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Critical Analysis of Pharmaceuticals Inventory Management Using the ABC-VEN Matrix in Dessie Referral Hospital, Ethiopia. 埃塞俄比亚Dessie转诊医院使用ABC-VEN矩阵的药品库存管理关键分析
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-09-09 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S265438
Solomon Ahmed Mohammed, Birhanu Demeke Workneh
{"title":"Critical Analysis of Pharmaceuticals Inventory Management Using the ABC-VEN Matrix in Dessie Referral Hospital, Ethiopia.","authors":"Solomon Ahmed Mohammed,&nbsp;Birhanu Demeke Workneh","doi":"10.2147/IPRP.S265438","DOIUrl":"https://doi.org/10.2147/IPRP.S265438","url":null,"abstract":"<p><strong>Introduction: </strong>Inventory management is a complex process that accelerates the probability of stock-out and overstocking if not tracked properly. Classification of drugs based on their criticality, cost burden, and in combination is important to make inventory decisions and optimize the quality use of scarce resources. This study analyzed the pharmaceutical inventory management systems of Dessie Referral Hospital using the ABC-VEN matrix for the years 2013 to 2017.</p><p><strong>Methodology: </strong>Cross-sectional study design was used to review logistic data retrospectively from health commodity management information system and manual records. Data were collected from January 1-20, 2018 in Dessie Referral Hospital.</p><p><strong>Results: </strong>In the five-year ABC-VEN analysis, 310 (17%), 368 (20.18%), and 1146 (62.83%) items were class A, B, and C, while 610 (34.56%), 1125 (63.74%), and 30 (1.7%) of pharmaceuticals were V, E, and N, respectively. Among these, 139 (7.88%) and 339 (19.21%) of AV and CV pharmaceuticals utilized 43.52% and 2.89% of annual drug expenditures, respectively. Category I, II, and III pharmaceuticals also accounted for 43.68%, 54.79%, and 1.53% of items with their respective USD drug expenditure of 2,268,405.64 (84.49%), 411,961.18 (15.34%), and 4483.97 (0.17%). The pharmaceutical inventory cost projected to be 1,619,351.79 USD in 2025 and total cost (β= 10.68, p = 0.001), class A (β= 8.68, p = 0.001), class B (β= 1.27, p = 0.007), class C (β= 0.72, p = 0.03), and E items (β= 6.08, p = 0.01) were statistically significant with inventory cost.</p><p><strong>Conclusion: </strong>A huge amount of budget is invested in class A and category I, which pinpoints the need for strict inventory control to prevent wastage and accumulation of capital in buffer stocks. ABC-VEN analysis should be routinely performed before initiation of any new procurement for efficient use of scarce resources.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S265438","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38426742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 10
COVID-19-Related Knowledge, Attitude and Practice Among Hospital and Community Pharmacists in Addis Ababa, Ethiopia. 埃塞俄比亚亚的斯亚贝巴医院和社区药剂师的 COVID-19 相关知识、态度和实践。
IF 2.1
Integrated Pharmacy Research and Practice Pub Date : 2020-08-24 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S261275
Zelalem Tilahun Tesfaye, Malede Berihun Yismaw, Zenebe Negash, Akeberegn Gorems Ayele
{"title":"COVID-19-Related Knowledge, Attitude and Practice Among Hospital and Community Pharmacists in Addis Ababa, Ethiopia.","authors":"Zelalem Tilahun Tesfaye, Malede Berihun Yismaw, Zenebe Negash, Akeberegn Gorems Ayele","doi":"10.2147/IPRP.S261275","DOIUrl":"10.2147/IPRP.S261275","url":null,"abstract":"<p><strong>Purpose: </strong>This study was launched to assess COVID-19-related knowledge, attitude and practice among hospital and community pharmacists in Addis Ababa, Ethiopia.</p><p><strong>Methods: </strong>Self-administered questionnaire was distributed to pharmacists working in hospitals and community pharmacies by physically delivering the questionnaire to study subjects. Data collected were entered into and analyzed by IBM SPSS Statistics<sup>®</sup> Version 25. Binary logistic analysis was used to determine the association between independent and outcome variables.</p><p><strong>Results: </strong>All 295 participants who completed the survey stated that they had heard about COVID-19. Almost all of the participants were aware of the causative agent, the clinical manifestations and the ways of transmission of COVID-19. Most participants (92.2%) identified elderly individuals as one of the high-risk groups for severe complications and death while 89.5% identified supportive therapy and life support as recommended management options to date. More than half (53.2%) of the respondents were found to have adequate knowledge about COVID-19. Among respondents, 89.8% had a positive attitude on the importance of following WHO recommendations in reducing the transmission of COVID-19. Only 9.8% had confidence in the capacity of healthcare facilities in the country to properly handle potential COVID-19 pandemic. Inadequate protective measures were taken to protect the staff from COVID-19 in the institutions of 70.2% of the participants. Among the WHO recommended prevention measures, hand washing was exercised by 97.3% of the study participants.</p><p><strong>Conclusion: </strong>The study findings confirmed that there is a high level of knowledge on each specific aspect of COVID-19 among the study participants. However, only about half of the participants had adequate knowledge about the disease. The pharmacists showed a predominantly positive attitude towards the importance of WHO recommendations and predominantly negative attitude towards the country's capacity to deal with the pandemic. The practice related to COVID-19 was inadequate at institutional level. Nevertheless, most of the pharmacists individually exercised self-protective measures against COVID-19. All stakeholders should work on ensuring the adequate supply of materials and services that aid in controlling the pandemic.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2020-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/03/iprp-9-105.PMC7455591.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38455791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unlicensed "Special" Medicines: Understanding the Community Pharmacist Perspective. 无证“特殊”药品:理解社区药剂师的观点。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-08-13 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S263970
Alesha Wale, Mark Ireland, Rowan Yemm, Sarah Hiom, Alison Jones, John Paul Spark, Mark Francis, Karen May, Louise Allen, Steve Ridd, Efi Mantzourani
{"title":"Unlicensed \"Special\" Medicines: Understanding the Community Pharmacist Perspective.","authors":"Alesha Wale,&nbsp;Mark Ireland,&nbsp;Rowan Yemm,&nbsp;Sarah Hiom,&nbsp;Alison Jones,&nbsp;John Paul Spark,&nbsp;Mark Francis,&nbsp;Karen May,&nbsp;Louise Allen,&nbsp;Steve Ridd,&nbsp;Efi Mantzourani","doi":"10.2147/IPRP.S263970","DOIUrl":"https://doi.org/10.2147/IPRP.S263970","url":null,"abstract":"<p><strong>Objective: </strong>Community pharmacy staff are responsible for obtaining and supplying unlicensed \"special\" medicines to patients in primary care. Less well-defined parameters for safe and effective use of unlicensed compared to licensed medicines, along with issues around maintaining consistency between care settings or among manufacturers, have been associated with increased risks. This study aimed to explore the views and experiences of community pharmacy staff on accessing and supplying unlicensed \"special\" medicines to patients in Wales and the perceived impact of challenges faced on patient care.</p><p><strong>Methods: </strong>A qualitative, phenomenological approach was employed, involving semi-structured interviews with pharmacists and pharmacy technicians working at one small chain of community pharmacies in Wales. The interview schedule focused on the personal experiences and perceptions of the participants on the processes involved in accessing and supplying unlicensed \"special\" medicines from a community pharmacy. Interviews were audio-recorded and transcribed verbatim.</p><p><strong>Results: </strong>A total of six participants completed the interview. Three main themes were constructed from inductive thematic analysis of the transcribed interviews: requirement for additional patient responsibilities; influences on the confidence felt by pharmacy staff when accessing and supplying unlicensed \"special\" medicines; and continuity of supply.</p><p><strong>Conclusion: </strong>This study gives a preliminary insight into the views and experiences of community pharmacy staff in Wales when accessing and supplying unlicensed \"special\" medicines. Further research is required to see if these views and experiences are representative of community pharmacy staff across the country.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S263970","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38343171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Availability of Tracer Drugs and Implementation of Their Logistic Management Information System in Public Health Facilities of Dessie, North-East Ethiopia. 埃塞俄比亚东北部德西公共卫生机构示踪药物的可得性及其后勤管理信息系统的实施
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-08-12 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S262266
Mulate Belete Demessie, Birhanu Demeke Workneh, Solomon Ahmed Mohammed, Abel Demerew Hailu
{"title":"Availability of Tracer Drugs and Implementation of Their Logistic Management Information System in Public Health Facilities of Dessie, North-East Ethiopia.","authors":"Mulate Belete Demessie,&nbsp;Birhanu Demeke Workneh,&nbsp;Solomon Ahmed Mohammed,&nbsp;Abel Demerew Hailu","doi":"10.2147/IPRP.S262266","DOIUrl":"https://doi.org/10.2147/IPRP.S262266","url":null,"abstract":"<p><strong>Background: </strong>Tracer drugs are the representative of essential medicines and satisfy the priority healthcare needs of the population. Managing tracer drugs through logistics management information systems is a strategy to enhance their smooth flow for continuous provision of quality health service. This study assessed the availability of tracer drugs and implementation of their logistic management information system in public health facilities of Dessie, North-East Ethiopia.</p><p><strong>Methods: </strong>Cross-sectional study was conducted from September 15-30, 2017, in all public health facilities of Dessie. The data were collected by reviewing tracer drugs logistic formats and conducting physical inventory. Key informant interview was employed to all pharmacy heads and store managers. Data analysis was done using statistical package for social science version 20 and Microsoft Excel 2010.</p><p><strong>Results: </strong>Twelve tracer drugs were managed by health facilities. The overall mean availability, mean duration, and average frequency of stock out of tracer drugs (last 6 months) were 74.7%, 48.8 days, and 1.43, respectively. In eight health facilities, logistic records were available, but all health facilities did not use stock cards. Also, 3 out of 9 used the health commodity management information system. On average, 77.8% of the tracer drugs had bin cards, of which, 86% were updated. The discrepancy between physical count and stock keeping records was ranged from 0% to 100%. The causes of stock out were inadequate supply, lack of recording forms, and their inconsistent use.</p><p><strong>Conclusion and recommendations: </strong>The availability of tracer drugs was less than the recommended percent, and inadequate supply, poor availability and use of recording forms were the reasons for stock out. Thus, health facility managers and pharmacy heads should work in harmony to ensure uninterrupted supply and implement a logistic management information system.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S262266","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38409272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Medication Therapy Management: Current Challenges. 药物治疗管理:当前的挑战。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-04-02 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S179628
Stefanie P Ferreri, Tamera D Hughes, Margie E Snyder
{"title":"Medication Therapy Management: Current Challenges.","authors":"Stefanie P Ferreri,&nbsp;Tamera D Hughes,&nbsp;Margie E Snyder","doi":"10.2147/IPRP.S179628","DOIUrl":"https://doi.org/10.2147/IPRP.S179628","url":null,"abstract":"<p><p>Medication therapy management (MTM) services have evolved as a means for pharmacists and other providers to assist patients and caregivers in improving therapeutic outcomes and reducing health care expenditures. More than a decade has passed since the Medicare Modernization Act of 2003 provided pharmacists with the opportunity to deliver MTM services to Medicare beneficiaries. MTM continues to offer pharmacists the opportunity to use their knowledge; yet, pharmacists have reported challenges with service delivery. Identifying the challenges that affect MTM services in pharmacy practice is necessary in order to seek improvement to MTM delivery. This narrative review explores the current challenges pharmacists face with MTM delivery, summarizes potential solutions for addressing challenges, and seeks to incite further debate, service reconfiguration, and ultimately service improvement of pharmacist-provided MTM services.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S179628","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37851813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 38
Disposal Practices of Unused Medications Among Patients in Public Health Centers of Dessie Town, Northeast Ethiopia: A Cross Sectional Survey. 埃塞俄比亚东北部Dessie镇公共卫生中心患者未使用药物的处置做法:一项横断面调查。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-03-30 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S243069
Haile Kassahun, Dugessa Tesfaye
{"title":"Disposal Practices of Unused Medications Among Patients in Public Health Centers of Dessie Town, Northeast Ethiopia: A Cross Sectional Survey.","authors":"Haile Kassahun,&nbsp;Dugessa Tesfaye","doi":"10.2147/IPRP.S243069","DOIUrl":"https://doi.org/10.2147/IPRP.S243069","url":null,"abstract":"<p><strong>Background: </strong>Disposal of pharmaceutical waste among patients is a global challenge, especially in developing countries like Ethiopia. Improper medication disposal can lead to health problems and environmental contamination. Therefore, the present study was aimed to assess disposal practices of unused medications among patients in public health centers of Dessie town, Northeast Ethiopia.</p><p><strong>Methods: </strong>A descriptive cross-sectional survey was conducted among 263 patients in four public health centers of Dessie town, Ethiopia from March to June 2019. Face-to-face interviews using structured questionnaires were used to collect data from each study subject.</p><p><strong>Results: </strong>The majority of the respondents, 224 (85.17%), had unused medications at their home during the study period. The most commonly reported disposal method in the present study was flushing down into a toilet, 66 (25.09%). None of the respondents practiced returning unused medications to the pharmacy. Moreover, 85 (32.31%) of the respondents reported never disposing of their medications and believed that it is acceptable to store medications at home for future use.</p><p><strong>Conclusion: </strong>In the present study, there was a high practice of keeping medications at home and most of the disposal practices were not recommended methods. In addition, most of the respondents did not receive advice from pharmacists and other health-care professionals on how to dispose of unused medications. Hence, there is a need for proper education and guidance of patients about disposal practices of unused medications.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S243069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37825761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The Potential Role of the Pharmacist in Supporting Patients with Depression - A Literature-Based Point of View. 药剂师在支持抑郁症患者方面的潜在作用--基于文献的观点。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-02-26 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S239672
Maria Kamusheva, Desislava Ignatova, Anna Golda, Agnieszka Skowron
{"title":"The Potential Role of the Pharmacist in Supporting Patients with Depression - A Literature-Based Point of View.","authors":"Maria Kamusheva, Desislava Ignatova, Anna Golda, Agnieszka Skowron","doi":"10.2147/IPRP.S239672","DOIUrl":"10.2147/IPRP.S239672","url":null,"abstract":"<p><strong>Objective: </strong>The current article is aimed at identifying the best practice for counseling around depression in community and outpatient pharmacies, resulting in a draft guideline, proposing key steps and an algorithm for integration of community pharmacists into care for patients with depression.</p><p><strong>Methods: </strong>A literature review was performed followed by a detailed analysis, for the purpose of creation a short draft document used as a basis for creation of a guideline for pharmaceutical care for patients with depression. The technological scheme PRISMA flow diagram was applied. The paper is based on current knowledge, taking into consideration already published articles, guidelines, and recommendations about pharmaceutical care for patients with depression, giving a basis for further studies.</p><p><strong>Results: </strong>This paper includes two main sections: 1) depression - a short description of the main symptoms, risk factors and pharmacotherapy guidelines available in Bulgaria important for the purposes of ensuring qualitative community-based pharmaceutical care; and 2) the pharmacists' role in providing high-quality care - the main aspects of pharmaceutical care for patients with depression with specific examples.</p><p><strong>Conclusion: </strong>The involvement of pharmacists in supporting depressive patients is crucial taking into account the specific characteristics of the pharmacological treatment: delayed onset of clinical results, risks in case of sudden pharmacotherapy abruption without physician consultation, multiple adverse drug reactions and drug-drug, drug-food and drug-alcohol interactions, etc. The current article could also be used as an initial document for creating a methodological guideline for providing pharmaceutical care services for patients with depression.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/05/16/iprp-9-49.PMC7049755.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37729540","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patterns and Practices of Self-Medication Among Students Enrolled at Mbarara University of Science and Technology in Uganda. 乌干达姆巴拉拉科技大学学生自我药疗的模式和实践。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-02-13 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S237940
Faith Niwandinda, Edward John Lukyamuzi, Calvin Ainebyona, Veronica Nambi Ssebunya, Godwin Murungi, Esther C Atukunda
{"title":"Patterns and Practices of Self-Medication Among Students Enrolled at Mbarara University of Science and Technology in Uganda.","authors":"Faith Niwandinda,&nbsp;Edward John Lukyamuzi,&nbsp;Calvin Ainebyona,&nbsp;Veronica Nambi Ssebunya,&nbsp;Godwin Murungi,&nbsp;Esther C Atukunda","doi":"10.2147/IPRP.S237940","DOIUrl":"https://doi.org/10.2147/IPRP.S237940","url":null,"abstract":"<p><strong>Purpose: </strong>Self-medication is drug use without advice from a medical professional. Proper self-medication can reduce health expenses and physician waiting time. However, prescription or over-the-counter drugs are considered unsafe when used irrationally. Presumably, university students can make informed decisions regarding their lives. However, there are limited studies documenting self-medication in Ugandan universities. This study sought to document the prevalence, patterns and factors associated with self-medication among students enrolled at Mbarara University of Science and Technology (MUST).</p><p><strong>Patients and methods: </strong>A descriptive cross-sectional study was done on 385 medical and non-medical students. Data were collected by interviewer-led semi-structured questionnaires and analyzed using the Statistical Package for Social Sciences (SPSS) version 20. The statistical significance was considered as <i>p</i> < 0.05 for both univariate and multivariate analyses.</p><p><strong>Results: </strong>This study showed a 63.5% prevalence of self-medication. Self-medication reasons were classifying illnesses as minor (33%), time-saving (15%), having old prescriptions (11%) and high consultation fees (9%). Not self-medicating reasons included risk of using wrong drugs (19%), insufficient knowledge (17%), fear of side effects (15%), wrong drug use (15%) and misdiagnosis (14%). Respondents accessed drugs from pharmacies (56%), friends/family (17%) or private clinics (15%). Headache relievers, pain relievers and antibiotics were most commonly self-medicated. In adjusted analysis, being female, existing allergies, and being in advanced years of study were associated with increased odds of self-medication. No statistically significant difference existed between medical and non-medical students regarding self-medication. Self-medication likelihood increased with a lack of access to medical services.</p><p><strong>Conclusion: </strong>There is a high rate of self-medication amongst female students, those in advanced years of study and those with existing allergies. Medical services access significantly reduced the chances of self-medication. Vital medical services need to be extended to the university students to receive information on medicines, diagnosis, prescription and treatment. More studies should evaluate the impact of a high rate of self-medication among these students.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S237940","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37683194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 21
Exploratory Findings of Prescribing Unlicensed and Off-Label Medicines Among Children and Neonates. 儿童和新生儿开无证和超说明书药物的探索性发现。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-02-05 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S231134
Sadia Shakeel, Wajiha Iffat, Shagufta Nesar, Hina Zaidi, Shazia Jamshed
{"title":"Exploratory Findings of Prescribing Unlicensed and Off-Label Medicines Among Children and Neonates.","authors":"Sadia Shakeel,&nbsp;Wajiha Iffat,&nbsp;Shagufta Nesar,&nbsp;Hina Zaidi,&nbsp;Shazia Jamshed","doi":"10.2147/IPRP.S231134","DOIUrl":"https://doi.org/10.2147/IPRP.S231134","url":null,"abstract":"<p><strong>Objective: </strong>A cross-sectional study was carried out to evaluate the practice of unlicensed and off-label drug prescribing/dispensing in children and neonates by physicians and clinical pharmacists in the metropolitan city of Karachi.</p><p><strong>Methods: </strong>The study was conducted for the duration of 5 months - November 2018 to March 2019 - in different clinics and tertiary care hospitals of Karachi, Pakistan. Respondents were interviewed by our researchers using 30 items questionnaire. Descriptive statistics were used to evaluate the answers of respondents to survey items. Pearson correlation and independent sample <i>t</i>-test were employed to recognize the association between the responses of participants and independent variables. P values less than 0.05 were considered statistically significant.</p><p><strong>Results: </strong>A total of 421 questionnaires were completed by physicians and clinical pharmacists. The mean age of the study participants was 49.5 years. Around 98% of pharmacists and 93.5% of physicians were well conversant with the definition of unlicensed and off-label drugs. Around 68% of physicians and 77% of pharmacists reported that they were more concerned about the efficacy of such drugs as compared to that of licensed medicines in children. The most frequent off-label categories observed in the study were dose (65.21%) and indication (17.52%). A vast majority (>80%) thought that approving new drugs by regulatory authorities will drop the occurrence of medication errors due to incorrect dosing. The British National Formulary (BNF) for children was used as the best reliable source of information among respondents.</p><p><strong>Conclusion: </strong>The present study highlighted the common practice of unlicensed and off-label drug prescribing in pediatrics; however, respondents showed their concern towards decreasing such practice and are likely to welcome initiatives intended to assure medication safety in children.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S231134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37683193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Assessment of Educational Inhaler Technique Interventions Among Community Pharmacists: A Systematic Review. 社区药师吸入器技术教育干预评估:系统综述。
IF 2.9
Integrated Pharmacy Research and Practice Pub Date : 2020-01-23 eCollection Date: 2020-01-01 DOI: 10.2147/IPRP.S239215
Farhat Naz Hussain, Bridget Paravattil
{"title":"Assessment of Educational Inhaler Technique Interventions Among Community Pharmacists: A Systematic Review.","authors":"Farhat Naz Hussain,&nbsp;Bridget Paravattil","doi":"10.2147/IPRP.S239215","DOIUrl":"https://doi.org/10.2147/IPRP.S239215","url":null,"abstract":"<p><strong>Objective: </strong>Community pharmacists are the last point of contact before patients are provided with an inhaled asthma device and are expected to adequately educate and train patients on its use. Evidence has shown that pharmacists lack the knowledge and skills required to appropriately counsel patients on these devices. The aim of this systematic review was to focus on evaluating the effects of educational interventions on community pharmacists knowledge of inhaler technique.</p><p><strong>Methods: </strong>A literature search was conducted using the databases Pubmed and Embase with no applied time restrictions. The databases were searched from inception to December 2018. Articles were eligible for inclusion if they reported outcomes evaluating the improvement in pharmacists knowledge of inhaler technique after an educational intervention and provided details of the intervention. Pharmacists working in settings other than community pharmacies and inhaler devices used for conditions other than asthma were excluded.</p><p><strong>Results: </strong>Five studies met the eligibility criteria. Workshops and one-on-one instruction were the main educational strategies used in these studies to augment the pharmacists knowledge of asthma inhaler devices. A checklist was utilized by all studies to evaluate the pharmacists improvement of inhaler technique after an educational intervention. All studies showed an improvement in inhaler technique of pharmacists post-intervention.</p><p><strong>Conclusion: </strong>Studies identified in this systematic review have shown that an educational intervention produced positive outcomes related to the pharmacists knowledge on the steps involved in using asthma inhaler devices. However, the study findings focused on short-term retention of knowledge of inhaler technique and did not address the application of these results in clinical practice.</p>","PeriodicalId":45655,"journal":{"name":"Integrated Pharmacy Research and Practice","volume":null,"pages":null},"PeriodicalIF":2.9,"publicationDate":"2020-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2147/IPRP.S239215","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37725809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
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