Dr. Usman Ahmad Raza, MS, Assistant Professor in Community Health Sciences, Peshawar Medical College, Peshawar, Pakistan.
Dr. Tayyeba Khursheed, MBBS, House Physician, Department of Medicine, Islam Teaching Hospital, Sialkot, Pakistan.
Pak J Med Sci. 2014 May;30(3):462-5. doi: 10.12669/pjms.303.4931.
To find out prescription patterns of general practitioners in Peshawar.
Cross-sectional survey of drug prescriptions was done at six major hospitals and pharmacies of Peshawar between April and May 2011. A total of 1097 prescriptions that included 3640 drugs, were analyzed to assess completeness, average number of drugs, prescription frequency of various drug classes, and number of brands prescribed.
No prescription contained all essential components of a prescription. Legibility was poor in 58.5% prescriptions. Physician's name and registration number were not mentioned in 89% and 98.2% prescriptions respectively. Over 78% prescriptions did not have diagnosis or indication mentioned. Dosage, duration of use, signature of physician and directions for taking drugs were not written in 63.8%, 55.4%, 18.5% and 10.9% of prescriptions respectively. On average each prescription included 3.32 drugs. Most frequently prescribed drug classes included analgesics (61.7%), anti-infective agents (57.2%), multi-vitamins (37.8%) and gastrointestinal drugs (34.4%). We found 206, 130, 105 and 101 different brands of anti-infective agents, gastrointestinal drugs, analgesics and multivitamins being prescribed.
We observed a high number of average drugs per prescription mostly using brand names, and over-prescription of analgesics, antimicrobials, multivitamins and anti-ulcer drugs. Quality of written prescriptions was poor in terms of completeness.
了解白沙瓦全科医生的处方模式。
2011 年 4 月至 5 月，在白沙瓦的六家主要医院和药店进行了横断面调查。共分析了 1097 份处方，包括 3640 种药物，以评估处方的完整性、平均用药数量、各类药物的处方频率以及开出处方的品牌数量。
没有一份处方包含处方的所有必要成分。58.5%的处方字迹不清。89%的处方未注明医生姓名和注册号码，98.2%的处方未注明。超过 78%的处方未注明诊断或适应症。63.8%、55.4%、18.5%和 10.9%的处方分别未写明剂量、使用期限、医生签名和用药说明。平均每张处方包括 3.32 种药物。最常开的药物类别包括镇痛药（61.7%）、抗感染药（57.2%）、多种维生素（37.8%）和胃肠药（34.4%）。我们发现开出处方的抗感染药、胃肠药、镇痛药和多种维生素的品牌分别有 206、130、105 和 101 种。
我们观察到每张处方的平均用药数量较多，且多使用品牌药物，镇痛药、抗生素、多种维生素和抗溃疡药的过度处方现象较为普遍。从完整性的角度来看，书面处方的质量较差。
