Enliven: Pharmacovigilance and Drug Safety

Evaluation of Patients Pharmaceutical Care Needs Unmet and Its Contributing Factors in Medical Ward of Bedelle General Hospital, South Western, Ethiopia: A Prospective Observational Study
Author(s): Gudisa Bereda, and Gemechis Bereda

Abstract
Background: Pharmaceutical care is the responsible provision of drug therapy for the purpose of achieving definite outcome that improve a patient’s quality of life. Drug related problems are relatively common in hospitalized patients and can result in patient morbidity and mortality, and increased costs besides their alarming rise among patients who are in medical ward chronic disease.

Objective: To determine evaluation of patient pharmaceutical care needs not meet and its contributing factors in medical ward of Bedelle General Hospital.

Methods: A hospital based prospective observational study design was carried out from April 12/2021 to June 19/2021.Relevant social-demographic information, clinical characteristics were recorded in face-to-face interviews by using semi-structured questioner, and then the collected data was coded and analyzed by statistical packages for social sciences 25.0 version statistical software. Logistic regression was used to look for significant associations, and P value <0.05 was used to declare association.

Results: The overall prevalence of drug therapy problems among medical ward was 81(52.6%).A total of 154 patients were included. Of which, 47(61.8%) of them were age <50 years. From 312 disease type identified the majority of participants had cardiovascular disorders 76(24.5%), and renal disorders 64(20.5%). From the 1146 drugs identified ceftriaxone 203(17.7%) was the most commonly encountered in the medical wards followed by enal april 117(11.3%).Ineffective drug therapy 20(24.7%) was highly occurred type of drug therapy problems followed need for additional treatment 15(18.5%). Poly pharmacy ≥ 5 medications, ≥5 days, length of hospital stay, comorbidities, and drug interaction were variables which significantly associated with presence of drug therapy problem.

Conclusion and Recommendation: The overall prevalence of drug therapy problems among medical ward was high. Hospital and ministry of Health should have established drug therapy guideline to minimize the occurrence of drug therapy problems and to establish pharmaceutical care services for better patient care.