Pharmacists’ interventions on corticosteroids use

Excerpt:


J. Pharm. Pharmacogn. Res., vol. 12, no. 4, pp. 606-614, Jul-Aug 2024. DOI: https://doi.org/10.56499/jppres23.1929_12.4.606 Original Article Clinical pharmacists’ interventions on the appropriate prescription of corticosteroids at a medical center in Vietnam between 2022 and 2023 [Intervenciones de los farmacéuticos clínicos sobre la prescripción adecuada de corticosteroides en un centro médico de Vietnam entre 2022 y … Continue reading Pharmacists’ interventions on corticosteroids use

J. Pharm. Pharmacogn. Res., vol. 12, no. 4, pp. 606-614, Jul-Aug 2024.

DOI: https://doi.org/10.56499/jppres23.1929_12.4.606

Original Article

Clinical pharmacists’ interventions on the appropriate prescription of corticosteroids at a medical center in Vietnam between 2022 and 2023

[Intervenciones de los farmacéuticos clínicos sobre la prescripción adecuada de corticosteroides en un centro médico de Vietnam entre 2022 y 2023]

Duyen Thi My Huynh1, Duong Nguyen2, Quang Loc Duyen Vo3*, Van De Tran4

1Department of Pharmaceutical and Pharmaceutical Technology, Faculty of Pharmacy, Can Tho University of Medicine and Pharmacy, Can Tho 900000, Vietnam.

2Vinh Thuan Medical Center, Vinh Thuan, Kien Giang 920000, Vietnam.

3Department of Chemistry, College of Natural Sciences, Can Tho University, Campus II, 3/2 Street, Can Tho 900000, Vietnam.

4Department of Health Organization and Management, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu, Can Tho 900000, Vietnam.

*E-mail: vqlduyen@ctu.edu.vn

Abstract

Context: The appropriate description of corticosteroids is an important issue in hospitals because this is a widely used drug. Clinical pharmacists’ interventions can help improve the rational prescription of corticosteroids.

Aims: To evaluate clinical pharmacists’ interventions on appropriate prescription of corticosteroids at a medical center in Vietnam from 2022 to 2023.

Methods: An interventional and cross-sectional descriptive study was conducted from January 1, 2022, to June 30, 2023.

Results: There were 726 patients (363 patients before intervention and 363 patients after intervention) and 22 doctors included in this study. The proportion of appropriate prescriptions of corticosteroids increased from 89% in pre-intervention to 96.4% in post-intervention. The portion of appropriate prescriptions of corticosteroids regarding contraindications went up from 62.5% in pre-intervention to 83.2% in post-intervention. The percentage of appropriate prescriptions of corticosteroids in terms of dosage and usage rose from 69.1% in pre-intervention to 85.7% in post-intervention. The general rationality grew from 46.3% to 81.3%. Doctors aged less than 30 years old with a bachelor’s degree, 2-5 years of working experience, and not participating in training were more likely to prescribe corticosteroids inappropriately than other groups (p<0.05).

Conclusions: Clinical pharmacists' interventions have increased the rate of appropriate corticosteroid prescriptions at a medical center in Vietnam. Effective clinical pharmacists’ interventions help improve the percentage of appropriate use of corticosteroids, so they need to be concerned in the future.

Keywords: corticosteroids; clinical pharmacist; outpatient; prescription; Vietnam.

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Resumen

Contexto: La descripción adecuada de los corticosteroides es una cuestión importante en los hospitales porque se trata de un fármaco muy utilizado. Las intervenciones de los farmacéuticos clínicos pueden ayudar a mejorar la prescripción racional de corticosteroides.

Objetivos: Evaluar las intervenciones de los farmacéuticos clínicos sobre la prescripción adecuada de corticosteroides en un centro médico de Vietnam de 2022 a 2023.

Métodos: Se realizó un estudio descriptivo intervencional y transversal del 1 de enero de 2022 al 30 de junio de 2023.

Resultados: Hubo 726 pacientes (363 pacientes antes de la intervención y 363 pacientes después de la intervención) y 22 médicos incluidos en este estudio. La proporción de prescripciones apropiadas de corticosteroides aumentó del 89% en la preintervención al 96,4% en la postintervención. La proporción de prescripciones apropiadas de corticosteroides en relación con las contraindicaciones subió del 62,5% en la preintervención al 83,2% en la postintervención. El porcentaje de prescripciones adecuadas de corticoesteroides en cuanto a dosis y uso pasó del 69,1% en la preintervención al 85,7% en la postintervención. La racionalidad general creció del 46,3% al 81,3%. Los médicos de menos de 30 años, licenciados, con 2-5 años de experiencia laboral y que no participaban en cursos de formación eran más propensos a prescribir corticosteroides de forma inadecuada que otros grupos (p<0,05).

Conclusiones: Las intervenciones de los farmacéuticos clínicos han aumentado el porcentaje de prescripciones adecuadas de corticosteroides en un centro médico de Vietnam. Las intervenciones eficaces de los farmacéuticos clínicos contribuyen a mejorar el porcentaje de uso apropiado de corticosteroides, por lo que es necesario prestarles atención en el futuro.

Palabras Clave: corticosteroides; farmacéutico clínico; pacientes ambulatorios; prescripción; Vietnam.

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Citation Format: Huynh DTM, Nguyen D, Vo QLD, Tran VD (2024) Clinical pharmacists’ interventions on the appropriate prescription of corticosteroids at a medical center in Vietnam between 2022 and 2023. J Pharm Pharmacogn Res 12(4): 606–614. https://doi.org/10.56499/jppres23.1929_12.4.606
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