Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana

Introduction. Administering the right dose of medications is essential in avoiding potentially life-threatening adverse drug reactions. Industry guidelines for manufacturers of oral, over-the-counter, and liquid medications recommend including dose-delivery devices with packaging to limit dosing ina...

Full description

Saved in:
Bibliographic Details
Main Authors: Yussif Saaka, David M. Nyamadi, Hilda Amekyeh, Adelaide Mensah
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Scientifica
Online Access:http://dx.doi.org/10.1155/2022/9223858
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832549055651119104
author Yussif Saaka
David M. Nyamadi
Hilda Amekyeh
Adelaide Mensah
author_facet Yussif Saaka
David M. Nyamadi
Hilda Amekyeh
Adelaide Mensah
author_sort Yussif Saaka
collection DOAJ
description Introduction. Administering the right dose of medications is essential in avoiding potentially life-threatening adverse drug reactions. Industry guidelines for manufacturers of oral, over-the-counter, and liquid medications recommend including dose-delivery devices with packaging to limit dosing inaccuracy. This study describes the prevalence and accuracy of dosing devices packaged with oral liquid medications in the Ho municipality of Ghana. Methods. Dosing device accuracy was determined after deviation of the measured volume from the expected volume was evaluated using the United States Pharmacopoeia criteria. Results. A total of 78.6% of the oral liquid medications were packaged with a dosing device. The most common dosing devices were cups (83.6%), followed by spoons (14.3%), droppers (1.4%), and syringes (0.7%). The volumes measured with cups (5.14 ± 0.52 mL, p=0.006) and spoons (5.3 ± 0.67 mL, p<0.001) were significantly different from the desired 5 mL volume; this was dissimilar to the volume measured using syringes (5.01 ± 0.02 mL, p>0.999). Further, the measured volumes for 38.6% and 72.2% of the cups and spoons, respectively, deviated by more than 15% of 5 mL. Conclusion. Dosing cups and spoons are associated with significant inaccuracy. Yet, manufacturers continually favour them over syringes in packaging for oral liquid medications. This is unacceptable and of considerable concern due to the risk of variations in therapeutic outcomes. Therefore, strict regulatory directives on the inclusion of accurate dosing devices in the packaging of oral liquid medicines are needed to reduce the possibility of medication errors.
format Article
id doaj-art-b14c41c5828f4cc8a058b049b0837219
institution Kabale University
issn 2090-908X
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Scientifica
spelling doaj-art-b14c41c5828f4cc8a058b049b08372192025-02-03T06:12:25ZengWileyScientifica2090-908X2022-01-01202210.1155/2022/9223858Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of GhanaYussif Saaka0David M. Nyamadi1Hilda Amekyeh2Adelaide Mensah3Department of PharmaceuticsDepartment of PharmaceuticsDepartment of PharmaceuticsDepartment of PharmaceuticsIntroduction. Administering the right dose of medications is essential in avoiding potentially life-threatening adverse drug reactions. Industry guidelines for manufacturers of oral, over-the-counter, and liquid medications recommend including dose-delivery devices with packaging to limit dosing inaccuracy. This study describes the prevalence and accuracy of dosing devices packaged with oral liquid medications in the Ho municipality of Ghana. Methods. Dosing device accuracy was determined after deviation of the measured volume from the expected volume was evaluated using the United States Pharmacopoeia criteria. Results. A total of 78.6% of the oral liquid medications were packaged with a dosing device. The most common dosing devices were cups (83.6%), followed by spoons (14.3%), droppers (1.4%), and syringes (0.7%). The volumes measured with cups (5.14 ± 0.52 mL, p=0.006) and spoons (5.3 ± 0.67 mL, p<0.001) were significantly different from the desired 5 mL volume; this was dissimilar to the volume measured using syringes (5.01 ± 0.02 mL, p>0.999). Further, the measured volumes for 38.6% and 72.2% of the cups and spoons, respectively, deviated by more than 15% of 5 mL. Conclusion. Dosing cups and spoons are associated with significant inaccuracy. Yet, manufacturers continually favour them over syringes in packaging for oral liquid medications. This is unacceptable and of considerable concern due to the risk of variations in therapeutic outcomes. Therefore, strict regulatory directives on the inclusion of accurate dosing devices in the packaging of oral liquid medicines are needed to reduce the possibility of medication errors.http://dx.doi.org/10.1155/2022/9223858
spellingShingle Yussif Saaka
David M. Nyamadi
Hilda Amekyeh
Adelaide Mensah
Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana
Scientifica
title Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana
title_full Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana
title_fullStr Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana
title_full_unstemmed Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana
title_short Assessment of the Availability and Accuracy of Dosing Devices Packaged with Oral Liquid Medications in the Ho Municipality of Ghana
title_sort assessment of the availability and accuracy of dosing devices packaged with oral liquid medications in the ho municipality of ghana
url http://dx.doi.org/10.1155/2022/9223858
work_keys_str_mv AT yussifsaaka assessmentoftheavailabilityandaccuracyofdosingdevicespackagedwithoralliquidmedicationsinthehomunicipalityofghana
AT davidmnyamadi assessmentoftheavailabilityandaccuracyofdosingdevicespackagedwithoralliquidmedicationsinthehomunicipalityofghana
AT hildaamekyeh assessmentoftheavailabilityandaccuracyofdosingdevicespackagedwithoralliquidmedicationsinthehomunicipalityofghana
AT adelaidemensah assessmentoftheavailabilityandaccuracyofdosingdevicespackagedwithoralliquidmedicationsinthehomunicipalityofghana