Pharmacists demand ban on use of injections by GPs at small clinics

KARACHI: There should be a ban on administering medicines through injections by the general practitioners (GPs) at small clinics and dispensaries as 99 percent of such injections are unnecessary and not required for treatment, expert pharmacists said on Friday.

“An irrational use of giving medicines through injections is common in Pakistan by the general practitioners. There should be a complete ban on injectibles other than secondary and tertiary-care hospitals”, said Abdul Latif Shaikh, Chief Executive Officer of the Pakistan Society of Health System Pharmacists (PSHP) while addressing a news conference at the Karachi Press Club (KPC). Accompanied by other members of the society including Umaima Muzzamil, Yasir Hashmi, Umer Ali Khan and others. Shaikh said the unfortunate death of the patients including baby girl Nashwa, Asmat and others due to medication errors could be avoided by following international practices and rules and regulations.

“Baby Nashwa died because she was given a medicine through an injection in a concentrated form and the untrained staff did not know it could prove lethal for her. Her life could have been saved, if the hospital administration had hired a qualified pharmacist to supervise administration of medicines to the patients. There is an urgent need to revisit the dispensation of medicines to save precious lives due to medication errors”, PSHP chief said. Commenting on the recent outbreak of HIV/AIDS among children in Larkana, Abdul Latif Shaikh said reuse of syringes is one of the leading causes of spreading HIV, Hepatitis B and C infections but added that this could have been avoided by introducing self-destructing syringes. “Pharmaceuticals worth four billion dollars or 550 billion rupees are distributed in the country every year but there is no monitoring of over 95 percent of these medicines and pharmaceutical products. There are hundreds of look-alike medicines and ampules of injections and often there is a chance that wrong medicine is administered to the patients”, he deplored. He further deplored that medicines are being sold like “chocolates and candies” from the medical stores, where they are kept in non-professional manner and added that often medicines are sold without prescription while often prescriptions are misunderstood by the uneducated staff of the pharmacies and wrong medicines are provided to the patients.

Unfortunately, Sindh Health Care Commission (SHCC) lacks pharmacists to deal with issue of medicine, which is an important part of the healthcare system, Abdul Latif Shaikh said and pledged to approach the Healthcare Commission so proper strategies could be formulated to avoid and minimize medication errors at the healthcare establishments. Demanding public and private hospitals to hire educated and trained pharmacists to minimize medication errors, he said hospitals should also prepare a list of “High Alert Medicines”, prepare standard operating procedures regarding these high alert medicines and train their staff how to administer them. “After every death due to medication, we suspend a few doctors, paramedics and nurses, put some of them in jails and after few days, we forget about that incident. This makes no difference and we would need to prepare systems to prevent loss of lives due to wrong administration of drugs and that is only possible by hiring skilled and trained pharmacists and reforming our system”, he maintained.

Treasurer PSHP Umaima Muzzamil said authorities should take measures to minimize use of injections and in this regard, an awareness campaign should also be launched to apprise people about safe medication practices and hazards of self-medication. She maintained that use of technology could help in reducing medication errors at healthcare establishments.

Yasir Hashmi deplored that there is no reliable data available on medication errors and deaths in Pakistan, saying without having data, strategies could not be formulated to avoid deaths as well as economic loss due to mediation errors. He also called for hiring pharmacists at public and private hospitals as well as at pharmacies, improving medicines’ manufacturing, supply chain and dispensation to save precious lives.