ORIGINAL ARTICLE
Year : 2021  |  Volume : 20  |  Issue : 3  |  Page : 221-224

Detection and solving of drug therapy problems: a clinical pharmacist experience from a specialized nephrology clinic in Egypt


1 Clinical Pharmacist, Gawad Nephrology Clinic, Alexandria, Egypt
2 Nephrology Consultant, Gawad Nephrology Clinic, Alexandria, Egypt
3 Nephrology Specialist, Davita Kidney Care, Khobar, Saudi Arabia

Correspondence Address:
MD Mohammed A Abdel Gawad
Gawad Nephrology Clinic, 237, Port Said Street, Cleopatra, Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/epj.epj_17_21

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Background Clinical pharmacists (CPs) play a vital role in detecting and solving drug therapy problems (DTPs). This is a common practice in hospitals; however, it can be applicable for outpatient settings as well. Patients with chronic kidney disease (CKD) usually have multiple medication prescriptions and are at greater risk of medication errors (MEs) and/or DTPs. Objectives The aim of this work is to assess the prevalence of DTPs among prescriptions for patients with CKD attending for outpatient nephrology consultation and to highlight the role of CPs team in outpatient settings. Patients and methods This is a chart review study conducted at a private specialized nephrology clinic in Alexandria, Egypt. After taking informed consent from participants to use their medical data, CPs collected and evaluated 550 prescriptions for possible DTPs. Prescriptions were ordered by different health care providers for 49 adult patients with CKD who attended the clinic from April to November 2019. Data were classified and subcategorized accordingly. Statistical analysis was done, and results were expressed in numbers and percentages. Results and conclusion Of 550 reviewed prescriptions, 122 (22.2%) DTPs were detected and solved. Dosage regimen ranked the top DTP 40 (32.8%), and it was mainly related to: (a) vitamins, minerals, and dietary supplements’ prescriptions [23 (18.9%)], (b) antihypertensive medications [20 (16.40%)], and (c) circulatory enhancers [11 (9.02%)]. To conclude: suboptimal dosing regimens are common problems encountered by the CPs team during routine patient care. CPs provided direct outpatient patient care, solved DTPs, and prevented possible MEs.


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