The status of drug wastage in the pediatric emergency department of a tertiary hospital

Background: The aim of this study was to evaluate surplus drugs left over from medications used via the intravenous and intramuscular routes in a pediatric emergency unit of a tertiary hospital in Turkey and to determine the financial burden imposed by drug wastage. Materials and Methods: The study...

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Main Authors: Ibrahim Hakan Bucak, Habip Almis, Cagla Nur Dogan, Mehmet Turgut
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-01-01
Series:Avicenna Journal of Medicine
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_58_19
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author Ibrahim Hakan Bucak
Habip Almis
Cagla Nur Dogan
Mehmet Turgut
author_facet Ibrahim Hakan Bucak
Habip Almis
Cagla Nur Dogan
Mehmet Turgut
author_sort Ibrahim Hakan Bucak
collection DOAJ
description Background: The aim of this study was to evaluate surplus drugs left over from medications used via the intravenous and intramuscular routes in a pediatric emergency unit of a tertiary hospital in Turkey and to determine the financial burden imposed by drug wastage. Materials and Methods: The study was planned prospectively on patients presenting to the pediatric emergency department of a tertiary university hospital between January 1 and April 30, 2017, on weekdays and between 08:00 and 16:00, for any reason, and receiving intravenous and/or intramuscular drug administration resulting in drug wastage after treatment. Results: The number of patients enrolled in the clinical trial was 1620 (35.9%). Twenty-one different medications were administered via the intravenous or intramuscular (IM) routes during the study. The proportion of total medication wastage at the end of trial was estimated to be 0.425. The drug with the highest proportion of mean wastage to drug form was paracetamol (1000mg vial) at 0.79. The total cost of the drugs used for the patients in the study was US$580.98, and the overall burden of drug wastage was US$288.09. The three medications involving the highest wastage costs were methylprednisolone, ondansetron, and dexamethasone. The total wastage cost/total drug cost ratio was 0.495. Conclusion: If commercial drugs with intravenous and IM formulations are used by the pediatric age group, then dosage formulations appropriate for pediatric age group use also need to be produced. The development by manufacturers of ampoules and similar products suitable for multiple use will also reduce drug wastage. Reducing levels of drug wastage will inevitably reduce the drug expenditure.
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spelling doaj.art-2fc9640b12e04f708de14928f2e3f4682022-12-21T20:39:24ZengThieme Medical and Scientific Publishers Pvt. Ltd.Avicenna Journal of Medicine2231-07702249-44642020-01-011001101410.4103/ajm.ajm_58_19The status of drug wastage in the pediatric emergency department of a tertiary hospitalIbrahim Hakan Bucak0Habip Almis1Cagla Nur Dogan2Mehmet Turgut3Department of Pediatrics, Adiyaman University School of Medicine, Adiyaman, TurkeyDepartment of Pediatrics, Adiyaman University School of Medicine, Adiyaman, TurkeyDepartment of Pediatrics, Çukurova University School Medicine, Adana, TurkeyDepartment of Pediatrics, Adiyaman University School of Medicine, Adiyaman, TurkeyBackground: The aim of this study was to evaluate surplus drugs left over from medications used via the intravenous and intramuscular routes in a pediatric emergency unit of a tertiary hospital in Turkey and to determine the financial burden imposed by drug wastage. Materials and Methods: The study was planned prospectively on patients presenting to the pediatric emergency department of a tertiary university hospital between January 1 and April 30, 2017, on weekdays and between 08:00 and 16:00, for any reason, and receiving intravenous and/or intramuscular drug administration resulting in drug wastage after treatment. Results: The number of patients enrolled in the clinical trial was 1620 (35.9%). Twenty-one different medications were administered via the intravenous or intramuscular (IM) routes during the study. The proportion of total medication wastage at the end of trial was estimated to be 0.425. The drug with the highest proportion of mean wastage to drug form was paracetamol (1000mg vial) at 0.79. The total cost of the drugs used for the patients in the study was US$580.98, and the overall burden of drug wastage was US$288.09. The three medications involving the highest wastage costs were methylprednisolone, ondansetron, and dexamethasone. The total wastage cost/total drug cost ratio was 0.495. Conclusion: If commercial drugs with intravenous and IM formulations are used by the pediatric age group, then dosage formulations appropriate for pediatric age group use also need to be produced. The development by manufacturers of ampoules and similar products suitable for multiple use will also reduce drug wastage. Reducing levels of drug wastage will inevitably reduce the drug expenditure.http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_58_19costdrugformulationspediatric emergency departmentwastage
spellingShingle Ibrahim Hakan Bucak
Habip Almis
Cagla Nur Dogan
Mehmet Turgut
The status of drug wastage in the pediatric emergency department of a tertiary hospital
Avicenna Journal of Medicine
cost
drug
formulations
pediatric emergency department
wastage
title The status of drug wastage in the pediatric emergency department of a tertiary hospital
title_full The status of drug wastage in the pediatric emergency department of a tertiary hospital
title_fullStr The status of drug wastage in the pediatric emergency department of a tertiary hospital
title_full_unstemmed The status of drug wastage in the pediatric emergency department of a tertiary hospital
title_short The status of drug wastage in the pediatric emergency department of a tertiary hospital
title_sort status of drug wastage in the pediatric emergency department of a tertiary hospital
topic cost
drug
formulations
pediatric emergency department
wastage
url http://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_58_19
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