Rational prescribing in paediatrics in a resource-limited setting

Risk, Rachel; Naismith, Hamish; Burnett, Alexander; Moore, Sophie E.; Cham, Momodou; Unger, Stefan

doi:10.1136/archdischild-2012-302987

Cited by 54 publications

(57 citation statements)

References 22 publications

(12 reference statements)

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“…This very high level of antibiotic prescription among children is also reflected in studies from other developing countries as shown by the 81.3%, 79%, 63.4% and 51.6% found in studies conducted in Sudan, India, Gambia and Bahrain (11,12,14,16). The reasons for this prescribing habit among prescribers may not be far-fetched; studies have shown that while the cause of most acute respiratory tract infections and diarrheal disease is indeed viral, many medical doctors and care-givers still treat with antibiotics (17,18).…”

Section: Discussionmentioning

confidence: 66%

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: 66%

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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“…[9] Essential medicines list and generic prescribing are commonly used in drug utilization interventions across the globe for healthcare cost reduction. [23] Essential medicines are usually carefully selected to treat common diseases and are considered cost-effective. The high percentage of drug prescribed from essential drug list (96.7%) and those prescribed by generic name (95.7%) suggests that Tanzania has done well in advocating the use of national essential medicines list and generic prescribing.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Rational Medicines Prescribing in Healthcare Facilities in Four Regions of Tanzania

Irunde¹,

Minzi²,

Moshiro³

2017

JPPCM

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Objective: The purpose of the study was to measure rational medicines prescribing in healthcare facilities from selected regions in Tanzania was found to be 18.1% while that containing antibiotics was 67.7% and the average number of medicines per prescription was 2.3. The proportion of medicines prescribed by generic was 95.7%while one that contained medicines in line with the National Essential Medicines List was 96.7%. The overall IRDP for the current study was 3.81with optimal level of 5. Kilimanjaro region scored highest IRDP (3.35) while Mbeya region scored the least (IRDP of 3.11). Rural healthcare facilities scored low IRDP (3.25) while for urban facilities IRDP was higher (3.42). IRDP for public healthcare facilities was higher (3.65) than for private facilities (3.02). Conclusion: Rational drug prescribing in Tanzania is not yet optimal leading to over-prescribing of antibiotics and injections.

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“…1 The authors evaluated the prescribing practices of health professionals treating children under the age of 5 years in 20 different public health centres in The Gambia. There were over 300 young children seen with diarrhoea, and a similar number seen with an upper respiratory tract infection (cough and cold only).…”

Section: Imti Choonaramentioning

confidence: 99%

Rational prescribing is important in all settings

Choonara

2013

Archives of Disease in Childhood

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Rational prescribing in paediatrics in a resource-limited setting

Cited by 54 publications

References 22 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

Assessment of Rational Medicines Prescribing in Healthcare Facilities in Four Regions of Tanzania

Rational prescribing is important in all settings

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