EVALUASI POLA PERESEPAN PADA PASIEN LANJUT USIA MENGGUNAKAN WHO PRESCRIBING INDICATORS

  • Mia N. A. Fatin Universitas Bhakti Kencana
  • ED. Y.M. Pasha Fakultas Farmasi, Universitas Bhakti Kencana, Bandung
  • Khairunnisa Fadhilah Fakultas Farmasi, Universitas Bhakti Kencana, Bandung
  • Vera L. Fitriani UPT Puskesmas Pasundan, Bandung
Keywords: drug prescribing patterns, essential drugs, generic drugs, older

Abstract

Older patients are very susceptible to drug use problems. Drug use problems are related to physiological conditions that affect the pharmacokinetics and pharmacodynamics of the drug. This study aimed to evaluate drug prescribing pattern in older patients at Pasundan Health Center Bandung. Data were retrospectively collected from prescriptions from March to June 2021. The pattern of prescribing drugs was evaluate using the WHO prescribing indicator with five indicators: the number of drugs per prescription, antibiotic use, generic drugs, the percentage of injection preparations, essential drug use. A total of 638 prescriptions met the inclusion criteria. The average number of drugs per prescription is 2.8. The prescription drugs from a total of 1.777 drugs in the form of generic drugs amounted to 83.29%, and essential drugs amounted to 74.28%. The antibiotics and injection use percentage were 11.82% and 0%, respectively. The most frequently prescribed antibiotics were amoxicillin, clindamycin, ciprofloxacin, betamethasone, and miconazole. The most frequently prescribed drugs were amlodipine, paracetamol, diclofenac sodium, chlorpheniramine maleate, and multivitamins. The use of essential and generic drugs was below WHO standard, while the average number of drugs per prescription was above WHO standard.

References

Abdulah, R. et al. (2019) ‘Pattern of medication use in geriatric patients at primary health care facilities in Karawang, Indonesia’, Drug, healthcare and patient safety, 11, p. 1.

Akhavan, B. J., Khanna, N. R. and Vijhani, P. (2020) ‘Amoxicillin’, StatPearls [Internet].

de Anda-Jáuregui, G., Guo, K. and Hur, J. (2019) ‘Network-Based Assessment of Adverse Drug Reaction Risk in Polypharmacy Using High-Throughput Screening Data’, International Journal of Molecular Sciences . doi: 10.3390/ijms20020386.

Barkus, A. and Lisauskien?, I. (2016) ‘Inappropriate habits of antibiotic use among medical specialists and students in Vilnius’, Acta Medica Lituanica, 23(2), p. 135.

Choonara, I. (2013) ‘Rational prescribing is important in all settings’. BMJ Publishing Group Ltd.

Fatin, M. N. A. and Pasha, E. D. Y. M. (2021) ‘POTENSI INTERAKSI OBAT DENGAN OBAT PADA PASIEN DEWASA DENGAN PNEUMONIA’, Journal of Pharmacopolium, 4(2).

Giri, S. and Khan, G. M. (2020) ‘Prescribing pattern and appropriateness of Prescription among elderly patients in tertiary care hospital of western Nepal-A Prospective cross-sectional study’, Asian J Pharm Clin Res, 13(4), pp. 126–131.

Karimi, A. et al. (2014) ‘Evaluation of medicine prescription pattern using World Health Organization prescribing indicators in Iran: A cross-sectional study’, Journal of research in pharmacy practice, 3(2), p. 39.

Kasahun, G. et al. (2020) ‘Evaluation of pattern of drug use in tertiary health care setting in central Tigray Using WHO prescribing indicators’, Adv Pharmacoepidemiol Drug Saf, 9(228), pp. 1052–2167.

Kemenkes RI (2011) Pedoman Pelayanan Kefarmasian untuk Terapi Antibiotik. Jakarta: Kementrian Kesehatan RI.

Kemenkes RI (2019) Kemenkes RI No. HK01.07/MENKES/688/2019 Tentang Daftar Obat Esensial Nasional. Jakarta: Kementrian Kesehatan RI.

Kilipamwambu, A. et al. (2021) ‘WHO/INRUD core prescribing indicators and antibiotic utilization patterns among primary health care facilities in Ilala district, Tanzania’, JAC-Antimicrobial Resistance, 3(2), p. dlab049.

Puspitasari, I. M., Hanifah, A. and Sinuraya, R. K. (2019) ‘Evaluation of Medication Use Patterns among Geriatric Patients using World Health Organization Prescribing Indicators’, Pharmacology and Clinical Pharmacy Research, 4(2), pp. 51–55.

Romana, A. et al. (2012) ‘Polypharmacy leading to adverse drug reactions in elderly in a tertiary care hospital’, mortality, 6, p. 7.

Shrank, W. H. et al. (2011) ‘The use of generic drugs in prevention of chronic disease is far more cost-effective than thought, and may save money’, Health affairs, 30(7), pp. 1351–1357.

Shukuri, A., Tewelde, T. and Shaweno, T. (2019) ‘Prevalence of old age hypertension and associated factors among older adults in rural Ethiopia’, Integrated blood pressure control, 12, p. 23.

Sköldunger, A. et al. (2015) ‘Impact of inappropriate drug use on hospitalizations, mortality, and costs in older persons and persons with dementia: findings from the SNAC study’, Drugs & aging, 32(8), pp. 671–678.

Published
2022-03-22
How to Cite
Fatin, M., Pasha, E., Fadhilah, K., & Fitriani, V. (2022). EVALUASI POLA PERESEPAN PADA PASIEN LANJUT USIA MENGGUNAKAN WHO PRESCRIBING INDICATORS. Jurnal Ilmiah Ibnu Sina, 7(1), 84-91. https://doi.org/10.36387/jiis.v7i1.827
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Artikel