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OBJECTIVETo assess medicine use practices by using WHO prescribing and patient care indicators in Mbagathi Hospital outpatient department.DESIGNA hospital based retrospective study.SETTINGMbagathi District Hospital outpatient department between 1st January to 30th June 2012.MAIN OUTCOME MEASURESMeasures used in this study included, total number of medicines in a prescription, proportion of medicines in the essential drug list, proportion in generic names, proportion with injectables and antibiotics and percentage actually dispensed.RESULTSTotal number of drugs prescribed was 1,506. On average, each patient was prescribed 3.85 types of drugs. A total of 835 drugs were prescribed by generic name, accounting for 25.6% of total number of drugs prescribed (1,506). Out of 391 sampled prescriptions, 266 had antibiotics accounting for (68.0%). A relatively small proportion of the prescriptions, 9.5% had an injection. A total of 1,087 drugs were prescribed according to the essential drugs list or formulary, accounting for 72.2% of total number of drugs prescribed (1,506). Only 55.2% of total medicines prescribed were actually dispensed and the rest were out of stock.CONCLUSIONThe prescribing practices in this study are not satisfactory, as suggested by polypharmacy, over prescription of antibiotics, prescribing by brand names and lack of awareness of essential drugs list.

east african medical journal

Characterisation of Bacterial Isolates from Patients Wounds and Environmental Factors Predictive of Post-Surgical Infections at the Orthopaedic Ward in Ile-Ife, Nigeria