Effect of Pediatric Pharmaceutical Care by Ward Based Clinical Pharmacist
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Abstract
Introduction: Pediatric patients represent a population as adults patients to have the risk for drug-related problems (DRPs) but the pediatricsv DRPs are three times more likely to develop serious consequences than those of adults. Pediatric pharmaceutical care (PPC) includes all of the activities carried out by clinical pharmacists to identify, resolve and prevent actual or potential DRPs. This study focused on the effect of PPC by ward-based clinical pharmacist in pediatric ward at Somdejprasangkharach XVII Hospital. The objective of this study was to compare the frequency and categories of DRPs in pediatric patients with and without PPC. Moreover, it was to assess howphysicians accepted interventions to solve DRPs. Methods: A quasi-experimental research was performed. Patients aged between0-5 years old who were admitted to pediatric ward at Somdejprasangkharach XVII Hospital during 1 November 2015n30 April 2016 were the samplers. PPC by ward based clinical pharmacist was established on February 2016. DRPs of 3 month-periods without PPC (No-PPC) and with PPC by ward based clinical pharmacist were compared. Results: There were 435 and 393 patients in No-PPC and PPC group respectively. It was found that the DRPs per 1,000 patient days was76.45 in No-PPC and 59.49 in PPC group. Dosing problems were the most frequently presented in both groups. The majority of DRPs was ranked as reached the patient, but these DRPs did not cause any harm (76.11%and 41.20%; No- PPC and PPC respectively). The majority of clinical pharmacistvs interventions to solve DRPs were accepted by physicians (83.12%). Conclusion: DRPs could be prevented and reduced by PPC by ward based clinical pharmacist
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