Hospital Pharmacy Practice and Drug Management System of Khulna Division, Bangladesh: Results from a Cross-sectional Study

Asma Akhter, Safayet Jamil, Md. Jamal Hossain, Md. Monirul Islam, Quazi Istiaque Bari, Ms Afroza Sultana
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Abstract

Hospital pharmacy and graduate pharmacists are part and parcel of a proper healthcare system. This study aims to assess Bangladesh's current hospital pharmacy practice and drug management system. A face-to-face interview-based survey was designed, and 15 hospitals of Khulna Division of Bangladesh were subjected to evaluation by a close-ended questionnaire containing 17 questions regarding hospital pharmacy practice and drug management system. Among 15 hospitals, 67% had hospital pharmacy services, whereas 47% had “C” grade pharmacists, and 53% of hospitals had no narcotic drug locker. Surprisingly, 87% of hospitals had no PTC (pharmacy and therapeutic committee), and 40% had no control over drug abuse. Besides, only 6.67% of hospitals had graduate pharmacists (A grade pharmacists), and 33% had no pharmacists. Furthermore, 67% of hospitals provided drug-using information, and 60% of hospitals provided no dosing information to their patients. Moreover, 40% did not maintain the record for expired products and had no “not for sale” tag for expired or damaged medicines. The current study findings suggest that the respective authorities must revisit the current healthcare system and take immediate initiatives to appoint graduate pharmacists in every hospital to improve the medical service with a proper drug management system. Bangladesh Pharmaceutical Journal 25(1): 44-53, 2022 (January)
孟加拉国库尔纳区医院药学实践和药品管理制度:一项横断面研究的结果
医院药房和研究生药剂师是一个适当的医疗保健系统的重要组成部分。本研究旨在评估孟加拉国目前的医院药房实践和药品管理制度。设计了一项面对面访谈调查,通过包含17个关于医院药房实践和药品管理系统问题的封闭式问卷对孟加拉国库尔纳地区的15家医院进行了评估。15家医院中有医院药学服务的占67%,有“C”级药师的占47%,没有麻醉药品储物柜的占53%。令人惊讶的是,87%的医院没有PTC(药学和治疗委员会),40%的医院没有对药物滥用的控制。有研究生药师(A级药师)的医院仅占6.67%,无药师的医院占33%。此外,67%的医院提供药物使用信息,60%的医院不向患者提供剂量信息。此外,40%的过期药品没有保存记录,过期或损坏药品没有“禁止销售”标签。目前的研究结果表明,有关当局必须重新审视现行的医疗保健制度,并立即采取措施,在每家医院任命研究生药剂师,以适当的药物管理制度改善医疗服务。孟加拉国药学杂志25(1):44- 53,2022(1月)
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