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. 2020 May 4;12:71–83. doi: 10.2147/DHPS.S251200

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.