Hypertension Management in the District Hospitals in Dar es Salaam, Tanzania

The East and Central African Journal of Pharmaceutical Sciences Pub Date : 2008-09-11 DOI:10.4314/ECAJPS.V10I2.9759

G. Rimoy, M. Justim-Temu, A. Shah

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引用次数: 3

Abstract

A study was conducted in three District Hospitals in Dar es Salaam, Tanzania, namely Temeke, Mwananyamala and Amana. Six hundred prescriptions were analyzed. The average number of drugs per prescription was found to be 3.4 (range 2.9-4.1) while the average number of antihypertensive drugs per prescription was 2.2 (range 1.9-2.6). Prescribing of generic antihypertensives was low with a mean of 33% (range 25-49). The percentages of antibiotics and injections appearing per prescription were 4.8% and 9.8% respectively. The percentages of prescriptions containing both an antidiabetic and a thiazide diuretic were 18.3%, 30.8% and 50.9% for Temeke, Amana and Mwananyamala respectively. The combination of an antidiabetic and propranolol was encountered in 54.8% and 45.2% of prescriptions from Temeke and Mwananyamala respectively. Prescriptions containing a combination of an antidiabetic, a thiazide diuretic and propranolol constituted 43.5%, 39.0% and 17.5% of the total for Temeke, Amana and Mwananyamala respectively. The average patient consultation time was 3.7 minutes whereas the average dispensing time was 45.1 seconds. Overall, 91% of all drugs dispensed were adequately labelled and patients\' knowledge of the correct dose was adequate. All facilities possessed most of the essential antihypertensives and antidiabetics and had adequate reference materials. The drug prescribing pattern for hypertension in the three district hospitals showed that prescribers need to be more conscious of rational prescribing algorithms. Keywords : Prescribing pattern, antihypertensives, antidiabetics East and Central African Journal of Pharmaceutical Sciences Vol. 10 (2) 2007: pp. 34-38

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坦桑尼亚达累斯萨拉姆地区医院的高血压管理

在坦桑尼亚达累斯萨拉姆的三个区医院，即特梅克、姆瓦尼亚马拉和阿马纳进行了一项研究。分析了600张处方。平均单处方药物数量为3.4种(范围2.9 ~ 4.1种)，平均单处方降压药数量为2.2种(范围1.9 ~ 2.6种)。通用抗高血压药的处方较低，平均为33%(范围25- 49%)。每张处方出现抗生素和注射剂的比例分别为4.8%和9.8%。处方中同时含有降糖药和噻嗪类利尿剂的比例分别为18.3%、30.8%和50.9%，分别为Temeke、Amana和Mwananyamala。Temeke和Mwananyamala的处方中分别有54.8%和45.2%的处方使用了抗糖尿病药和心得安。含有抗糖尿病药、噻嗪类利尿剂和心得安的复方处方分别占Temeke、Amana和Mwananyamala处方总数的43.5%、39.0%和17.5%。患者平均咨询时间为3.7分钟，而平均配药时间为45.1秒。总体而言，91%的配发药物有充分的标签，患者对正确剂量的了解是足够的。所有医院都拥有大部分必需的抗高血压和抗糖尿病药物，并有足够的参考资料。三区医院高血压药物的处方模式表明，处方者需要更加注重合理的处方算法。关键词:处方模式，抗高血压药，抗糖尿病药东非和中非医药科学杂志Vol. 10 (2) 2007: pp. 34-38

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The East and Central African Journal of Pharmaceutical Sciences

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