03023nas a2200277 4500008004100000024000700041245011500048210006900163260001800232300001000250490000600260520212900266653001602395653002102411653001602432653003102448653001102479653001802490100003102508700002902539700002702568700003102595700003002626700002502656856006402681 2023 eng d a0100aAntibiotic Prescribing Pattern; Errors Perspective in Primary Health Care Centers in Riyadh City, Saudi Arabia0 aAntibiotic Prescribing Pattern Errors Perspective in Primary Hea cNovember 2023 a34-430 v93 a

Objectives: To explore the medication error in prescribing antibiotics in primary health care centers in Riyadh City, Saudi Arabia. Methods: It is a retrospective analysis of antibiotics prescribing errors of randomly selected twenty-five primary health care centers in Riyadh city. One month’s prescription had been reviewed. The expert pharmacist revised the prescription and documented the errors. The medication error form of MOH had been used to document the errors. Results: During the study period, 18,031 prescriptions were recorded in all the included study settings. Of the total prescriptions, 3,879 (21.51%) contained antibiotics and were included in the current study. Of the total prescriptions, 1388 (35.78%) prescriptions detected medication errors were analyzed in the current study. The most errors detected in the prescription were height not written 1388 (100%), followed by diagnosis not found 535 (38.54%), and body weight not written 492 (35.45%). The antibiotics errors occurred with pediatrics and adolescents < or = 20 years 673 (50.08%) and adults > 20 years with 671(49.92%) with statically significant differences between all medication error types within pediatrics and adults (p=0.000). The errors identified mainly were related to inappropriate drug selection that occurred in 748 (53.9%) of the prescriptions, followed by low therapeutic dose 277 (20.0%) and dose frequency 175 (12.6%), with statistically significant differences between all types (p=0.000). The most Medications with errors were Amoxicillin 576 (41.5%), Amoxicillin/clavulanate 277 (28.1%), Fucidic Acid 123 (8.9%), and Azithromycin 116 (8.4%). Conclusion: One-third of primary healthcare centers prescriptions contained antibiotics and had at least one error. The most errors related to demographic information and most prescribed antibiotics at primary healthcare centers. Targeting electronic prescribing systems and implementing stewardship antimicrobial programs at primary healthcare centers are highly suggested.

10aAntibiotics10aMedication error10aPrescribing10aPrimary health care center10aRiyadh10aSaudi Arabia.1 aAlbahouth, Zainab, Ibrahim1 aAlmurshadi, Samia, Zaben1 aAlotibi, Nawaf, Marzog1 aAlqhtani, Faisal, Mushabab1 aAltamimi, Ibtisam, Nasser1 aAlomi, Yousef, Ahmed uhttps://www.ptbreports.org/article/2023/9/2/105530ptb202396