Table 3.
Types and Causes of DTPs
Types of DTPs | Causes of DTPs | Frequency of DTP | Total | % |
---|---|---|---|---|
Drug therapy problem (N= 300) | Yes | 228 | 76.0 | |
No | 72 | 24.0 | ||
Unnecessary drug therapy | No medical condition | 27 | 66 | 14.7 |
Overlapping effect | 32 | |||
Non-pharmacologic (no need for SAP) preferred | 7 | |||
Need additional drug therapy | Prophylaxis needed and/or untreated indication | 37 | 52 | 11.6 |
Additive or synergistic needed | 15 | |||
Need different drug | More effective product available | 19 | 21 | 4.7 |
Route not appropriate | 2 | |||
Dose too low | The wrong dose ordered | 94 | 124 | 27.6 |
Inappropriate frequency (longer) | 13 | |||
Inappropriate duration (short) | 2 | |||
The timing of SAP (too late or early) | 15 | |||
Potential or actual ADR | Undesirable effect | 7 | 26 | 5.8 |
Unsafe drug | 12 | |||
DI lead to ADR | 3 | |||
Contra-indication | 3 | |||
Unsafe route | 1 | |||
Dose too high | The wrong dose ordered | 16 | 81 | 18.0 |
Inappropriate duration (longer duration or short frequency) | 65 | |||
Non-compliance | The patient did not understand important information/not informed | 9 | 30 | 6.7 |
Not willing to take | 1 | |||
Cannot afford medication | 16 | |||
Health professional forget to give | 4 | |||
Unclassified/other DTP | Late to change IV to PO | 46 | 48 | 10.7 |
Need monitoring | 2 | |||
Total DTPs | 449 | 449 | 100 | |
Mean of DTP per patient (N=228) | Min= 1 | Max= 5 | 1.97 | |
Intervention and acceptance status | Frequency | Percentage | ||
Intervention given | Per patient (N=228) | 196 | 86 | |
Per DTP (N=449) | 387 | 86.2 | ||
Acceptance of intervention | Per patient (N= 196) | 167 | 85.2 | |
Per DTP (N= 387) | 302 | 78 |
Abbreviations: DTP, drug therapy problem; SAP, surgical antimicrobial prophylaxis; ADR, adverse drug reaction; DI, drug interaction; IV, intravenous; PO, per-oral, one problem can lead to more interventions and one level of acceptance per intervention proposed.