DRUG UTILIZATION PATTERN OF ANTIHYPERTENSIVES IN GERIATRIC AND NON GERIATRIC POPULATION IN A TERTIARY CARE GOVERNMENT HOSPITAL SRIKAKULUM, A . P .

Background: Drug utilization research provides insights into different aspects of drug use and drug prescribing such as pattern, quality, determinants and outcomes of drug use. Polypharmacy is considered to be hazardous for the elderly, because of their greater vulnerability to drugs and multiple drug use. Prescription of potentially inappropriate medications (PIMs) has been found to be a common cause of morbidity and mortality among the geriatric population and has necessitated the creation of criteria for the safe use of medicines among them. Objectives of the study were to assess the drug utilization pattern in geriatric patients and analyse their prescriptions as per the World Health Organization (WHO) core prescribing indicators and STOPP and START criteria.Methods: An observational, cross-sectional study was conducted from May 2019 to August 2019 in inpatient department of general medicine of VIMSAR, Burla. Prescriptions of ≥65 year patients were collected and documented by active surveillance from the medicine ward.Results: Majority of the patients were in age group of 65-75. Stroke is the more common comorbidities among geriatric population. Average number of medication per prescription is 5.42. About 78.74% of drugs are injectable. The percentage of antibiotics prescribed to patient is 27.75%. Based on STOPP criteria potentially inappropriate medications PIM is 7% and START criteria PIM is 29%.Conclusions: Our study suggests that prevalence of polypharmacy was high which is usually unavoidable in geriatric patients and less PIM is suggestive of adherence to WHO core prescribing indicators, and prescription of drugs as per STOPP and START guidelines are indicative of scope for improvement.

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Drug utilization pattern among geriatrics according to anatomical therapeutic chemical and defined daily dose classification in a tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20194105 ◽

2019 ◽

Vol 8 (9) ◽

pp. 1989

Author(s):

T. Muneswar Reddy ◽

Thammi Setty Durga Prasad ◽

Allikesam Hemalatha ◽

Vanam Chanukya ◽

Bandi Lakshmi Sirisha

Keyword(s):

Drug Utilization ◽

Anatomical Therapeutic Chemical ◽

Tertiary Care ◽

Essential Medicines ◽

World Health ◽

Defined Daily Dose ◽

Care Hospital ◽

Utilization Pattern ◽

Geriatric Population ◽

Daily Dose

Background: This study was conducted to determine the drug utilization pattern among geriatric inpatients in general medicine department of the hospital.Methods: An observational, prospective study was conducted for a period of six months (November 2016 to April 2017) among 200 geriatric patients; demographic details, education, occupation, diagnosis and drug details were recorded. The drugs were categorized by anatomical therapeutic classification (ATC) and defined daily dose (DDD) was calculated. The World Health Organization (WHO) prescribing indicators were assessed.Results: The majority of the patients (59%) were in age group of 60-69 years. Cardiovascular diseases were common among geriatrics. Most commonly prescribed drug was Pantoprazole (81.7%). Drugs were assigned with ATC/DDD codes according to the guidelines of WHO. Drugs prescribed by their generic names were 56.64% and 43% of drugs that were included in the National Essential Medicines List.Conclusions: Clinical pharmacist have to collaborate and work together with physicians in selecting and adjusting the dose among geriatric population in order to reduce development of potential adverse drug reactions, serious drug related complications and drug interaction.

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Drug Utilization Pattern of Psychotropic Drugs Prescribed in the Psychiatric Department of a Tertiary Care Government Hospital, Rajasthan

IOSR Journal of Dental and Medical Sciences ◽

10.9790/0853-150778087 ◽

2016 ◽

Vol 15 (07) ◽

pp. 80-87

Author(s):

Dr. Vandana Goyal ◽

Shifali Munjal ◽

Dr Rashmi Gupta

Keyword(s):

Drug Utilization ◽

Psychotropic Drugs ◽

Tertiary Care ◽

Government Hospital ◽

Utilization Pattern ◽

Psychiatric Department

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DRUG UTILIZATION PATTERN IN OPTHALMOLOGY DEPARTMENT AT A TERTIARY CARE HOSPITAL

International Research Journal of Pharmacy ◽

10.7897/2230-8407.04840 ◽

2013 ◽

Vol 4 (8) ◽

pp. 205-210

Author(s):

Pooja Prajwal ◽

Mohandas Rai ◽

Sharath K Kumar ◽

Srinivas U Bhat ◽

Floyd Vernon Dsouza

Keyword(s):

Drug Utilization ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Utilization Pattern

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Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20204502 ◽

2020 ◽

Vol 9 (11) ◽

pp. 1725

Author(s):

Sonal M. Parekar ◽

Girish K. Maindarkar ◽

Vishal V. Maindarkar

Keyword(s):

Drug Utilization ◽

Tertiary Care ◽

Cross Sectional Study ◽

Drug Formulation ◽

Oral Drug ◽

Care Hospital ◽

Pediatric Hospital ◽

Sectional Study ◽

Utilization Pattern ◽

Cross Sectional

Background: Drug utilization study is essential, as safe and effective therapeutic regimen in paediatric population is challenging. Pattern of use of drugs in pediatrics vary as compared to adults, also there is limited data available. The objective of this study was to study drug utilization pattern in pediatric patients attending pediatric outpatient department of Maindarkar pediatric hospital, Latur.Methods: A cross sectional study was carried out for a period of six months from September 2019 to February 2020, by analysing a total 1000 prescriptions of patients who had visited the OPD of Maindarkar pediatric hospital. Prescriptions were selected by simple random sampling method.Results: In our study, out of the total of 1000 prescriptions, 244 (24.4%) were of neonates, 556 (55.6%) were of infants (1 month to 1 year) and 200 (20%) were of children above 1 year. 547 (54.7%) prescriptions were of male patients and 453 (45.3%) were of female patients. The most frequent classes of drugs prescribed were nonsteroidal anti-inflammatory drugs 704 (70.4%), followed by drugs used for respiratory disorders 655 (65.5%) and supplements (60%). Antimicrobials were prescribed in 498 (49.8%) prescriptions. The average number of drugs per prescription was 2.45. About two third of all the prescribed drugs (74.41%) were from national essential medicine list. Most of the prescriptions had oral drug formulation 825 (82.5%) followed by inhalational 208 (20.8%) followed by injectables 150 (15%). All the drugs were prescribed by brand names.Conclusions: Our study helps health-care system to understand, interpret and improve prescribing, administration, to minimize adverse events and promote rational use of medicines.

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Drug utilization pattern of antimicrobials in intensive care unit of a tertiary care teaching hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20204103 ◽

2020 ◽

Vol 9 (10) ◽

pp. 1594

Author(s):

Saswat Satapathy ◽

Yajnesh P. Sahu ◽

Ashok K. Panigrahi ◽

Bhabagrahi Rath ◽

Ananta N. Patra

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Drug Utilization ◽

Drug Prescription ◽

Tertiary Care ◽

Quality Of Healthcare ◽

Cross Sectional Study ◽

Utilization Pattern ◽

Prescribing Practices ◽

Cross Sectional

Background: The intensive care unit is a setting where the multiple medications are prescribed to patients. Antimicrobials are heavily prescribed in the ICUs, which in turn enhance the risk of antimicrobial resistance, increase the side effects and increases the cost of treatment. Drug utilization study is a component of medical auditing that aims to monitor and evaluate the drug prescription patterns and to suggest necessary modifications in the prescribing practices to achieve rational therapeutic practice.Methods: A cross-sectional study was conducted in which data of patients admitted to ICU during the period from June 2019 to August 2019 was collected from the Medical Record Section of the hospital. Drug utilization pattern of antimicrobials in ICU was analyzed.Results: Out of 90 patients, 60 were males and 30 were females. The average duration of stay in ICU was 7.53 days. The most common antibiotic prescribed was ceftriaxone followed by piperacillin and tazobactam with DDD/100 bed days of 24.2 and 17.3 respectively.Conclusions: In this study, the results appeared to be similar to those reported in previous studies. However, prescription protocols need to be addressed to guide appropriate use of antimicrobials in the ICU setting. Therefore, it is necessary to conduct drug utilization research to understand the drug consumption and for implementation of protocols to improve the quality of healthcare.

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