scholarly journals Patterns of drug use and drug dispensing in dermatology outpatient prescriptions in a tertiary care teaching hospital

2018 ◽  
Vol 7 (8) ◽  
pp. 1494
Author(s):  
Aravinda Kumar
Keyword(s):  
Drug Use ◽  
Teaching Hospital ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Inappropriate Use ◽  
Essential Drug List ◽  
Outpatient Prescriptions

Background: Periodic assessment of drug prescribing and dispensing pattern in a hospital facility shall play a major role in avoiding the inappropriate use of drugs which leads to potential hazards and expenses for the patients.Methods: The objective of the study was to analyse the patterns of drug use and dispensing in dermatology outpatient prescriptions from a tertiary care teaching hospital in south India. Data were collected over a period of one month from patients attending dermatology outpatient department by scrutinizing 100 prescriptions and analyzed using WHO formulated “core drug use indicators” like the format, prescribing pattern and rationality of prescriptions.Results: The total number of drugs prescribed in 100 prescriptions was 233 i.e. on average 2.33 drugs were prescribed per patient. The patient's name and age were mentioned in all the prescriptions while diagnosis, dose, route of administration, dosage form, duration of therapy and prescriber's identity was written in 43.29%, 68.04%, 69.07%, 100%, 49.48% and 63.91% prescriptions respectively. Out of all drugs, 42.91% were generic drugs and 57.08% were from National Essential Drug List of India. Steroids (18.02%) were the most common group of drugs used, followed by keratolytics and emollients (15.87%). Most of the drugs were given by topical route (47.63%).Conclusions: A prescription by a doctor is a reflection of physicians’ attitude towards the disease and the role of drug in its treatment. It also provides an insight into the nature of health care at that facility. Interventions to rectify over proper prescription format and prescription of generic drugs are necessary to further improve rational drug use in this facility.

scholarly journals Study of Drug Prescribing Pattern in Pediatric Outpatient Department at a Tertiary Care Teaching Hospital

2021 ◽  
Vol 11 (5) ◽  
pp. 23-26
Author(s):  
Sabbu Rahul ◽  
Devathi Venkata lakshmi Sravya ◽  
Hiremath Doddayya
Keyword(s):  
Drug Use ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Paediatric Population ◽  
Correct Identification ◽  
Appropriate Use ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Essential Drug List

Background: Infants and children suffer from frequent but usually non serious illnesses and are more vulnerable to various adverse events related to drugs and poor understanding of instructions on prescription by the patient or caretakers were likely to cause medication error. The correct identification of an illness and its management with medications is a vital aspect of patient care, especially for paediatric population. So, prescribing pattern studies are very helpful in promoting the appropriate use of drugs in population. Objectives: It aims to obtain data on the current prescribing pattern in pediatric OPD at a tertiary care teaching hospital with ultimate goal to promote appropriate use of drugs. Methods: This study was conducted in 62 pediatric patients of either sex visiting Pediatric out-patient department over a period of three months at NMCH and RC, Raichur, Karnataka. Results: Prescription analysis showed that the average number of drugs per prescription was 3.32. Drugs were mostly prescribed by brand name (98.06%), Injections (4.83%) were least prescribed, drugs prescribed from Essential Drug List was 48.54%. Antibiotics were most prescribed class of drugs (33.9%). Conclusion: The study concludes that polypharmacy was slightly seen in prescriptions. Diagnosis of the patient was recorded for most of the prescriptions. There is need to conduct many such studies at regular interval as it is useful for auditing large number of prescriptions to find out early signals of the irrational drug use. Our study evaluated drug use pattern only from the outpatients hence prescription pattern may vary among inpatients. Keywords: Prescribing pattern, Infants, WHO core prescribing indicators, Polypharmacy, Generic name

scholarly journals Prescribing pattern of antibiotics in ENT outpatient department in a tertiary care teaching hospital

2020 ◽  
Vol 9 (12) ◽  
pp. 1892
Author(s):  
Jyothsnya Srinivasa ◽  
Vijaya Rajendran ◽  
Pratibha Nadig ◽  
Shubhatara Swamy
Keyword(s):  
Antibiotic Resistance ◽  
Teaching Hospital ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Brand Names ◽  
Outpatient Department ◽  
Antibiotic Prescribing ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

Background: Antibiotics are the most commonly used and misused of all drugs. Patterns of antibiotic resistance widely follows local patterns of antibiotic prescribing and usage. Periodic data collection and analysis of antibiotic prescriptions at regional level are essential to understand and combat antibiotic resistance. Objective of the study was to study the prescribing pattern of antibiotics in outpatient department of Otorhinolaryngology in a tertiary care teaching hospital. Methods: A prospective observational study of prescribing pattern of antibiotics was conducted in the department of Otorhinolaryngology. Data of antibiotic utilization in outpatient department was collected through duplicate copies of the prescriptions. The data obtained was analyzed and the conclusions were drawn using descriptive analysis.Results: A total of 606 prescriptions were collected and analyzed during the study. Average number of antibiotics prescribed per prescription was 1.24 most of the antibiotics were prescribed for a duration of 1 to 5 days. Commonly prescribed antibiotic class was penicillin (48.1%) followed by quinolone (18.3%). Most of the antibiotics were prescribed by their brand names (98.8%).Conclusions: The present study highlights the wide use of extended spectrum antibiotics, along with brand names for prescribing. Interventions for prescribing of generic drugs from the essential drug list needs to be encouraged among physicians.

scholarly journals Drug use in acute otitis media: a prospective study at a tertiary care teaching hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 240
Author(s):  
Rushi N. Pandya ◽  
Maulik M. Patel ◽  
Varsha J. Patel
Keyword(s):  
Drug Use ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Fixed Dose ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Use Pattern ◽  
Drug Use Pattern

Background: Drug use study identifies the problems that arise from prescription and highlights the current approaches to the rational use of drugs. The objective of the study was to assess drug use pattern in patients diagnosed of acute otitis media in tertiary care teaching hospital.Methods: This prospective observational study was carried in the Otorhinolaryngology department of a tertiary care teaching hospital over a period of twelve months. The data collected for patients with acute otitis media included the patient's demographic details and the drugs prescribed. Data were analysed for drug use pattern and cost per prescription and assessment of rationality of prescription.Results: Total 153 patients were analysed, 100 (65.35%) belonged to male patients and 53 (34.65%) belonged to female patients. Children less than 2years age were the most diagnosed with AOM 47.71%, the major diagnostic symptoms were earache (58.16%) and fever (54.90%) and signs were congestion (52.94%) and discharge (43.13%). In a total 153 prescriptions (469 drugs), 33.68% were antimicrobials, followed by mineral supplements (23.67%). Average number of drugs per prescription was found to be 3.0. Most common antibiotic prescribed was amoxicillin (with or without clavulanate) in 142 (92.81%) patients. Paracetamol alone or in fixed dose combination with antihistaminics were prescribed in 131 patients. Average cost per prescription was 87.74(±35.67) Indian rupees. Seventeen (11.11%) prescriptions were rational in all the aspects based on standard guidelines.Conclusions: The present study showed that paracetamol and amoxicillin with or without clavulanate were mostly commonly prescribed in children with AOM. Irrational prescribing was seen in maximum number of cases.

scholarly journals PRESCRIBING PATTERN OF PSYCHOTROPIC AGENTS IN RURAL TERTIARY CARE TEACHING HOSPITAL

2018 ◽  
Vol 11 (3) ◽  
pp. 155
Author(s):  
Rajesh Venkataraman ◽  
Madan Rayamajhi ◽  
Shahinur Islam ◽  
Nanjunda N
Keyword(s):  
Teaching Hospital ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Psychotropic Agents ◽  
Psychiatric Department

 Objectives: The objectives of the study were to study the prescribing pattern on psychotropic agents at psychiatric department at rural tertiary care teaching hospital, B.G. Nagara.Methods: A prospective and observational study was conducted among psychiatric department (either sex) after considering inclusion and exclusion criteria for the period of 6 months and a total of 300 prescriptions were analyzed.Results: A total of 300 psychiatric patients were enrolled, male 170 (56.67%) patients predominated over females 130 (43.33%) patients. Majority of participants were under age group of 31–40 years (28.6%), illiterate (75%), unemployed (52%), and married (84%). Prevalence of mood disorder 109 (36.33%) was high followed by substance used and addictive disorder 53 (17.67%), schizophrenia 46 (15.33%), and psychosomatic medicine 22 (7.33%). Antidepressant (28.59%) was the commonly prescribed group followed by benzodiazepines (14.81%), anticholinergic (7.18%), and anticonvulsants (7.18%). Tricyclic antidepressants drugs amitriptyline (53.44%) was most frequently prescribed an antidepressant. An average number of drugs per prescription was 2.32 out of which 16.91% of drugs were prescribed by their generic name.Conclusion: Selective serotonin reuptake inhibitors (SSRIs) were the most common group, and escitalopram was the most common medication used among the SSRIs. Majority of the drugs were prescribed from essential drug list. This study advocated an overall rational utilization of psychotropic drugs with fewer deviations due to the socioeconomic status of patients and prescription practices of healthcare providers and need to improve prescribing habits to ensure rational use.

scholarly journals Evaluation of Antimalarial Drug use in Tertiary Care Teaching Hospital

2017 ◽  
Vol 10 (3) ◽  
pp. 201-206
Author(s):  
Anushree Shrikant Deshpande ◽  
Mallappa Hanamantappa Shalavadi ◽  
Harshitkumar Bhupendrabhai Patel ◽  
Arvind Dayalbhai Vasoya ◽  
Rahul Kotwal ◽  
...  
Keyword(s):  
Drug Use ◽  
Teaching Hospital ◽  
Antimalarial Drug ◽  
Tertiary Care ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

scholarly journals A STUDY ON THE PRESCRIBING PATTERN OF ANTIMICOBIAL DRUGS IN PATIENTS ATTENDING THE EAR, NOSE, THROAT DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL

2020 ◽  
pp. 197-199
Author(s):  
SWOPNA PHUKAN ◽  
SAHELI DAS
Keyword(s):  
Clavulanic Acid ◽  
Teaching Hospital ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Essential Medicines ◽  
Antimicrobial Drugs ◽  
Suppurative Otitis Media ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Amoxicillin Clavulanic Acid

Objective: The aim of the study is to evaluate the prescription pattern of antimicrobial drugs in the department of ear, nose, throat (ENT) of a tertiary care teaching hospital in Guwahati. Methods: The present study was conducted in the department of ENT after getting approval from the Institutional Ethics Committee (No MC/190/2007/Pt – 11 December -18/18). It was a prospective observational study for a period of 6 months. Prescriptions were collected from the outdoor and indoor patients of ENT. Results: In the present study, the majority of the patients were male (64.1%). Mostly, the patients belonged to the age group of 31–60 years (52%). Pharyngitis (20.8%) was the most commonly encountered disease which was reported followed by ear discharge (16.2%) and acute suppurative otitis media (15.8%). Total number of antimicrobial drugs prescribed for 240 patients was 303, amoxicillin-clavulanic acid being the most common (66%). About 89.4% of the drugs were included in the WHO Model List of Essential Medicines, 2019. Majority of the patients were prescribed only one drug. Conclusion: The drug prescribed commonly for ENT infections was amoxicillin-clavulanic acid combination. Around 71.6% of drugs were prescribed by their brand names. Intervention is needed to promote the use of generic drugs as these drugs are with the same composition and provide the same therapeutic benefit at reasonable price.

scholarly journals Prescribing pattern and awareness about anemia among in-patients in a tertiary care teaching hospital

2018 ◽  
Vol 5 (9) ◽  
pp. 4000
Author(s):  
Mohammed Sarfaraz ◽  
A. S. Archana ◽  
Bhavana Kalwa ◽  
Monish Abraham Mathew ◽  
Shilpa Anna Kuriakose ◽  
...  
Keyword(s):  
Folic Acid ◽  
Teaching Hospital ◽  
Significant Positive Correlation ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Positive Correlation ◽  
Care Teaching

Background: Anemia is a major public health problem in India affecting people in all age groups with major consequences for human health as well as economic development. Hence the study aims to assess prescribing pattern of physicians in anemia and to create awareness among in-patients in a tertiary care teaching hospital.Methods: A prospective and observational study was carried out in 180 in-patients admitted to General Medicine department in a tertiary care teaching hospital diagnosed with anemia for 6 months. Data was collected from case sheets of patients and assessed for prescribing pattern and direct interview was conducted with patients using standardized KAP questionnaire on anemia.Results: Among 180 in-patients, 126 patients (70%) were females and 54 patients (30%) were males. As part of the therapy, folic acid with vitamin combinations (37 prescriptions) followed by elemental iron with folic acid combinations (32 prescriptions) were most prescribed drugs. KAP questions were scored appropriately and compared with hemoglobin levels. Knowledge level of patients was not significantly correlated (i.e., p=0.254) with their haemoglobin levels. There was a highly significant positive correlation (i.e., p=0.006) between attitude scores of patients and haemoglobin levels. A significant positive correlation (i.e., p=0.001) was found between practice scores of patients and hemoglobin levels.Conclusions: This study clearly showed that prescribing pattern of drugs in anemia patients’ needs to be continuously evaluated. To address the issue of anemia, the patient’s awareness should be enhanced.

Sign in / Sign up

Export Citation Format

Share Document