IntroductionA major challenge to the provision of health care worldwide is the irrational use of antibiotics. To help promote rational use of drugs, standard treatment guidelines (STG) and essential medicine lists and facility-specific formularies have been developed to be used by clinicians. This study assessed the prescription pattern of antibiotics and explored the use of STG by clinicians.MethodsA prospective cross sectional study that made use of seven core drug use indicators was conducted from February, 2017 to July, 2017. Prescribing indicators were assessed using 388 prescriptions that were submitted for filling and dispensing at the pharmacy unit of the hospital. Clinicians were interviewed to assess their use of STG. Data were analyzed using SPSS version 20.0 with a p-value of < 0.05 considered as statistically significant.ResultsA total of 1351 drugs were prescribed for 388 patients. The average number of medicines per prescription was 3.5. Of the 388 prescriptions, 55.2% bore antibiotics, with amoxicillin (22.5%) and ciprofloxacin (18.4%) being the most prescribed antibiotics. Patients' knowledge about their medications was found to be significantly associated with the number of drugs per prescription (p = 0.001), age (p = 0.015) and educational level (p = 0.001). Only 41.7% of prescribers had copies of STG and used them.ConclusionThe prescribing and dispensing practices in the hospital were generally not satisfactory with a low patronage of STG among prescribers. In order to improve the situation, clinicians should practice evidence based medicine rather than empirical treatment of conditions as well as use the STG in practice.

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Objective: The objective of this study was to access the perception of non-pharmacy health-care students on the role and contribution of pharmacists in to health-care delivery in Ghana. Furthermore, the influence of factors such as sex, program of study and frequency of interaction with pharmacists on this perception was determined. Methods: A structured questionnaire was designed and administered to 670 medical, optometry and nursing students of the University of Cape Coast, Ghana after a pilot study was conducted. Results: The students strongly agreed that the role of the pharmacist is dispensing drugs, collaborating with physicians to prescribe medications. The students also appreciated the contribution of pharmacists in helping to reduce adverse reactions to medications. The students, however, showed little appreciation of pharmacists carrying out research or physical examinations and helping to reduce cost to patients. There was no effect of sex on the perception of students, although the frequency of interaction with pharmacists influenced their perceptions Conclusions: The results of this study indicate that non-pharmacy health students appreciate certain roles and contributions of pharmacists to health-care.