For many years pharmacists have debated about the rational use of drugs in scientific conferences and symposium. As a group, antibacterial contribute significantly to the cost of drugs and are claimed worldwide to account for 15% to 30% of the total health budget. Rational use of drugs require that patients receive medication appropriate to their clinical needs, in doses that meet their own individual requirements for an adequate period of time at the lowest cost to them and their community however it's been noted that there is a global problem of inappropriate antibacterial use. The general objective of this study was to determine the basis for antibacterial drugs use at the DFMH for the purpose of promoting rational drug use, improve safety, lower costs, and recommend areas that require further investigation. The study specifically sought to establish the factors that determine the basis of antibiotic use by prescribers; identify the patterns of antibacterial use and to determine the expenditure on antibacterial drugs as a percentage of total drug cost at the hospital between January and December 2013. This study was done at the Defence forces memorial hospital located in Nairobi County in Kenya. A retrospective cross-sectional study design was used to determine the basis of antibacterial use at the DFMH. The researcher collected data retrospectively for the period covering January and December 2013 from patientâs prescription records and 48 healthcare professionals were also administered semi structured questionnaires. The target population was therefore 9377 patients prescription records and 48 healthcare professionals.

Full Text:



Aldeyab, M. A., Kearney, M. P., McElnay, J. C., Magee, F. A., Conlon, G., Gill, D., & ... Scott, M. G. (2011). A point prevalence survey of antibiotic prescriptions: benchmarking and patterns of use. British Journal Of Clinical Pharmacology, 71(2), 293-296.

Bosu, W.K. & Ofori-Adjei, D. (1997). Survey of antibiotic prescribing pattern in Government Health Facilities of Wassa West District, Ghana East Africa Med. J. 74(3), 138 â 142.

Chandy, S. J., Naik, G. S., Charles, R., Jeyaseelan, V., Naumova, E. N., Thomas, K., & Lundborg, C. (2014). The Impact of Policy Guidelines on Hospital Antibiotic Use over a Decade: A Segmented Time Series Analysis. Plos ONE, 9(3), 1-9.

Chandy, S. J., Thomas, K., Mathai, E., Antonisamy, B., Holloway, K. A., & Stalsby Lundborg, C. (2013). Patterns of antibiotic use in the community and challenges of antibiotic surveillance in a lower-middle-income country setting: a repeated cross-sectional study in Vellore, south India. Journal Of Antibacterial Chemotherapy (JAC), 68(1), 229-236.

Desta, Z., Abula, T. & Asfawosen, G. (2002). Prescription pattern in three hospitals in Northwest Ethiopia. EJHD. 16(2), 183-189.

Dusing, R., Lottermoser, K. & Mengden, T. (2001). Compliance with drug therapyânew answers to an old question. Nephrol Dial Transplant, 16, 1317-1321.

Erah, P.O. (2000). Improving rational drug use through information technology. West Afr. J. Pharm, 14(1): 20-31.


  • There are currently no refbacks.