Prescribing Practices and Polypharmacy in Kitovu Hospital, Uganda

The East and Central African Journal of Pharmaceutical Sciences Pub Date : 2010-12-01 DOI:10.4314/ECAJPS.V13I3

N. McGaughey, M. Lynch, David Bell

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引用次数: 11

Abstract

This audit of prescribing practices explores recent trends at Kitovu Hospital, Uganda. The average number of drugs prescribed per patient was 2.89 ± 0.11, of which 1.79±0.09 were generics and 0.69±0.06 antibiotics. No injections were prescribed. Patient essential drug knowledge was 100% while the adequacy of labelling was 0%. The number of drugs prescribed correlated positively with patient age, was greater for female patients, similar for doctors and clinical officers but greater in medical (3.30±0.15, n=50) than surgical (2.48±0.13, n=50) outpatient clinics. The mean consultation time was 6.56 min and 10.25 min per patient in medical and surgical outpatient clinics respectively. The patient essential knowledge indicators were greatly improved but only modest reduction in polypharmacy was evident compared to the Ugandan Pharmaceutical Sector national survey of 2002. Antibiotic prescription was high and generic prescribing was found to be low. Policy changes are required to enhance rational drug use in the health sector in Uganda. Keywords: Polypharmacy, generics, antibiotics, regional referral hospital, outpatient clinic East and Central African Journal of Pharmaceutical Sciences Vol. 13 (2010) 66-71

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乌干达Kitovu医院的处方做法和综合药房

这次对处方做法的审计探讨了乌干达Kitovu医院最近的趋势。平均每位患者处方药物2.89±0.11种，其中仿制药1.79±0.09种，抗生素0.69±0.06种。没有注射处方。患者基本药物知识为100%，而标签充分性为0%。处方药物数量与患者年龄呈正相关，女性患者较多，医生和临床官员相似，但内科门诊(3.30±0.15,n=50)高于外科门诊(2.48±0.13,n=50)。在内科和外科门诊就诊的平均时间分别为6.56 min和10.25 min。患者基本知识指标有了很大改善，但与2002年乌干达制药部门全国调查相比，多种用药的减少幅度不大。抗生素处方高，仿制药处方低。需要改变政策，以加强乌干达卫生部门的合理用药。关键词:综合药房，仿制药，抗生素，区域转诊医院，门诊诊所东非和中非药学杂志Vol. 13 (2010) 66-71

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The East and Central African Journal of Pharmaceutical Sciences

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