Table 3 Curricular content for the programme on rational prescribing as developed by teams of CME trainers.
Topics for the rational prescribing curriculum | |
|---|---|
1-Principles of prescription writing (1–16)* | 5-Antibiotic therapy (19) |
History of prescription writing | Value of taking culture samples for infections |
Classification of drugs | Assessment of infectious organisms |
Definition and format | Importance of host factors in selection of |
Elements of prescription writing | antibiotics |
Measurements | Adherence to correct indications |
Mistakes and errors in prescription writing | Selection of antibacterial drug(s) |
Abbreviations | Important factors for choosing form, dose and |
Poor prescriptions | course of antibiotics |
Rational prescriptions | Importance of switching antibiotics based on |
2-Adverse reactions to drugs | culture and antibiogram results |
Background | Pharmacology of antibiotic groups: |
Epidemiology | â—‹ Betalactamases |
Etiology | â—‹ Tetracyclines |
Exaggeration of an intended pharmacologic | â—‹ Aminoglycosides |
action of the drugs | â—‹ Macrolides |
Toxicity unrelated to a drug's primary | â—‹ Fluoroquinolones |
pharmacological activity: | â—‹ Sulfonamides |
- Cytotoxic Reactions | 6- Anti-inflammatory agents therapy (21) |
- Immunologic Mechanisms | A) Corticosteroids |
Diagnosis and treatment of adverse drug | Indications |
reactions | Emphasis on reducing injections |
3- Drug Interactions (17, 18) | Adverse effects |
Important mechanisms of drug interactions | Important interactions |
Common drug interactions in the practice of | B) Non steroidal anti inflammatory drugs |
general physicians | (NSAIDs) |
4- Injections (20) | Indications |
Consideration of real needs for prescribing | Adverse effects |
injections | Drug Interactions |
Mechanism of injections | Contraindications |
Indications for injections | |
Important factors in prescribing injections | |
Prevalence of prescribing injections in the | |
world and in Iran |