Antibiotic-prescribing patterns for Iraqi patients during Ramadan

Mikhael, Ehab Mudher; Jasim, Ali L.

doi:10.2147/ppa.s73401

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…Mikhael and Jasim [2] designed an observational study during the middle 10 days of Ramadan 2014 in two pharmacies in Baghdad, critically assessing 34 prescriptions for adults who suffered from infections. More than two-thirds of participating patients fasted during Ramadan.…”

Section: Usage Of Antibioticsmentioning

confidence: 99%

Ramadan fasting and infectious diseases: a systematic review

Bragazzi

Briki

Khabbache

et al. 2015

J Infect Dev Ctries

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Ramadan represents the fourth of the five pillars of the Islamic creed. Although patients are exempted from observing this duty, they may be eager to share this moment of the year with their peers. However, there are no guidelines that can help physicians to address the concerns of patients with infectious diseases fasting during Ramadan. For this purpose, we performed a systematic review. of 51 articles. Our main findings are that: 1) patients suffering from diabetes at risk of developing infectious complications should not fast; 2) Ramadan fasting has little impact on diarrheal patients; 3) HIV represents a challenge, and ad hoc drug combinations should be recommended to patients, and the patients should be advised not to take fatty meals that could interfere with the treatment; 4) Ramadan has no effect on the effectiveness of anti-helminthic therapy; and 5) patients with active ulcers should not fast, as they have a higher probability of developing complications.

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Section: Usage Of Antibioticsmentioning

confidence: 99%

Ramadan fasting and infectious diseases: a systematic review

Bragazzi

Briki

Khabbache

et al. 2015

J Infect Dev Ctries

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“…In previous studies, antibiotics showed most of the prescribing pattern and most of the Muslim patients wished not to break their fast during infectious diseases and to take treating antibiotics. 8 Randomized controlled studies on the topic of switching antibiotics are scarce. Breakfasting with multiple doses to antibiotics given few doses and less frequency administration or single daily during fasting the holy month of Ramadan.…”

Section: Discussionmentioning

confidence: 99%

Intake of antibiotics and fasting during the holy month of Ramadan: A Literature Review

Alomi¹,

Altuwaijri²,

Alshammari³

et al. 2019

PTB Reports

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Objectives: To review the intake of antibiotics and fasting during the holy month of Ramadan. Methods: In this study, we performed an extensive search of 50 databases following the Saudi Digital Library search engine. We included meta-analysis, randomized controlled studies and observational studies published in English language with human study only for update May 2017. The search terms included Ramadan, fasting, medication, therapy, type of disease and medication based on therapeutic class. The list of antibiotic medication and switch from regular days to Ramadan days based on literature search revealed comparative safety studies, efficacy studies and cost of type of medication for each disease studies and national or international evidence-based guidelines of switching short half-life to long halflife. All parenteral dosage form of medication were excluded from study. All medications should be listed in the Ministry of Health drug formulary. Results: A total of 710 studies were obtained after an extensive search with specific terms. Of those, 104 studies were duplicate studies and 606 were considered for further evaluation. After evaluation, we obtained 30 studies which discussed about the antibiotics and Ramadan. Of these 30 studies, only 2 studies were found to be appropriate for further revision. Among the two, one study was an observational study regarding the pattern of prescribing antibiotics during the holy month of Ramadan. The second study was about the systemic review on the safety of fasting and several infectious diseases. The suggested draft of list of antibiotic switch from regular days to the holy Ramadan days was explored in this review. Conclusion: The investigations about antibiotics intake during fasting not found. The studies of antibiotic during the holy month of Ramadan is required during legal registrations at all Muslim countries. Antibiotics switch therapy during fasting is highly recommended at all Muslim patients in the world.

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“…30% BID and 70% QD). Based on studies that reported a reduction of at least one third in medication adherence during Ramadan in comparison to regular times [ 7 , 19 ] and others that pointed out the unsuitability of using BID doses during Ramadan in comparison to QD due to noncompliance [ 20 ], we assumed that adherence during Ramadan compared to the regular intake schedule is 75% in patients on QD medication, with a 20% reduction in adherence in patients on BID medication. With a power of 80% and an alpha error of 5%, the minimum estimated sample size was 152 subjects for each group (BID vs. QD).…”

Section: Methodsmentioning

confidence: 99%

Patient-guided modifications of oral anticoagulant drug intake during Ramadan fasting: a multicenter cross-sectional study

Batarfi

Alenezi

Alshehri

et al. 2020

J Thromb Thrombolysis

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Fasting Ramadan is known to influence patients' medication adherence. Data on patients' behavior to oral anticoagulant (OAC) drug intake during Ramadan is missing. We aimed to determine patient-guided modifications of OAC medication regimen during Ramadan and to evaluate its consequences. A multicenter cross-sectional study conducted in Saudi Arabia. Data were collected shortly after Ramadan 2019. Participants were patients who fasted Ramadan and who were on long-term anticoagulation. Patient-guided medication changes during Ramadan in comparison to the regular intake schedule before Ramadan were recorded. Modification behavior was compared between twice daily (BID) and once daily (QD) treatment regimens. Rates of hospital admission during Ramadan were determined. We included 808 patients. During Ramadan, 53.1% modified their intake schedule (31.1% adjusted intake time, 13.2% skipped intakes, 2.2% took double dosing). A higher frequency of patient-guided modification was observed in patients on BID regimen compared to QD regimen. During Ramadan, 11.3% of patients were admitted to hospital. Patient-guided modification was a strong predictor for hospital admission. Patient-guided modification of OAC intake during Ramadan is common, particularly in patients on BID regimen. It increases the risk of hospital admission during Ramadan. Planning of OAC intake during Ramadan and patient education on the risk of low adherence are advisable.

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Antibiotic-prescribing patterns for Iraqi patients during Ramadan

Cited by 7 publications

References 18 publications

Ramadan fasting and infectious diseases: a systematic review

Ramadan fasting and infectious diseases: a systematic review

Intake of antibiotics and fasting during the holy month of Ramadan: A Literature Review

Patient-guided modifications of oral anticoagulant drug intake during Ramadan fasting: a multicenter cross-sectional study

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