Indicators of rational use of medicines. Rational Use of Drugs WHO Indicators for PHC •WHO/INRUD health facility prescribing indicators • Average number of medicines per encounter • % of medicines prescribed by generic name • % of encounters with an antibiotic prescribed • % of encounters with an injection prescribed The International Network for Rational Use of Drugs has also been involved in developing training materials and promoting many courses on improving use of medicines. 2017 Dec;96(51):e9308. These indicators comprise of: Prescribing indicators, patient care indicators and facility indicators. The World Health Organization (WHO) defines rational use of medicines as “patients receive medications appropriate to their clinical needs, in doses that meet their own individual requirements, for an adequate period of time, and at the lowest cost to them and their community” [].According to the WHO, more than 50 % of all medicines are prescribed, dispensed or sold … [1] The thought of rational drug use throughout the earlier period was the premise of diverse national & international gatherings. Describe the main consequences of the non-rational use of medicines. The study aims to measure the performance of 10 primary health care centers (PHCCs) in Alexandria, Egypt regarding the use of drugs using the WHO/INRUD drug use indicators: prescribing, patient care and facility-specific indicators. Appropriate use of medicine is an essential element in delivering quality of life for patients and the community as a whole. J Res Pharm. In the 1990s, the World Health Organization (WHO) in collaboration with the International Network of Rational Use of Drugs (INRUD) developed a set of indicators to measure the performance of healthcare facilities related to the utilization of drugs (World Health Organization 1993). 1. Article citations. When analyzing the indicators of rational use of medicines according to age group, there was a significant association between the number of drugs per encounter and patient age (chi-square test with adjusted standardized residuals, P = 0.001). oration with the International Network of Rational Use of Drugs (INRUD) developed standard indicators to evaluate drug use practices at healthcare centers [10]. Study of three pilot health centers in south east in kampong thom province. 1 Drug Information Center, Faculty of Pharmacy, Tanta, Egypt. Mansour NO 1 * and El-Hefnawy ME 2. Odusanya OO. WHO and the international network for rational use of drugs (WHO/INRUD) developed a list of rational use of medicines indicators, which were widely used to assess irrational or inappropriate prescribing ( Ross-Degnan et al. Irrational use of drugs was observed in all healthcare facilities. These WHO core drug use indicators are developed to be used as measures of performance in three common areas associated to the rational use of drugs in primary care: The indicators of prescribing practices measure the performance of health care provider in several key proportions associated to the appropriate use of drugs. ... Three of the four WHO/INRUD indicators did not meet Namibian or WHO targets: antibiotic prescribing, average number of medicines per prescription and generic prescribing. The WHO has developed several indicators to evaluate the practices of drug use. Describe non-pharmacological factors that determine medicine use. Poor continuing update leading to decreased awareness has been quoted as a major … BACKGROUND/OBJECTIVE: Medicines (drugs) are a critical component in the prevention and treatment of diseases. and Bello, I.K. Drug use indicators have been established by the World Health Organization and the International Network for Rational Use of Drugs (WHO/INRUD) . doi: 10.1097/MD.0000000000009308. Nig J Comm Med Pri Health; Care. Southeast Asian J Trop Med Public Health. The present definition of rational use was agreed at an international confer-ence in Kenya in 1985. been done by World Health Organization (WHO) and the International Network on Rational Use of Drugs (INRUD) in providing tools for such measurements. In 1989, the International Net-work for the Rational Use of Drugs (INRUD) was formed to conduct multi-disciplinary intervention research projects to promote more rational use of medicines (email: [email protected] website: inrud). Medicines are essential requirements for the optimal care of patients. Development of indicators for assessing rational drug use to treat community-acquired pneumonia in children in hospitals and clinics: A modified Delphi study. This study necessitates the need to implement the WHO/INRUD recommended 12 core interventions to promote rational use of medicines. According to a fact sheet by WHO (May, 2010) about the rational use of medicines, more than 50% of all medicines are not correctly prescribed, dispensed, and sold; and more than 50% of patients take their drugs incorrectly. This is a pilot, retrospective, observational, quantitative drug utilization evaluation study to assess rational use of drugs according to the standard prescribing indicators developed by world health organization in collaboration with international network of rational use of drugs (WHO/INRUD prescribing indicators). (2016) World Health Organization Indicators for Rational Use of Drugs in a Nigerian Secondary Hospital. The international network for rational use of drugs comprises a set of indicators called "drug use indicators" that can be used to assess rational drug use by the patient, health professionals and drug use managements at facility level. 2002;33(2):418-424. Background and objective. List the three main types of indicators for medicine use. However, the degree of the problem is higher in developing countries like Ethiopia. The main objective of this work was to document and compare prescribing patterns in two teaching hospitals in Lagos State using WHO/INRUD developed indicators. 1992 ; WHO 1993). Keywords: Primary healthcare center, Rational, Irrational, Use of drugs, WHO/INRUD core drug use indicators, Prescribing Journal of Pharmaceutical Sciences, 6, 38-47. has been cited by the following article: This study was conducted to assess progress with rational use of medicines at primary care level using recommended indicators. Rational: Studies conducted showed that there were gaps regarding the rational use of medicines (RUM).Aims and objectives: Evaluate RUM in main government hospitals in four emirates in UAE, using WHO prescribing indicators.Method: Multicenter prospective cross-sectional comparative study was conducted in 4 hospitals in 4 different Emirates in UAE. Their rational use is important to maximize their benefits and prevent undesirable effects. More>> Bello, S.K., Ojieabu, W.A. 2 Primary Health Center for Motherhood and Childhood, Tanta, Egypt *Corresponding Author: Noha Osama Mansour Drug Information Center, Faculty of Pharmacy Key words: Rational drug use, World Health Organization (WHO) indicators, facility indicators, patient care indicators INTRODUCTION Rational use of drugs requires that “patients’ receive prudence”. A mean of 2.8 (SD 0.2) drugs were prescribed per prescription, with a low rate of prescribing drugs by generic name (39.2%). They are broadly divided into two groups, namely, core and complementary indicators. Medicine (Baltimore). Chareonku C, Khun LV, Boonshuyar C. Rational drug use in Cambodia. The International Network for Rational Use of Drugs was formed in 1989 and at that time was comprised of ten groups from Africa and Asia. Background: Irrational use of drugs has been one of the major problems around the globe. Impact of focused workshops on rational use of drugs. The dispensing time of drugs in this study was also good (6.56 ± 5.43 SD min) as compared to WHO recommendation which is > 3 min. WHO standard indicators of rational drug use, this study analysed 550 prescriptions from 20 health facilities at different levels throughout Hadramout governorate, Yemen. Explain the main features of educational, managerial and regulatory approaches to medicine use intervention. Appropriate use of drugs is one essential element in achieving quality of health and medical care for patients and the community. A major reason for this could be lack of easy availability of adequate and unbiased information to the physician. Introduction Rational use of drugs can be defined as prescribing the right drug, in sufficient dose for the adequate duration and suitable to the clinical requirements of the patients at least cost. INRUD (International Network for Rational Use of Drugs) INRUD (International Network for Rational Use of Drugs) Printer Friendly Version. Rational Use of Drugs in Egypt According to the Standard WHO Prescribing Indicators: Pilot Baseline Situational Analysis. Thomas M, Cherian AM, Mathai D. Problem statement: The selection and use of drugs in health care facilities is not always optimal. This study necessitates the need to implement the WHO/INRUD recommended 12 core inte rventions to promote rational use of medicines. Though originally developed to assess drug use pat-terns in primary healthcare centers, these indicators have been used at tertiary healthcare facilities for similar purposes [11–13]. 2020; 24(3): 361-367. The aim of this study was to assess the prescription patterns, rationality of analgesics and frequency of antibiotic use at the hospital, using WHO core drug use indicators. Drug use indicators at a secondary health care facility in Lagos, Nigeria. 2004;16(1):21-24. Journal of Research in Pharmacy Research Article www.jrespharm.com How to cite this article: Mugada Vinodkumar, Kolakota Rajkiran, Abdul Rasheed, Sai Srinivas Kamireddi.Assessment of rational use of drugs using World Health Organization prescribing and patient care indicators in a tertiary care hospital. Conclusions: Irrational use of drugs was observed in all healthca re facilities.