scholarly journals Knowledge, attitude and practices of generic names usage in prescription among the medical postgraduate residents of a tertiary care teaching hospital: an observational cross-sectional study

2019 ◽  
Vol 8 (5) ◽  
pp. 1030
Author(s):  
Rakesh R. Jadhav ◽  
Rushikesh S. Kulkarni ◽  
Arati V. Rathod
Keyword(s):  
Tertiary Care ◽  
Medical Practitioner ◽  
Drug Approval ◽  
Cross Sectional Study ◽  
Brand Names ◽  
Medical Council ◽  
Cross Sectional ◽  
Professional Qualification ◽  
Pros And Cons ◽  
Academic Year

Background: Establishment of Pradhan Mantri Bhartiya Janaushadhi Kendras through Pradhan Mantri Janaushadhi Pariyojana (PMBJP) is a breakthrough step to reduce expenses in healthcare due to costly branded names in prescription. Medical council of India also amended clause 1.5 of the Indian Medical Council Regulations, 2002 mandating the doctors to prescribe medicines by generic names in place of brand names. Moreover, medical practitioner nowadays has raised concern about education/qualification of the chemist who is being made the decision maker.Methods: In this questionnaire based cross-sectional observational study, all students admitted to post graduation course in academic year 2018 were included and those who were not willing to give consent were excluded from study. A knowledge, attitude and practices (KAP) questionnaire containing 12 questions was assessed by using true/false type and Likert scale-based questions. Descriptive statistics used to generate frequencies, percentages and proportions.Results: Majority of the population have answered positively about knowledge questions. Surprisingly 72.41% population don’t know about process of new drug approval. Most of them agreed to pros and cons of generic drug prescribing. 58.14% population always write generic names in their prescription. Shockingly 74.42% population write prescription based on their knowledge from promotional literature by a medical representative.Conclusions: Findings of present study highlights usefulness of the practice of writing generic names in prescriptions. It also raises concern about professional qualification of the chemist who will be decision maker in drug delivery to consumers.

scholarly journals Pattern of prescribing psychotropics in the outpatient department of a tertiary psychiatric hospital

2017 ◽  
Vol 29 (1) ◽  
pp. 10-13
Author(s):  
Mohammad Tariqul Alam ◽  
Mohammad Muntasir Maruf ◽  
Mekhala Sarkar ◽  
Helal Uddin Ahmed ◽  
Mahfuza Akhter
Keyword(s):  
Psychotropic Drugs ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Brand Names ◽  
Mood Stabilizers ◽  
Outpatient Department ◽  
Care Hospital ◽  
Cross Sectional ◽  
Study Population

Pattern of prescriptions for psychiatric patients varies which is influenced by patient variation, types of disorders, cultural and environmental influences, socioeconomic status, availability of drugs and psychiatrists own preference. The aim of this study was to determine the patterns of prescribing psychotropic drugs in psychiatry Outpatient Department (OPD) in a tertiary care hospital. The cross-sectional study was conducted in the OPD of National Institute of Mental Health (NIMH), Dhaka from January to June, 2016. In the study, the prescriptions prescribed by psychiatrists were considered as study population. Using convenient sampling method, data were collected by observation using checklist from selected 604 latest prescriptions prescribed by psychiatrists in OPD of NIMH for the patients coming there for treatment. The data on the psychotropic drugs collected for the study were antipsychotics, antidepressants, mood stabilizers and sedative-hypnotics. Results showed that a total of 1802 psychotropic drugs were prescribed with an average of 2.98 psychotropics per prescription. The most common drug group prescribed was antipsychotics (44.8%). Majority (49.7%) of the prescriptions contained 3 psychotropics simultaneously. Most common (27.8%) combination was that of antipsychotics and sedativehypnotics. Dosage regimen was twice/day for the majority (55.6%). There was a combination of oral and parenteral drugs in 48.3% of prescriptions. All the drugs were prescribed by brand names. There was no diagnosis written in 60.9% of the prescriptions. The prescription pattern was not rational and this should be intervened by educating prescribers about rational prescribing in psychiatry.Bang J Psychiatry June 2015; 29(1): 10-13

scholarly journals Drug utilization study in geriatric patients visiting the outpatient department in tertiary care rural hospital.

2019 ◽  
pp. 40-42
Author(s):  
Haresh A Desai ◽  
Bhagya Manoj Sattigeri
Keyword(s):  
Geriatric Patients ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Rural Hospital ◽  
Brand Names ◽  
Prescribing Patterns ◽  
Fixed Dose ◽  
Related Factors ◽  
Cross Sectional ◽  
Disease Pattern

Aim & Objective:The study aimed to evaluate the disease pattern, drugs used & the prescribing patterns to the geriatric patients at rural hospital. Materials and Methods: A total of 300 patients were enrolled in the prospective, cross sectional study. The demographic details, drugs used condition for which the drugs were prescribed and other related factors; names by which they were prescribed, use of fixed dose combinations were recorded and subjected to analysis. Observation and Results: Enrolled patients belonged to the age between 65 to 74 years, who presented with cardiovascular (21.22%) followed by musculoskeletal conditions (17.44%). Medicines were mostly prescribed by brand names 72.11%, Ranitidine was most frequently prescribed followed by Aceclofenac. About 20.35% were prescribes as FDCs for ex; Aceclofenac + Paracetamol was most commonly prescribed FDC followed by Amoxicillin + Clavulanic Acid. Conclusion: Cautious use of medicines in geriatric patients is essential which can be provided by rational prescribing.

scholarly journals PRESCRIBING PATTERN IN GERIATRIC PATIENTS IN MEDICAL OPD OF A TERTIARY CARE TEACHING HOSPITAL

2021 ◽  
pp. 132-134
Author(s):  
KANIKA KHAJURIA ◽  
VIJAY KHAJURIA
Keyword(s):  
Prescription Drugs ◽  
Geriatric Patients ◽  
Inappropriate Medication ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Brand Names ◽  
Beers Criteria ◽  
Prescribing Pattern ◽  
Geriatric Population ◽  
Cross Sectional

Objectives: Geriatric population is increasing globally and they suffer from multiple disorders necessitating administration of number of drugs. The objective of the present study was to examine the prescribing pattern in geriatric patients in a medical OPD. Methods: An observational, cross-sectional study was conducted in medical OPD of Government Medical College, Jammu, over a period of a month after approval of the Institutional Ethics Committee. Patients above 65 years of age who gave consent were included in the study. The prescriptions were analyzed for demographic profile (age and gender), average number of drugs per prescription, drugs by generic or brand names, fixed drug combinations (FDCs), and percentage of potentially inappropriate as per Beers criteria. Results: A total of 200 patients were included comprised 64% of males and 36% of females. The most of patients were in the age group of 65–69 years (37.5%). A total of 200 prescriptions contained 1128 drugs amounting to average 5.64 number of drugs per prescription. Maximum prescriptions had 1–5 drugs (61%) followed by 6–10 drugs (38.5%). Majority of drugs were prescribed by brand name (93.26%) and only 6.73% of drugs were prescribed by generic name. About 10.46% FDCs were prescribed. Maximum drugs prescribed were from respiratory system (20.3.1%), followed by GIT (18.4%), antimicrobials (17.2%), cardiovascular (10.99%), NSAIDs (9.3%), and vitamins (8.4%). Forty-one drugs (20.5%) in patients were potentially in appropriate drugs based Beers criteria and belonged mostly to anticholinergic, antihistaminic, sedatives, NSAIDs, and H2 blockers. Conclusions: The present study demonstrates that polypharmacy and potentially inappropriate medication are still present in OPD prescription of geriatric population. Generic prescribing still lacks. Application of Beers criteria and increasing awareness about polypharmacy should be encouraged.

scholarly journals ANTIBIOTIC UTILIZATION IN PEDIATRIC IN-PATIENTS AT A TERTIARY CARE UNIT.

2019 ◽  
Vol 26 (07) ◽  
pp. 1084-1089
Author(s):  
Abid Ullah ◽  
Fathullah ◽  
Haya Hussain ◽  
Shujaat Ahmad ◽  
Shahzad Khan ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Generation Cephalosporin ◽  
Cross Sectional Study ◽  
Brand Names ◽  
High Rate ◽  
Cross Sectional ◽  
Pediatric Ward ◽  
Care Teaching ◽  
Teaching Unit ◽  
Utilization Patterns

Objectives: Antibiotics are key drugs which are used for the treatment of infectious disease and are among the drug that are most frequently prescribe in pediatric patients. This study was designed to assess antibiotics utilization patterns in pediatric ward of a tertiary care teaching unit, Peshawar. Study Design: A retrospective cross sectional study. Setting: Pediatric ward by evaluating antibiotics utilization patterns in pediatric ward of a tertiary care teaching unite, Peshawar. Period: January, 2017 up to March, 2017. Method: Results: There were 219 patients included in the study. In this study, the major medical conditions for which antibiotics were prescribed include pneumonia (23.28%). The most commonly used antibiotics were ceftriaxone, 46.21%, while the most commonly prescribed multiple antibiotics were ceftriaxone plus ampicillin (21.9%) followed by Ceftriaxone & Metronidazole. The average number of antibiotics per prescription was 1.75. At least 114 (52%) patients were prescribed with single antibiotic and patients prescribed with two antibiotics were 72 (32%). There was a high rate of parental administration which account for about 92.26% of the total antibiotic prescribed. It is assessed that 26.89% of total drugs were prescribed by generic name which were extremely lesser than the medication prescribed with brand names 73.10%. Conclusion: From the result we concluded that third generation cephalosporin especially ceftriaxone was most frequently prescribed antibiotic in hospitalized children.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

Side Effects of Chemotherapy and Cancer Treatment in Tertiary Care Teaching Hospital

2016 ◽  
Vol 2 (1) ◽  
pp. 62-78
Author(s):  
. Hemraj ◽  
Raj Kumar ◽  
Sourabh Kosey ◽  
Amit Sharma ◽  
Nalini Negi
Keyword(s):  
Side Effects ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Informational Needs ◽  
Cross Sectional ◽  
Clinical Pharmacists ◽  
Medical College ◽  
Related Information ◽  
The Common ◽  
Chemotherapy Patients

To determine the most common physical side effects experienced by local chemotherapy patients. Their perceptions of these side effects and informational needs from clinical pharmacists were also evaluated. This was a single center, observational cross-sectional study conducted at department of General Surgery, Guru Gobind Singh Medical College and Hospital, Faridkot, Punjab. A face to face interview was conducted. Information collected included chemotherapy related side effects after last chemotherapy experience, the most worrisome side effects, overlooked by healthcare professionals and the preferred method, amount and source of receiving related information. In this study, hundred patients were enrolled out of them 48 were male and 52 were female. When differential calculations was done, common side effects or adverse effects of chemotherapy in the patients of breast, lung cancer, Ovarian Cancer, Colon cancer, Prostate cancer, Lymphoma Cancer, Cervix cancer where there is much irregular medicine intake 57.4% may be due to common problem of joint pain reported by all the patients under study, with the consecutive problem of nausea and vomiting. The high prevalence of chemotherapy related side effects among local patients is a major concern and findings of their perceptions and informational needs may serve as a valuable guide for clinical pharmacists and physicians to help in side effect management. This study shows the common problems reported by the patients when they are suffering from cancer condition, according to their incidence perceptions as experienced by the patient, this will allow the physician and clinical pharmacist to effectively counsel and manage the common symptoms as reported prior to its occurrence in the patient, so that withdrawal can be checked.

A Cross-sectional Study of Undiagnosed Fever in a Rural Population at a Tertiary Care Hospital of West Bengal

2018 ◽  
Vol 4 (3) ◽  
Author(s):  
Nandini Chatterjee ◽  
Supratick Chakraborty ◽  
Mainak Mukhopadhyay ◽  
Sinjon Ghosh ◽  
Bikramjit Barkandaj ◽  
...  
Keyword(s):  
Rural Population ◽  
West Bengal ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional

Prevalence and distribution of causes of infertility according to women’s age – a cross-sectional study in a tertiary healthcare hospital setup

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Keerthana Dhandapani ◽  
Bhagyalakshmi Kodavanji ◽  
Vinodini Nithyananda Madom Anantharaya ◽  
Nayanatara Arun Kumar
Keyword(s):  
Tertiary Care ◽  
Developed Countries ◽  
Cross Sectional Study ◽  
Female Infertility ◽  
Secondary Infertility ◽  
Cross Sectional ◽  
Female Population ◽  
Infertile Women ◽  
Tertiary Healthcare ◽  
The Individual

Abstract Objectives Infertility has disastrous consequences, particularly for women. Causes of infertility in developed countries have been investigated but there is a significant lack of data among Indian female population. The aim of the present study was to analyze the causes and the proportion of the individual factors contributing to infertility, considering the age factor. Methods The data of 204 infertile women (18–45 years) were collected from the files in tertiary care hospitals. Causes and age of infertile women were grouped. The prevalence of each cause was evaluated. Data analysis was done using SPSS (Statistical Package for Social Sciences) version 17.0. Results Polycystic ovarian syndrome (PCOS) was the most common (14.71%) cause of female infertility. Ovulatory dysfunctions (25.55%) were the foremost cause in primary infertility, whereas in secondary infertility, uterine factors (26.86%) were most common. The incidence of primary and secondary infertility was more evident in patients who were more than 30 years of age. Conclusions Causes of infertility vary according to the age. The causes of female infertility were unexplained infertility, ovulatory disorders and uterine factors most commonly affecting women at ≤30 years.

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