Research Article

Core Prescribing Indicators and the Most Commonly Prescribed Medicines in a Tertiary Health Care Setting in a Developing Country

Table 2

In-ward, outpatient clinic, and combined prescribing indicators in the five disciplines.

Prescribing indicator (WHO recommended standard)Mean ± SD/Number (%)
Clinical MedicineGynaecology and ObstetricsPaediatricsPsychiatrySurgeryAll disciplines

Average medicines per encounter (1.6–1.8)
 In-ward7.8 ± 4.2 (8.5; 1–22)4.3 ± 2.9 (4; 1–15)∗†‡3.1 ± 2.6 (3; 1–18)∗†‡6.2 ± 1.6 (4; 1–13)7.0 ± 4.0 (6.5; 1–19)5.7 ± 4 (5; 1–22)
 Outpatient clinic7.8 ± 2.7 (7.5; 1–14)∗†\3.2 ± 1.4 (4; 1–7)2.6 ± 1.3 (2; 1–8)2.7 ± 1.6 (2; 1–7)2.0 ± 1.0 (2; 1–6)3.8 ± 2.8 (3; 1–14)
 Both7.8 ± 3.8 (7; 1–22)∗†‡3.7 ± 2.4 (3; 1–15)2.8 ± 1.9 (2; 1–18)†‡4.4 ± 2.9 (3; 1–13)4.5 ± 3.8 (3; 1–19)4.8 ± 3.6 (4; 1–22)

Encounters with an antibiotic (%) (20–26.8%)
 In-ward85 (53.1)∗†50 (31.2)25 (21.2)†‡15 (37.5)106 (66.2)∗‡281 (44.0)
 Outpatient clinic15 (9.4)18 (11.2)15 (9.4)019 (11.9)67 (9.8)
 Both100 (31.2)∗‡68 (21.2)40 (14.4)15 (18.8)125 (39.1)∗‡348 (26.4)

Encounters with an injection (%) (13.4–24.1%)
 In-ward116 (72.5)∗†66 (41.2)∗‡62 (52.5)†#11 (27.5)†#117 (73.1)‡#372 (58.3)
 Outpatient clinic23 (14.4)∗†1 (0.6)01 (2.5)025 (3.7)
 Both139 (43.4)∗†‡67 (20.9)∗‡#62 (22.3)†¥12 (15.0)117 (36.6)397 (30.1)

Medicines prescribed in generic name (%) (100%)
 In-ward1077 (86.4)∗†‡625 (91.5)328 (89.9)230 (93.1)1018 (90.8)3278 (89.5)
 Outpatient clinic1152 (92.1)∗†‡492 (96.3)319 (75.8)†‡108 (99.1)310 (95.4%)2381 (91.0)
 Both2229 (89.2)∗†‡1117 (93.6)647 (82.3)338 (94.9)1328 (91.8)5659 (90.1)

Medicines prescribed from EML (%) (100%)
 In-ward1146 (91.9)∗†649 (95.0)316 (86.6)∗†182 (73.7)∗†1084 (96.7)3377 (92.2)
 Outpatient clinic1111 (88.8)∗†487 (95.3)∗†357 (84.8)84 (77.1)∗†308 (94.8)2347 (89.7)
 Both2257 (90.4)∗†1136 (95.1)673 (85.6)∗†266 (72.9)∗†1392 (96.3)5724 (91.1)

∗†‡Values in a single row with the same symbol are significantly different from one another; EML, essential medicines list; SD, standard deviation.