Abstract
BENEFICIAL EFFECT OF ESTABLISHING THERAPEUTIC DRUG MONITERING IN IRAQI HOSPITALS
Suhair Qasim Hussin and Shahbaa Shafeeq Rzoqi*
ABSTRACT
Background: The present research paper has been focused on the therapeutic drug monitoring (TDM) which refers to the individualization of dosage by maintaining plasma or blood drug concentrations within a target range (therapeutic range, therapeutic window). The aim of the study is to investigate the frequency of prescribing drugs that need monitoring to the patient admitted to the Iraqi hospitals at a single point of time or interval of time (for one month). Methodology: A cross-sectional study for the prescribing drugs which are known to be commonly needed monitoring using the patients’ case sheet in all over departments of many Iraqi hospitals for one month recruiting 120 patients were treated with drugs known to be monitored. Results: the most risky groups are represented by the elderly and neonates (32.5% and 34.17% respectively) that is because the neonates and infants have increased total body water to body fat ratio compared to adults, whereas the reversed is observed in elderly people. Conclusion: it is mandatory to establish a therapeutic drug monitoring service at the Iraqi hospital which at least serves the hospital inpatients so leading to improve the quality of patient care, reduce drug related toxicity, and also minimize liability of physician
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