G Muyu, C Mbakaya, A Makokha. Out-Patient Prescribing Practices at Mbagathi District Hospital-Nairobi County. East African Medical Journal Vol 90, No 12 (2013)
Abstract / Summary:
Objective: To assess medicine use practices by using WHO prescribing and patient care indicators in Mbagathi Hospital outpatient department. Design: A hospital based retrospective study. Setting: Mbagathi District Hospital outpatient department between 1st January to 30th June 2012. Main outcome measures: Measures used in this study included, total number of medicines in a prescription, proportion of medicines in the essential drug list, proportion in generic names, proportion with injectables and antibiotics and percentage actually dispensed. Results: Total number of drugs prescribed was 1,506. On average, each patient was prescribed 3.85 types of drugs. A total of 835 drugs were prescribed by generic name, accounting for 25.6% of total number of drugs prescribed (1,506). Out of 391 sampled prescriptions, 266 had antibiotics accounting for (68.0%). A relatively small proportion of the prescriptions, 9.5% had an injection. A total of 1,087 drugs were prescribed according to the essential drugs list or formulary, accounting for 72.2% of total number of drugs prescribed (1,506). Only 55.2% of total medicines prescribed were actually dispensed and the rest were out of stock. Conclusion: The prescribing practices in this study are not satisfactory, as suggested by polypharmacy, over prescription of antibiotics, prescribing by brand names and lack of awareness of essential drugs list.
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