Abstract
International Journal of Pharmacology and Clinical Sciences,2019,8,3s,s24-s27.DOI:10.5530/ijpcs.2019.8.41Published:November 2019Type:Research ArticleAuthors:Yousef Ahmed Alomi, Faiz A. Bahadig, Malika Alhadab, Mona Lubbad, and Ebtesam Nazal Author(s) affiliations:Yousef Ahmed Alomi*, General Administration of Pharmaceutical Care, Ministry of Health, Riyadh, Saudi Arabia. Faiz A. Bahadig, Informatics Pharmacist, Pharmaceutical Care Department, King Abdul-Aziz Medical, City-WR-Jeddah, Ministry of National Guard, Saudi Arabia. Malika Alhadab, Head, Pharmacy Services, Alyamma Hopsital, Ministry of Health, Riyadh, Saudi Arabia. Mona Lubbad, Former Head, Extemporaneous Preparation Unit, Pharmacy services, Alyamma Hopsital, Ministry of Health, Riyadh, Saudi Arabia. Ebtesam Nazal, Head, Extemporaneous Preparation Unit, Pharmacy Services, Alyamma Hopsital, Ministry of Health, Riyadh, Saudi Arabia. Abstract:Objectives: To explore cost analysis of selected oral electrolytes pediatrics formulations in the Kingdom Saudi Arabia. Methods: It is a retrospective cost analysis of pediatrics formulations at 300-beds pediatrics and maternity hospital in Riyadh city, Saudi Arabia. The pharmacy section received the specific formulation from physician then the expert pharmacist applied the international standard of clinical compounding through of providing to healthcare staff over eight hours per days for five days per a week. The pediatrics formulations consisted selected four selected electrolytes. The analysis of the cost was included the variable expenses like personal cost, material and supply cost. Fixed costs include direct cost, non-salary cost and overhead cost. The cost was derived from the Ministry of Health information database. All cost was used US dollar currency. This study analyzed the cost of anti-hypertension pediatrics formulations through the Microsoft Excel sheet version 10th. Results: The estimated average total standard cost of pediatrics formulations per hour was (53.82 USD). The average estimated cost of potassium chloride 10% per each preparation was (2.053 USD) and the total annual cost of potassium Chloride 10% was (172.452 USD). The average estimated cost of potassium chloride 7.5% per each preparation was (1.342 USD) with the total annual cost of potassium chloride 7.5% was (228.14 USD). The average estimated cost of sodium bicarbonate 8.4% per each preparation was (0.7551 USD) with the total annual cost of sodium bicarbonate 8.4% was (54.36 USD). The average estimated cost of calcium carbonate 200 mg/mL per each preparation was (5.45 USD) with the total annual cost of calcium carbonate 200mg/mL was (1,046.4 USD). The average estimated cost of sodium chloride 5.8% per each preparation was (1.117 USD) which the total annual cost of sodium chloride 5.8% was (167.55 USD). Conclusion: Most the electrolyte pediatrics formulations which are not available in the local or international market. Pharmacists should continue to prepare them with lower economic burden. The study was first done in KSA and meet new health strategic plan of Saudi vision 2030 in the Kingdom of Saudi Arabia. Keywords:Clinical, Compounding, Cost, Electrolyte, Formulations, Ministry of Health, Pediatrics, Saudi ArabiaView:PDF (180 KB) PDFClick here to download the PDF file. Images Cost of Calcium Carbonate 200mg/ml (USD).
Highlights
The national pharmacy nutrition support program was established as part of the Pharmacy strategic plan.[1,2] The program consisted of several elements neonatal parenteral nutrition, parenteral pediatrics nutrition, adults’ parental nutrition, home total parental nutrition for adults, pediatrics and neonates,[3] in addition to enteral feeding for all types of populations
The average estimated cost of sodium chloride 5.8% per each preparation was (1.117 United State Dollars (USD)) which consisted of a standard value (0.179 USD) and the direct cost was (0.938 USD)
The findings showed the standard necessary foundations for all pediatrics formulations as indirect cost while the direct cost different from one product to another
Summary
The national pharmacy nutrition support program was established as part of the Pharmacy strategic plan.[1,2] The program consisted of several elements neonatal parenteral nutrition, parenteral pediatrics nutrition, adults’ parental nutrition, home total parental nutrition for adults, pediatrics and neonates,[3] in addition to enteral feeding for all types of populations. During Total Parenteral Nutrition (TPN) administration for chronic disease in the neonates or pediatrics and adults sometimes needs supplements of oral electrolyte. Most of neonatal or pediatrics supplements of electrolyte have not existed in the local market (Table 1).[4] The formulations with different concentrations need to prepare as extemporaneously in the pharmacy with new Saudi vision 2030 and updated Pharmacy strategic plan. That’s included the cost analysis of drug information services, cost analysis of the TPN and cost analysis of clinical pharmacy activities.[5,6,7,8] The authors based on their best knowledge; they are not aware of any local or international publications about cost analysis of oral electrolyte pediatrics formulations in Saudi Arabia or Gulf and the Middle East countries.
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