Investigations into Medication Related Problems and Interventions in Self Medication with Antibiotics and Analgesics in Freetown

Brian S. Thompson


Background: There is a lot of public and professional
concern about the irrational use of drugs and so this topic is of
significant public and professional interest. MRPs are a
significant but avoidable (at least to a certain extent) source of
patient morbidity and mortality. Identifying these problems, their
causes and the impact and influence of professional
interventions, will be of significant benefit to the patient and the
health care delivery system and the optimization of
pharmaceutical care and therapeutic outcomes.
Most medication related problems can be avoided and
community pharmacies, as well as hospital pharmacies are
assuming an active role in preventing and intervening in
medication related problems.
Objective: to investigate Medication Related Problems
(MRPs) in self medication with antibiotics and analgesics and the
impact of interventions in handling the problems encountered.
Method: The study covered 6 selected community
pharmacies and one government hospital pharmacy in Freetown
and was done using the Pharmaceutical Care Network of Europe
(PCNE) Classification System as instrument. The classification is
for use in research into the nature, prevalence, and incidence of
MRPs and also as a process indicator in experimental studies of
Pharmaceutical Care outcomes. It is also meant to help health
care professionals to document MRP-information in the
pharmaceutical care process.
Results: Medication related problems in self- medication
with analgesics andantibiotics were common amongst formally
educated (48 %) and informally educated (illiterate patients)
(52%)percent .However ,educational level ,age and sex as
combined factors influenced the awareness of health and diseases
of patients. Interventions by Pharmacy professionals can
significantly reduce mrps and the morbidity and in Conclusion: It was concluded from the study that MRPs
abound in self-medication even amongst educated people, but the
availability of health care professionals who are ready to render
pharmaceutical care and counselling can significantly minimize
the occurrence.

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