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Potentially inappropriate medication prescribing patterns in geriatric patients in a health facility in Addis Ababa, Ethiopia

机译:埃塞俄比亚亚的斯亚贝巴的医疗机构在老年患者中潜在不合适的药物规定模式

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Purpose: To assess potentially inappropriate medication (PIMs) prescribing pattern in geriatric patients attending the outpatient department (OPD) of the General Hospital in Addis Ababa, Ethiopia. Methods: The study was conducted retrospectively for geriatric patients sixty years of age and above, who visited an Outpatient Department of Tirunesh Beijing General Hospital. Data were gathered for a duration of one month from prescriptions/encounters at the Outpatient Pharmacy, and analysis was carried out using SPSS (Statistical Packages for Social Sciences) version 20, while and drug prescribing indicators, and potentially inappropriate medications were calculated based on WHO prescribed indicators and Beer’s criteria. Results: Of the 400 encounters assessed, 218 (55 %) were male and 182 (45 %) were female. Four hundred prescriptions contained 1,003 drugs. Out of the mean drug per prescription of 2.51, drugs prescribed by generic names were 91.62 %, those prescribed from NLEM (national list of essential medicine) were 91.53 %; prescriptions with an antibiotic injection were 27.75 % and 16.25% respectively, and more than 5 drugs were prescribed only for 10.8 % of geriatrics patients. Cardiovascular drugs constituted about a quarter of the prescribed medications with 271 (27.02 %); others were analgesics, anti-inflammatory, anti-infective, endocrine drugs, gastrointestinal drugs, and other drugs, accounting for 116 (11.6%), 112 (11.2%), 96 (9.6%), 94 (9.4%) and 187 (18.6%), respectively. Potentially inappropriate drugs occurred in 46.9 % of the cases. Conclusion: Potentially inappropriate medication (PIMs) prescribing in geriatric is highest in percentage. Proper interventions are needed from all concerned bodies to avoid drug-related complications.
机译:目的:评估参加埃塞俄比亚亚的斯亚贝巴综合医院门诊部(OPD)的老年患者的潜在不适当的药物(PIMS)规定模式。方法:对大约年龄及以上的老年患者进行了回顾性进行了研究,他访问了Tirunesh北京综合医院的门诊部。从门诊药房的处方/遭遇收集了一个月的数据,使用SPSS(社会科学统计包)20岁,虽然和药物规定指标进行分析,并且基于世卫组织计算潜在的药物。规定的指标和啤酒的标准。结果:评估的400个次数中,218(55%)是男性,女性是女性的182(45%)。四百处方含有1,003种药物。出于2.51的平均药物2.51,通用名称规定的药物为91.62%,来自NLEM(国家精华药物列表)的91.53%;抗生素注射的处方分别为27.75%和16.25%,并且仅为10.8%的老年病患者规定了超过5种药物。心血管药物组成约四分之一的规定药物,271例(27.02%);其他是镇痛药,抗炎,抗感染性,内分泌药物,胃肠药物和其他药物,占116(11.6%),112(11.2%),96(9.6%),94(9.4%)和187(分别为18.6%。潜在的药物占案件的46.9%。结论:潜在的不适当的药物(PIMS)在老年节中规定的百分比最高。所有有关机构都需要适当的干预措施,以避免药物相关的并发症。

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