Prescribing Practices and Polypharmacy in Kitovu Hospital, Uganda.

N. McGaughey, M. Lynch, David Bell

Research output: Contribution to journalArticle

Abstract

This audit of prescribing practices explores recent trends at Kitovu Hospital, Uganda. The average number of drugs prescribed per patient was 2.89 ± 0.11, of which 1.79±0.09 were generics and 0.69±0.06 antibiotics. No injections were prescribed. Patient essential drug knowledge was 100% while the adequacy of labelling was 0%. The number of drugs prescribed correlated positively with patient age, was greater for female patients, similar for doctors and clinical officers but greater in medical (3.30±0.15, n=50) than surgical (2.48±0.13, n=50) outpatient clinics. The mean consultation time was 6.56 min and 10.25 min per patient in medical and surgical outpatient clinics respectively. The patient essential knowledge indicators were greatly improved but only modest reduction in polypharmacy was evident compared to the Ugandan Pharmaceutical Sector national survey of 2002. Antibiotic prescription was high and generic prescribing was found to be low. Policy changes are required to enhance rational drug use in the health sector in Uganda.
Original languageEnglish
Pages (from-to)66-71
Number of pages6
JournalEast and Central African Journal of Pharmaceutical Sciences
Volume13
Publication statusPublished - Dec 2010

Fingerprint

Polypharmacy
Uganda
Ambulatory Care Facilities
Pharmaceutical Preparations
Anti-Bacterial Agents
Prescriptions
Referral and Consultation
Injections
Health

Cite this

@article{4a803b6438bb47d5a0dc90558a95ca1a,
title = "Prescribing Practices and Polypharmacy in Kitovu Hospital, Uganda.",
abstract = "This audit of prescribing practices explores recent trends at Kitovu Hospital, Uganda. The average number of drugs prescribed per patient was 2.89 ± 0.11, of which 1.79±0.09 were generics and 0.69±0.06 antibiotics. No injections were prescribed. Patient essential drug knowledge was 100{\%} while the adequacy of labelling was 0{\%}. The number of drugs prescribed correlated positively with patient age, was greater for female patients, similar for doctors and clinical officers but greater in medical (3.30±0.15, n=50) than surgical (2.48±0.13, n=50) outpatient clinics. The mean consultation time was 6.56 min and 10.25 min per patient in medical and surgical outpatient clinics respectively. The patient essential knowledge indicators were greatly improved but only modest reduction in polypharmacy was evident compared to the Ugandan Pharmaceutical Sector national survey of 2002. Antibiotic prescription was high and generic prescribing was found to be low. Policy changes are required to enhance rational drug use in the health sector in Uganda.",
author = "N. McGaughey and M. Lynch and David Bell",
year = "2010",
month = "12",
language = "English",
volume = "13",
pages = "66--71",
journal = "East and Central African Journal of Pharmaceutical Sciences",
issn = "1026-552X",

}

Prescribing Practices and Polypharmacy in Kitovu Hospital, Uganda. / McGaughey, N.; Lynch, M.; Bell, David.

In: East and Central African Journal of Pharmaceutical Sciences, Vol. 13, 12.2010, p. 66-71.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Prescribing Practices and Polypharmacy in Kitovu Hospital, Uganda.

AU - McGaughey, N.

AU - Lynch, M.

AU - Bell, David

PY - 2010/12

Y1 - 2010/12

N2 - This audit of prescribing practices explores recent trends at Kitovu Hospital, Uganda. The average number of drugs prescribed per patient was 2.89 ± 0.11, of which 1.79±0.09 were generics and 0.69±0.06 antibiotics. No injections were prescribed. Patient essential drug knowledge was 100% while the adequacy of labelling was 0%. The number of drugs prescribed correlated positively with patient age, was greater for female patients, similar for doctors and clinical officers but greater in medical (3.30±0.15, n=50) than surgical (2.48±0.13, n=50) outpatient clinics. The mean consultation time was 6.56 min and 10.25 min per patient in medical and surgical outpatient clinics respectively. The patient essential knowledge indicators were greatly improved but only modest reduction in polypharmacy was evident compared to the Ugandan Pharmaceutical Sector national survey of 2002. Antibiotic prescription was high and generic prescribing was found to be low. Policy changes are required to enhance rational drug use in the health sector in Uganda.

AB - This audit of prescribing practices explores recent trends at Kitovu Hospital, Uganda. The average number of drugs prescribed per patient was 2.89 ± 0.11, of which 1.79±0.09 were generics and 0.69±0.06 antibiotics. No injections were prescribed. Patient essential drug knowledge was 100% while the adequacy of labelling was 0%. The number of drugs prescribed correlated positively with patient age, was greater for female patients, similar for doctors and clinical officers but greater in medical (3.30±0.15, n=50) than surgical (2.48±0.13, n=50) outpatient clinics. The mean consultation time was 6.56 min and 10.25 min per patient in medical and surgical outpatient clinics respectively. The patient essential knowledge indicators were greatly improved but only modest reduction in polypharmacy was evident compared to the Ugandan Pharmaceutical Sector national survey of 2002. Antibiotic prescription was high and generic prescribing was found to be low. Policy changes are required to enhance rational drug use in the health sector in Uganda.

M3 - Article

VL - 13

SP - 66

EP - 71

JO - East and Central African Journal of Pharmaceutical Sciences

JF - East and Central African Journal of Pharmaceutical Sciences

SN - 1026-552X

ER -