Evidence map›Paper›PMID 32799981›Full record

ArticlePrimary health care research & development2019

Primary health care physicians' prescribing patterns for children under five in Qassim, Saudi Arabia.

Saulat Jahan, Abdullah Mohammed Al-Saigul, Salih Ahmed Hamdelsseed

Open access · goldAbstract read
In one paragraph

Article in Primary health care research & development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Community ophthalmology clinic utilization and morbidities results from a private primary healthcare center in Saudi Arabia.Saudi journal of ophthalmology : official journal of the Saudi Ophthalmological Society
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Saulat JahanPublic HealthSpecialist, Research and Information Unit, Public Health Administration, Qassim, Saudi Arabia.
Abdullah Mohammed Al-SaigulChief, Research and Information Unit, Public HealthAdministration, Qassim, Saudi Arabia.
Salih Ahmed HamdelsseedTechnical Supervisor, Buraidah Sector, Public HealthAdministration, Qassim, Saudi Arabia.
Qassim University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIrrational prescription of drugs in children is reported to be widespread. There are scarce studies on the pediatric prescribing pattern especially at primary health care (PHC) level.

aimTo determine the physicians' prescribing patterns for children under five years, to explore completeness of prescriptions' recorded information, and to analyze the core indicators of drug prescribing at primary health care centers (PHCC) in Qassim.

methodsThis cross-sectional study was conducted on 25 randomly selected PHCCs. All prescriptions, for the first week of first six months of the year 1437 Hijrah (October 2015 to April 2016), were reviewed. Among 25 012 prescriptions, 4125 (16.5%) were for children under five years. We randomly selected 1212 prescriptions for the study. World Health Organization (WHO) specified drug use indicators, and index of rational drug prescribing (IRDP) with a maximum value of 5, were calculated. The physicians and pharmacists of sampled PHCCs were also surveyed to explore prescribing issues.

findingsThe completeness of recorded date, patient age, and gender was more than 90%. The diagnosis was legibly written in 842 (69.5%), while the patient weight was recorded in 307 (25.3%) prescriptions. The least commonly recorded instruction was the drug strength (26.8%), while the dose and frequency of use were stated for 91.3% and 90.8% of the drugs, respectively. The average number of drugs per prescription was 2.35 ± 0.89; 72.97% drugs were prescribed by generic name; in 65.98% patient encounters, antibiotics were prescribed. The overall IRDP was 3.56. Most of the physicians and pharmacists reported availability of the drug list and Saudi PHC formulary in their PHCCs.

conclusionPHC physicians' drug prescribing was not at the optimal level of rational use, especially regarding prescription of antibiotics. Creating awareness about rational drug use and hazards of overuse of antibiotics is needed.

Indexed as

AdultAnti-Bacterial AgentsBacterial InfectionsChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleMiddle AgedPediatriciansPediatricsPhysicians, Primary CarePractice Patterns, Physicians'Primary Health CareAnti-Bacterial Agentsdrug prescribingprimary care physicianprimary health careSaudi Arabia

Identifiers

PMID32799981
PMCPMC8060844
OpenAlexW2954350983

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.