Assessment of drug therapy problems in pediatric patients using Cipolle/Morley/strand classification: A hospital based study

Viresh K Chandur, Aysha Sahana Shireena YZ *, Chirsty T Chacko and AR Shabaraya

Department of Pharmacy Practice, Srinivas College of Pharmacy, Valachil post, Farangipete, Mangaluru, Karnataka State, India.
 
Research Article
International Journal of Biological and Pharmaceutical Sciences Archive, 2024, 08(02), 006–012.
Article DOI: 10.53771/ijbpsa.2024.8.2.0079
Publication history: 
Received on 27 August 2024; revised on 04 October 2024; accepted on 06 October 2024
 
Abstract: 
Drug plays an important role in treating diseases and improving health. However, inappropriate drug use can lead to the occurrence of drug-Therapy problems (DTPs). According to Cipolle/Morley/Strand classification DTPs are any undesirable event experienced by the patient that involves or is suspected to involve drug therapy and that actually or potentially interferes with a desired patient outcome. The purpose of this study was to assess the drug therapy problems in a pediatric ward of Srinivas institute of medical science and research centre and to identify associated factors for drug therapy problems.
A retrospective observational study was carried out to assess drug therapy problems (DTPs) in paediatric patients using Cipolle/Morley/Strand classification from January to June 2024. Ethical approval was obtained, and informed consent was signed by each study participant's parent before the commencement of the study. All paediatric out patients and patients admitted to the paediatric ward during the study period were included in the study. Data were collected through medical record reviews of patients and using semi structured questionnaire. Data was analysed using Microsoft Excel.
The participants mean age was 2.32 years. Among 150 patients, 116 (77.33%) of them had at least one drug therapy problem per patient which indicates that the prevalence of the drug therapy problem was substantially high. On the other hand, Adverse drug reaction was the least 4 (3.38%) drug therapy problem. Hence to ensure optimum care in paediatric patients, a targeted approach is essential. Thus, the present study concluded that pharmacists can be helpful in the identification of the drug therapy problems, their causes and the risk factors involved and thus lead to a better health care outcome.

 

Keywords: 
Drug Therapy Problems; Paediatric Population; Cipolle/ Morley/Strand Classification
 
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