Etiyopya Adis Ababa’da üçüncü basamak hastanenin pediyatri servisinde ilaç reçeteleme şeklinin değerlendirilmesi

Year 2012, Volume: 18 Issue: 2, 61 - 65, 01.03.2012

Mustefa Bergıcho Mohammed Adem Mohammed Nasir Tajure Wabe

Abstract

Drugs have to be safe, effective and be used nationally and may require a special concern due to their unwanted side effects. Safely and effective use of drugs depend on prescribing pattern. The aim of the study was to assess the drug prescribing practice in pediatrics ward of St. Paul Specialized Hospital in Addis Ababa, Ethiopia. A retrospective study had been conducted from January 20 to February 15, 2009. Structured data collection formats were used to obtain data from patient records using stratified and random sampling techniques. Data were analyzed using SPSS for Windows version 16.0. Sums of 384 patient cards were included to the study in which 468 drugs were prescribed. Cotrimoxazole (18.87%), amoxicillin (14.50%), and paracetamol (10.4%) were the most commonly prescribed medications. Average number of drugs per encounter was 1.22. About 71.35%, 59.4%, 45.73% and 15.17% of drugs were prescribed with correct indication, frequency, dosage and duration respectively. There has been an inappropriate use of drugs in the hospital. Many drugs were prescribed without information regarding dosage, frequency and duration of treatment. Pharmacy professionals and physicians should check the completeness of patient cards and prescriptions to promote rational use of medications.

Keywords

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Assessment of the pattern of drug prescribing in pediatrics ward in tertiary setting hospital in Addis Ababa, Ethiopia

Abstract

İlaçlar emniyetli, etkili olmalı, ulusal olarak kullanılmalı ve istenmeyen yan etkilerinden dolayı özel özen gerektirebilmektedir. İlaçların güvenli ve etkin kullanımı reçeteleme şekline bağlıdır. Bu çalışmanın amacı,Etiyopya Adis Ababa’da St. Paul Specialized Hospital’in pediyatri servisinde ilaç reçeteleme uygulamasının değerlendirilmesi idi. Yirmi Ocak’dan 15 Şubat 2009’a kadar bir retrospektif çalışma gerçekleştirildi. Tabakalı ve random örneklem teknikleri kullanılarak hasta kayıtlarından data elde etmek için yapılandırılmış data toplama formatları kullanıldı. Data, Windows için SPSS (sürüm 16.0) kullanılarak analiz edildi. Dört yüz altmış sekiz ilacın reçetelendirildiği toplam 384 hasta kartları çalışmaya dahil edildi. Kotrimoksazol (%18.87), amoksisilin (%14.50) ve parasetamol (%10.4) en yaygın reçetelenen ilaçlardı. Karşılaşılan ilaçların ortalama sayısı 1.22 idi. İlaçların sırasıyla yaklaşık %71.35, %59.4, %45.73 ve %15.17’si doğru endikasyonda, sıklıkta, dozajda ve sürede reçelendirilmişti. Hastanede ilaçların uygun olmayan kullanımı vardı. Bir çok ilaç dozaj, sıklık ve tedavi süresi ile ilgili bilgi verilmeden reçetelenmişti. Eczane uzmanları ve doktorlar, ilaçların rasyonel kullanımını artırmak için reçetelerin ve hasta kartlarının tamamlılığını kontrol etmelidir.

Keywords

Addis Ababa, advers ilaç reaksiyonu, pediyatri, reçete

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