Pharmacy
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- ItemTHROMBOPROPHYLAXIS IMPACT IN PATIENTS UNDERGOING MAJOR ORTHOPEDIC SURGERY IN SUDAN(2020-07-15)Objective: Venous thromboembolism is an important complication of major orthopedic surgery. The aim of present study was to investigate the efficacy of the currently used thromboprophylaxis protocol, determine the incidence of VTE post operatively and the risk factors behind it in patients undergoing major orthopedic surgery. Methods: A retrospective descriptive study for 403 patients underwent major orthopedic surgery from July 2013 to July 2014 in main hospitals in Khartoum state where major orthopedic surgery performed. Data were collected using observation checklist and analyzed using SPSS version 22 to study the association between the type of surgery, patient’s risk factors, choice and duration of thromboprophylaxis and development of VTE after major orthopedic surgery. Results: Total 403 patients were incorporated the study, 2.73% were diagnosed with DVT developed within 5 days post operatively. 1.64% of the patients not received any type of thromboprophylaxis, 0.27% wore compression stocking. Pharmacological methods were used in the rest of the patients, 96.72% administered to them enoxaparine. 75.95% of the patients presented with one or more than one risk factors for VTE other than the orthopedic surgery. 4% of patients received thromboprophylaxis for more than 14 days while 96% received it for 3-5 days. The incidence of DVT was higher in diabetic patients (p- value= 0.03) and hypertensive (p- value= 0.046) who aged ≥60 years. Conclusion: Results showed that VTE was a significant complication of major orthopedic surgery, despite the use of thromboprophylaxis and the incidence was 2.73% in our study.
- ItemThe rationality of anti-malaria drug prescriptions and its conformity with the national protocol for treatment of malaria in Wad Medani, Sudan(National College, 2010)This study was conducted at Wad Medani, Gezera State, Sudan in February 2010, to determine the pattern of anti malarial drugs prescriptions and to test their conformity to the National Protocol for treatment of malaria. One hundred sixty prescriptions were collected and reviewed. The majority of prescriptions (95.6%) were written by house officers and medical officers. The most common anti-malarial drug prescribed was “Artesunate 100 mg and Sulfadoxine 500 mg, Pyrimethamine 25 mg” combination (75%) followed by Quinine injections (15.6%) Artmether injections (5.6%), Lumefantrine and Artemether combination (1.9%) and Quinine tablets (1.9%). This study revealed that although most of the prescriptions conform to the National Protocol for treatment of malaria, regarding the first line therapy of uncomplicated malaria, most prescriptions were irrational (61.2%)
- ItemTHE PRACTICE AND PERCEPTION OF HOSPITAL PHARMACISTS TOWARDS ERRORS IN DISPENSING MEDICINES AND THEIR POSSIBLE CAUSES IN OMDURMAN MILITARY HOSPITAL, SUDAN(2020-11-15)Introduction: Hospital pharmacies dispensing errors are common and investigating them for identifying factors involved in it and developing strategies to minimize their occurrence. Errors can arise at any stage during the dispensing process. Dispensing errors were identified by checking the prescribed drug against the dispensed medication. Materials and Methods: A cross sectional study involving 100 pharmacists who were administered a survey research designed to assess pharmacists' attitudes, factors associated with DEs and involvement in DE, conducted between 1st January 2019 and 1st February 2019 at Omdurman Military Hospital (OMH) Pharmacies. A data analyzed by Statistical Package for Social Sciences software version 21. Results: 55% from the pharmacists in the study have poor attitude toward dispensing errors. The most common factors influencing dispensing errors as stated by participants were lack of therapeutic training (stated by 81%), 62% from the participants stated that workload and time pressure are causes of dispensing errors in area of factors associated with the work environment. 48% from the pharmacists in the study committing dispensing errors, 41.7% from them committed dispensing errors once while 23% committed fourth or more. Conclusion: With the multiplicity of risk factors in our environment, there is urgent need to reinforce the training of pharmacists and the provision of resource materials and enabling work environment aimed at minimizing medication errors.
- ItemSUDANESE PHARMACY STUDENTS: CAREER INTENTIONS, EXPECTATIONS AND FACTORS AFFECTING THEIR CHOICES(2021-01-15)Objectives: Pharmacy is a profession with wide careers. The desires to study pharmacy affect selection of pharmacy careers. Despite that in the last years pharmacy careers had developed and expanded , majority of the pharmacists end up in hospital or community pharmacy that create imbalance in distribution of pharmacists and shortage in work force. This may be due to career pathways were not clearly addressed as part of the pharmacy curriculum. Objective of present study was to assess final year pharmacy student’s career intentions, expectations and factors affecting their choices in Khartoum state. Material and Methods: This study is an observational cross-sectional, study conducted during the period of time from September 2017 to April 2018 for 257 final year pharmacy students selected by non-random convenient sampling in the four universities, data analyzed using SPSS version 21. Results: There were wide factors can affect students to study pharmacy; family was the most effective factor (46.7%) and the desire to work in medical profession (44.4%). Approximately 53% of the students are satisfied with studying pharmacy. The level of satisfaction was significantly associated with gender and whether pharmacy was their first choice. (P value =0.001). There was significant different in response of career intention regarding attendance in career advice sessions (P =0.035). Student's opinions about each career were as follows: community pharmacy as the most familiar (69.3%), academia as the most prestigious (31.1%), clinical pharmacy as the most stressful (32.3%), marketing and industrial pharmacy as the ones with highest salary (59.5% and 22.2%) and regulatory affairs as the most unfamiliar career (69.6%). There was significant different between career intention and salary (P value =0.00). Conclusion: The most intended careers were hospital and marketing. Personal desire, chances for development, working environment and salary were the most factors affecting student's career intention. Career advice program should be incorporated into the curriculum.
- ItemSUDANESE EXPERIENCE OF HERBAL FORMULAS USED DURING COVID-19 INFECTION(2020-11-15)Objectives: Corona virus disease 2019 (COVID-19) outbreak is recent worldwide disaster which is considered by the WHO as Public Health Emergency of International Concern (PHEIC). Method: A quick survey was done in Khartoum state for the commonly utilize herbs and the succeeded formulas, 652 people participated in this survey either they use these herbs for themselves or their relative use it during the symptoms of COVID-19. Results: A 652 people participated in the quick survey for the commonly utilized herbs & the succeeded formulas either they use these herbs for themselves or their relative use it during the symptoms of COVID-19. Other products used as additives include (honey, vinegar, sesame oil, olive oil and salt). Conclusion: Sudanese experience that various traditional herbs, usage and different route of administration can effectively alleviate primary symptoms e.g. fever, cough, fatigue and reduce probability of developing severe conditions.