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Abstract

ASSESSMENT OF OUTPATIENTS' MEDICAL PRESCRIPTIONS' LEGIBILITY, COMPLETENESS, AND RATIONAL US OF MEDICINES: SUDAN STUDY.

Kamal Addin Mohammad Ahmad Idris*, Tasneem Al-tom Al-Talib

ABSTRACT

Medication prescriptions have to be legible, complete and rational.
Many studies in Sudan and globally, proved otherwise. This study main
objectives the assessment of the legibility, completeness and rationality
of outpatient prescriptions in Sudan. Materials and Methods: Three
hundreds and ninety five [395] randomly selected prescription from
different parts of Sudan were studied. Results: the overall average
recorded result for prescriptions legibility was 273 [69.27%], patient’s
demographic elements33[8.44%], prescriber’s identification elements
were 167[42.78%],inscription elements were 240 [60.77%], the results
for the rationality of medicines prescribing based on World Health
Organization [WHO] indicators, revealed that antibiotics
/prescription[55.8%], and prescribing in generic names [47.6%] were
both out of advised WHO limits. The use of injections [21.51%] and the number of medicines/
prescription [1.22] were however within the WHO optimal cut-off limits [1.4-1.8] and [24.1%]
respectively. Pearson Chi-Square Test revealed significant correlations between the use of
medications' trade names and: the number of drugs per prescription [P= 0.019], the use of the
metric system [P=0.000], the number of prescribed antibiotics [p= 0.001], and the legibility of
handwritten prescriptions [p= 0.10]. The prescriber's specialty showed significant correlation
with the use of the metric system in prescriptions [p = 0.005], and injections prescribing
[p=0.02], respectively. Printed prescriptions were significantly correlated with private sector
prescription [p= 0.022].Conclusion: Studied prescriptions were incomplete, not satisfactorily legible, and were only partially rational. All Prescribers, especially the juniors, shall be well and continuously trained on prescribing. Proper prescribing guidelines shall be instituted and enacted.

Keywords: Outpatients, Medical Prescriptions, legibility, Completeness, Rational Prescribing, Sudan.


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