and seventy-four (71.1%) patients had at least one antibiotic prescribed with antibiotics accounting for 28.2% of all drugs prescribed, while 13.5% of all encounters had an injection prescribed. Prescribing by generic name was done in 68.9 ± 26.5% of all prescribed medications, and 60.4% of all prescribed medications were from the latest version of the Nigerian Essential Drug List. Three hundred and twelve children (59.3%) had at least one anti-malarial drug prescribed while analgesics drugs accounted for 6.1% of all prescriptions. CONCLUSION: This study showed that over-prescription of antibiotics, significant use of injections and prescribing by generic name are real issues among Nigerian paediatric prescribers.

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Section: Discussionmentioning

confidence: 83%

Drug prescribing pattern for under-fives in a paediatric clinic in south-western Nigeria

Fadare¹,

Olatunya²,

Oluwayemi³

et al. 2015

Ethiop J Health Sci

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“…Malaria is not known to be associated with any sex preference, but several studies have reported a higher incidence in males [14,15]. Review of patient cards at the Ghana Police Hospital showed 1,579 (50.5%) cases of malaria in males and 1,548 (49.5%) in females.…”

Section: Discussionmentioning

confidence: 99%

Prescribing trend of antimalarial drugs at the Ghana Police Hospital

Afriyie

Amponsah

Antwi

et al. 2015

J Infect Dev Ctries

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Introduction: Malaria ranks among the top three leading causes of morbidity and mortality in developing countries. Appropriate use of recommended antimalarial drugs is vital in the effective management of malaria. Methodology: This study sought to assess the prescribing trend of antimalarial drugs at the Ghana Police Hospital. Antimalarial drug prescribing trends from 3,127 patient cards were assessed at the pharmacy unit of the hospital between December 2012 and May 2013 using modified World Health Organization rational drug prescribing indicators. Results: Of the 6,697 drugs assessed from the patient cards, antimalarial drugs prescribed included artemether-lumefantrine, 4,226 (63.1%), artemether injection with artemether-lumefantrine tablets, 1,741 (26%), artesunate injection, 241 (3.6%), artemether injection, 194 (2.9%), and artesunate-amodiaquine tablets, 188 (2.8%). The average number of drugs prescribed per encounter was 2.1. A total of 4,052 (60.5%) drugs were prescribed by their generic names, and 2,645 (39.5%) were prescribed by their brand names. There were 2,250 (33.6%) encounters with injection (33.6%), and 6,001 (89.6%) of the prescribed drugs were from the essential drugs list. Prescriptions conforming to recommended dosage regimen totaled 6,328 (94.5%). Conclusion: The antimalarial prescribing pattern at the hospital was generally satisfactory. However, the use of injectable antimalarials appeared to be high.

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“…However, the use of monotherapies, particularly through self-medication remains significant with increasing risk of undermining treatment policy. Etuk et al (2008) also observed low prescription of ACT drugs in children below 5 years in a tertiary health institution in Nigeria…”

Section: Discussionmentioning

confidence: 89%

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2018

TIJAR

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The focus of this study is to examine the effect of labour strikes on patient's quality of care in health facilities. However, the objective can be achieved by answering the research question which is "does labour strike affects quality of care in health institutions? The study is a cross-sectional descriptive study of 508 respondents from the outpatient, laboratory and pharmacy departments, AnteNatal , Post-Natal and ART clinics of the 7 secondary health institutions spread across 3 senatorial districts in the state between January and February 2018 using multistage method. Data were collected using a semi structured closed-and open-ended questionnaire divided into different sections. Raw data were entered EpiData™ and exported for analysis using the SPSS software version 20. The data were cleaned and validated for use. Frequency tables were produced and associations between categorical variables were determined using chi squared test at a significance level of P<0.05. The negative effects of strikes are highly felt generally among all patients with no statistical significant difference whether employed, unemployed or retired (P>0.05). However, the significant effect of health workers' strike on quality of care is that strikes increases death rates. The result showed that regardless of patient's education level, patients are fully aware that one of the effects of health worker strikes is increase in death rate with P value >0.05. Labour strike also increases misuse of drugs, expiry and wastages of drugs and laboratory reagents. In conclusion, the higher the level of education, the higher the awareness that labour strikes affect the duty of health workers and have effect on patient's attendance, poor healthcare indicators and cause patients' dissatisfaction.

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Prescription pattern of antimalarial drugs in children below 5 years in a tertiary health institution in Nigeria

Cited by 10 publications

References 6 publications

Drug prescribing pattern for under-fives in a paediatric clinic in south-western Nigeria

Drug prescribing pattern for under-fives in a paediatric clinic in south-western Nigeria

Prescribing trend of antimalarial drugs at the Ghana Police Hospital

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