Evaluation of drug-prescribing patterns based on the WHO prescribing indicators at outpatient clinics of five hospitals in Jordan: a cross-sectional study

2017 ◽  
Vol 55 (05) ◽  
pp. 425-432 ◽  
Author(s):  
Ahmad Al-Azayzih ◽  
Sayer I. Al-Azzam ◽  
Karem H. Alzoubi ◽  
Mohammad Shawaqfeh ◽  
Majed M. Masadeh
Author(s):  
Md. Abu Sayeed ◽  
Mst. Sawda Khatun ◽  
Md. Saiful Bari ◽  
Amith Kumar Dash ◽  
Prodip Kumar Haldar ◽  
...  

Background: Gynecological disorders are the major challenge for Goat production profitability in Chuadanga, a goat dominating district of Bangladesh. To control the gynecological cases of goats in Chuadanga district, it is of utmost importance to estimate the prevalence of them along with their current therapeutic management. Methods: A cross sectional study was conducted from May, 2018 to April, 2019 on a total of 89 gynecological cases of goat to estimate the prevalence of different gynecological disorders along with drug prescribing patterns at Chuadanga Sadar Upazilla, Chuadanga, Bangladesh. Relevant data on different gynecological cases of goat were collected from the registered sheets of Upazilla Veterinary Hospital (UVH) and used for this study. Result: The highest prevalence of gynecological case was of anoestrous (20.2%) followed by abortion (18.0%), retained placenta (16.9%), pyometra (10.1%), dystocia (9.0%), repeat breeding (6.7%) and prolapse of the vagina (5.6%). The prevalence of metritis was 4.5% followed by milk fever (4.5%), prolapse of the rectum (3.4%) and postpartum bleeding (1.1%). Prostaglandin (25.0%) followed by a combination of oxytocin and calcium (18.8%) and combination of oxytetracycline and metronidazole (18.8%) were commonly prescribed drugs for treating abortion cases. Vitamin AD3E (33.3%) was prescribed the highest for treating anoestrous. A combination of oxytocin and oxytetracycline (33.3%), followed by oxytocin (26.6%) were predominantly prescribed for treating retained placenta. This study reveals the overall burden of reproductive disorders of goat along with drug prescribing patterns at the Chuadanga, Bangladesh. This outcome will be supportive to know the better treatment strategy against reproductive disorders in goat.


1978 ◽  
Vol 7 (2) ◽  
pp. 74-82 ◽  
Author(s):  
L. J. CHRISTOPHER ◽  
B. R. BALLINGER ◽  
A. M. M. SHEPHERD ◽  
A. RAMSAY ◽  
G. CROOKS

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043997
Author(s):  
Charilaos Lygidakis ◽  
Jean Paul Uwizihiwe ◽  
Michela Bia ◽  
Francois Uwinkindi ◽  
Per Kallestrup ◽  
...  

ObjectivesTo report on the disease-related quality of life of patients living with diabetes mellitus in Rwanda and identify its predictors.DesignCross-sectional study, part of the baseline assessment of a cluster-randomised controlled trial.SettingOutpatient clinics for non-communicable diseases of nine hospitals across Rwanda.ParticipantsBetween January and August 2019, 206 patients were recruited as part of the clinical trial. Eligible participants were those aged 21–80 years and with a diagnosis of diabetes mellitus for at least 6 months. Illiterate patients, those with severe hearing or visual impairments, those with severe mental health conditions, terminally ill, and those pregnant or in the postpartum period were excludedPrimary and secondary outcome measuresDisease-specific quality of life was measured with the Kinyarwanda version of the Diabetes-39 (D-39) questionnaire. A glycated haemoglobin (HbA1c) test was performed on all patients. Sociodemographic and clinical data were collected, including medical history, disease-related complications and comorbidities.ResultsThe worst affected dimensions of the D-39 were ‘anxiety and worry’ (mean=51.63, SD=25.51), ‘sexual functioning’ (mean=44.58, SD=37.02), and ‘energy and mobility’ (mean=42.71, SD=20.69). Duration of the disease and HbA1c values were not correlated with any of the D-39 dimensions. A moderating effect was identified between use of insulin and achieving a target HbA1c of 7% in the ‘diabetes control’ scale. The most frequent comorbidity was hypertension (49.0% of participants), which had a greater negative effect on the ‘diabetes control’ and ‘social burden’ scales in women. Higher education was a predictor of less impact on the ‘social burden’ and ‘energy and mobility’ scales.ConclusionsSeveral variables were identified as predictors for the five dimensions of quality of life that were studied, providing opportunities for tailored preventive programmes. Further prospective studies are needed to determine causal relationships.Trial registration numberNCT03376607.


Author(s):  
Nebyu Daniel Amaha ◽  
Dawit G. Weldemariam ◽  
Nuru Abdu ◽  
Eyasu H. Tesfamariam

Abstract Background Antibiotics require more prudent prescribing, dispensing and administration than other medicines because these medicines are at a greater risk of antimicrobial resistance (AMR). Studying the current medicine use practices and factors affecting the prescribing of an antibiotic would help decision makers to draft policies that would enable a more rational use of medicines. Methods A prospective, descriptive, and cross-sectional study was conducted to assess the current prescribing practices including antibiotics use in six community pharmacies in Asmara. A total of 600 encounters were reviewed using the WHO core prescribing indicators between May 5 and May 12, 2019 using stratified random sampling technique. Descriptive statistics and logistic regression were employed using IBM SPSS® (version 22). Results The average number of medicines per prescription was 1.76 and 83.14% of the medicines were prescribed using generic names while 98.39% of the medicines were from the National Essential Medicines List (NEML). The percentage of prescriptions containing antibiotics was 53%. The number of encounters containing injections was 7.8%. Patient age, gender and number of medicines prescribed were significantly associated with antibiotic prescribing at bivariate and multivariable models. Subjects under the age of 15 were approximately three times more likely to be prescribed antibiotic compared to subjects whose age is 65 and above (Adjusted Odds Ratio (AOR): 2.93, 95%CI: 1.71–5). Similarly, males were more likely to be prescribed antibiotic than females (AOR: 1.57, 95%CI: 1.10–2.24). Subjects to whom three to four medicines prescribed were two times more likely to be prescribed an antibiotic compared to those who were to be prescribed one to two medicines per encounter (AOR: 2.17, 95%CI: 1.35–3.5). A one-unit increase in the number of medicines increased the odds of antibiotic prescribing increased by 2.02 units (COR: 2.02; 95%CI: 1.62–2.52). Conclusions This study found that the percentage of antibiotics being prescribed at the community pharmacies in Asmara was 53% which deviated significantly from the WHO recommended values (20–26.8%). Furthermore, the percentage of encounters with an injection was 7.8% lower than the WHO value of 13.4–24.0%. Patients’ age, gender and number of medicines were significantly associated with antibiotic prescribing.


2011 ◽  
Vol 24 (6) ◽  
pp. 647-653 ◽  
Author(s):  
Jesper Rømhild Davidsen ◽  
Jesper Hallas ◽  
Jens Søndergaard ◽  
René dePont Christensen ◽  
Hans Christian Siersted ◽  
...  

2021 ◽  
Vol Volume 14 ◽  
pp. 4155-4168
Author(s):  
Montserrat Viñas-Bastart ◽  
Míriam Oms-Arias ◽  
Àfrica Pedraza-Gutiérrez ◽  
Irene Lizano-Díez ◽  
Eduardo L Mariño ◽  
...  

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