Prescribing Practices and Polypharmacy in Kitovu Hospital, Uganda

  • N McGaughey
  • M Lynch
  • D Bell

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.

Keywords: Polypharmacy, generics, antibiotics, regional referral hospital, outpatient clinic

East and Central African Journal of Pharmaceutical Sciences Vol. 13 (2010) 66-71

Author Biographies

N McGaughey
Division of Medicine and Therapeutics, Centre for Medical Education, The Queen’s University of Belfast, 97 Lisburn Road,Belfast BT9 7BL, United Kingdom
M Lynch
Kitovu Regional Referral Hospital,P. O. Box 524, Masaka, Uganda
D Bell
Division of Medicine and Therapeutics, Centre for Medical Education, The Queen’s University of Belfast, 97 Lisburn Road,Belfast BT9 7BL, United Kingdom
Published
2014-09-04
Section
Articles

Journal Identifiers


eISSN: 1026-552X