Common Prescriptions in Ambulatory Care in Lebanon

Hamadeh, Ghassan; Dickerson, Lori M.; Saab, Bassem; Major, Stella

doi:10.1345/aph.10175

Cited by 33 publications

(25 citation statements)

References 3 publications

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“…Percentage of drugs prescribed by generic name was slightly higher than the earlier estimate reported in Dubai (4.4%)10 and higher than that reported in Lebanon (2.9)% 11. There should be a great concern from regulatory bodies to mandate generic prescribing to move towards more rational use of medicine.…”

Section: Discussionmentioning

confidence: 57%

Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates

Rasool

Fahmy

Abu‐Gharbieh

et al. 2010

Pharmacy Practice (Internet)

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Inappropriate prescribing reduces the quality of medical care and leads to a waste of resources. No study has been reported concerning rational drug use in United Arab Emirates, UAE, recently.Objectives assessing patterns of use and defining problems regarding the rational drug use.Setting baseline situational analysis study for practices in the health care system relevant to drug use. MethodA descriptive pilot study, consisting of pharmacists, physicians and patients (100 of each of category) from four private hospitals, (12) medical clinics, (80) community pharmacies in addition to 150 prescriptions. A questionnaire of three sections was designed to include WHO indicators regarding patients, facility and prescribing patterns that are relevant to rational drug use was carried out in four emirates of the UAE in the period December 2008-Febreuary 2009.ResultsConsultation and dispensing times were 10 (SD=2.75) min and 68 (SD=9.7) seconds, respectively. Average no. of drugs per prescription was (2.9 + 0.97), % of prescriptions using generic name (7.35%), % of antibiotic containing prescriptions (31.1%), % of injection containing prescriptions (2.9%), adherence to Standard Treatment Protocols (46%), adherence to the essential drug list (64%), patient’s knowledge of correct dosage (55%), adequately labeled drugs (45%), patient’s information (65%).ConclusionsSeveral areas of deficiency in rational drug use had been defined in the private sector through UAE that can be remedied through adopting several strategies such as adherence to national standard treatment guidelines and essential drug list based on treatments of choice, interaction between health care system and providing drugs information to consumers.

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Section: Discussionmentioning

confidence: 57%

Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates

Rasool

Fahmy

Abu‐Gharbieh

et al. 2010

Pharmacy Practice (Internet)

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show abstract

“…This is lower than reported for Sudan (19.5%) [10], Saudi Arabia (15.1%) [7], Lebanon (2.9%) [11], and Bangladesh (78%) [12]. The lower rate in Dubai may be attributed to the influence of local and international pharmaceutical companies on physicians’ decisions.…”

Section: Discussionmentioning

confidence: 63%

Patterns of Drug Prescribing in a Hospital in Dubai, United Arab Emirates

Al-Shaqra

Hajjar

et al. 2008

Libyan J Med

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To determine the pattern of drug prescription by consultants in a private hospital in Dubai, United Arab Emirates, 1190 prescriptions were collected from the hospital's pharmacy over 30 days. In total, 2659 drugs were prescribed. The mean number of drugs per encounter was 2.2. Only 4.4% of all drugs prescribed were generic. Polypharmacy was observed in only 7.5% of all encounters. Information about the prescribing physician and the patient was invariably deficient. Name of patient, age, and gender were absent in 2.9%, 9.7%, and 12% of prescriptions, respectively. In addition, none of the prescriptions mentioned address, diagnosis, or allergy of the patient. Name of physician, signature, speciality and license or registration number were omitted in 12.2%, 10.3%, 20.3%, and 54.9% of prescriptions. The most commonly prescribed therapeutic classes of drugs (and principal drug in each class) were as follows: 23.4% non-steroidal anti-inflammatory drugs (NSAIDs, Diclofenac sodium being 51.6%), 21.4% antibiotics (amoxicillin-clavulanate 13.5%), and 11.5% gastrointestinal drugs (GI, Hyoscine-N-butylbromide 28.1%). Other therapeutic classes included endocrine drugs (6.1%), vitamin supplements (5.9%), nasal decongestants (4%), antihistaminics (3.8%) and cardiovascular drugs (2.6%). Antibiotic injections accounted for 7.4% of all antibiotics prescribed, which was equivalent to 1.6% of all prescriptions. Other agents prescribed in small proportions of encounters collectively amounted to 21.3%. This study reveals the prescription trends, and indicates possible areas of improvement in prescription practice.

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“…where the scale of the problem is much greater. [13][14][15][16][17][18][19][20][21][22][23][24] To improve the prescribing practices of a region, a baseline of current trends in practices among the physician-patient population must be understood and set. This is especially true for a country like India, where 67% of the population live in rural areas and there is often a palpable difference in the healthcare services provided between the facilities serving the rural and the urban populations of the country.…”

mentioning

confidence: 99%

Practices regarding prescription and dispensing of drugs in a tertiary care hospital in rural West Bengal, India

Bandyopadhyay

Dhar

Mukherjee

et al. 2017

Int J Basic Clin Pharmacol

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Background: Irrational prescription practices are a distressing global problem, especially in the developing countries. A study was conducted to assess the patterns of prescribing and dispensing drugs in a tertiary healthcare centre serving a large rural population in the eastern India.Methods: A cross-sectional observational study was conducted from July-September 2016 in the general out-patient department and the institution pharmacy of a tertiary care hospital of West Bengal, India. Data were congregated by collection and review of individual prescriptions, measuring the time of interaction between patients and prescribers/dispensers, and conducting patient interviews at exit.Results: Analysis of the collected and tabulated data revealed that after average, 2.5 medicines were prescribed per prescription, with 95.26% being under their generic name. Of the drugs prescribed, 95.79% were from the essential drug list. The average consultation time was 150.0s (SD 62.3s) and average dispensing time was 81.5s (SD 51.2s). Of the drugs prescribed, 86.12% of drugs were actually dispensed from the institution pharmacy but none of the drugs were labeled. The percentage of prescriptions with an antibiotic was 47.83%, while injections were recorded on in 2.83% of the prescriptions. Percentage of patients who had knowledge of the dosage of the drugs prescribed to them was 91.67%.Conclusions: While the study found high percentages of drugs prescribed under generic names high percentage of drugs actually prescribed from the Institution Pharmacy, prescription of drugs from the Essential Drugs List, and a low number of injections per prescription conforming to WHO set standards, it also found a lack of drug labelling, high percentage of prescription of antibiotics to be indicators that do not conform with the WHO set international standards.

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Common Prescriptions in Ambulatory Care in Lebanon

Cited by 33 publications

References 3 publications

Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates

Professional practices and perception towards rational use of medicines according to WHO methodology in United Arab Emirates

Patterns of Drug Prescribing in a Hospital in Dubai, United Arab Emirates

Practices regarding prescription and dispensing of drugs in a tertiary care hospital in rural West Bengal, India

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