scholarly journals TO ASSESS THE DRUG UTILIZATION PATTERN AND TO ANALYZE PHARMACOECONOMICS FOR GERIATRICS IN-PATIENT IN MEDICINE DEPARTMENT OF TERTIARY CARE TEACHING HOSPITAL

2017 ◽  
Vol 9 (12) ◽  
pp. 276
Author(s):  
Gurudeo N. Singh
Keyword(s):  
Diabetes Mellitus ◽  
Drug Utilization ◽  
Tertiary Care ◽  
General Medicine ◽  
Chronic Obstructive ◽  
Utilization Pattern ◽  
Obstructive Pulmonary Disease ◽  
Medicine Department ◽  
Co Morbidity ◽  
Collection Form

Objective: This study was conducted to generate the data on drug utilization pattern among geriatric inpatients in general medicine department.Methods: The patient’s prescriptions and medical record files were randomly selected on the basis of inclusion and exclusion criteria at medicine department of Shri Mahant Indiresh Hospital, Dehradun and the required data for the study were collected in well-designed data collection form and evaluated after the period of 3 months.Results: Among 175 patients, males were predominant and 31.42% patients were in age group of 71-75 years. Cardiovascular diseases (28%) were most common cause of hospitalization followed by, respiratory disorders (20.57%). Hypertension (25.72%) was most commonly diagnosed disease followed by, diabetes mellitus (22.2%) and chronic obstructive pulmonary disease (14.28%).  The most common co-morbidity was hypertension & diabetes mellitus. More than 3 co-morbidities were found in 79 patients. Cardiovascular drugs (22.17%) was most frequently prescribed drug followed by, gastrointestinal drugs (15.30%). Among individual drugs pantoprazole (A02BC02) was most commonly prescribed drugs.  Total of 1581 drugs were prescribed with an average of 9.03 drugs per prescription. Only 9.63% drugs were prescribed by generic name. Antimicrobials were prescribed in 146 prescriptions, among them ceftriaxone (J01DD04) was frequently prescribed.Conclusion: Most of the drugs were utilized by male patients and the rate of polypharmacy was high.

scholarly journals An Observational Study on Drug Utilization Pattern in Asthma and Chronic Obstructive Pulmonary Disease in Tertiary Care Teaching Hospital

2021 ◽  
pp. 187-198
Author(s):  
Rajesh Hadia ◽  
Priyesha Bhatt ◽  
Anadisharan Panchal ◽  
Anjali Gandhi ◽  
Trupal Rathod ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Drug Utilization ◽  
Treatment Guidelines ◽  
Inhaled Corticosteroids ◽  
Tertiary Care ◽  
Chronic Obstructive ◽  
Utilization Pattern ◽  
Obstructive Pulmonary Disease ◽  
Global Initiative

Background: Obstructive airway diseases such as asthma and COPD are defined as a decreased capacity to get air through the conducting airways and out of the lungs. Objective: To study the drug utilization pattern in asthma and chronic obstructive pulmonary disease, determine irrationally (does not comply with prescription) drug usage, and whether they were prescribed following the standard treatment guidelines. Methodology: A total of 150 patients of either sex aged 18 years and above having asthma and/or COPD were included in the study. The medical records of patients were checked and information was recorded. The prescriptions were analyzed for drug utilization patterns. The newly diagnosed patients were followed up and medication adherence was determined after 1 month. Results: Out of all 150 patients there were 103 male and 47 female patients. 54 patients were having asthma, 89 patients COPD, and 7 patients asthma COPD overlap. The majority of the patient were prescribed 1 to 3 drugs per prescription. Inhaled corticosteroids were the highest prescribed drug class. The most commonly prescribed drug combination was budesonide + formoterol. The majority of the patients have poorly adhered to the treatment. Conclusion: Study data highlights that very few drug interactions were identified between prescribed medications. The drugs and their combinations were prescribed according to the standard guidelines GOLD (Global Initiative for Chronic Obstructive Lung Disease) and GINA (Global Initiative for Asthma).

scholarly journals Predictors of co-morbidities in chronic obstructive pulmonary disease patients at a tertiary care centre in north India

2019 ◽  
Vol 7 (11) ◽  
pp. 4154
Author(s):  
Kaushlendra Pratap Narayan ◽  
S. K. Verma ◽  
Surya Kant ◽  
R. A. S. Kushwaha ◽  
Santosh Kumar ◽  
...  
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Inflammatory Process ◽  
Tertiary Care ◽  
Airflow Limitation ◽  
Pulmonary Vasculature ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Copd Patients ◽  
Co Morbidity

Background: Chronic obstructive pulmonary disease (COPD) is a common preventable and treatable disease that is characterised by persistent respiratory symptoms and airflow limitation. COPD is characterised by an intense inflammatory process in the airways, parenchyma, and pulmonary vasculature. It is possible in some cases that the inflammatory process may overflow into the systemic circulation, promoting a generalised inflammatory reaction. Patient with COPD often have concomitant chronic illness (co-morbidities). The aim of this study is to know the pattern of co-morbidities in COPD patients.Methods: This study was a cross sectional observational study conducted on 172 COPD patients (IPD and OPD) diagnosed on the basis of GOLD guideline 2017. Co morbidities were diagnosed as per standard defined criteria laid down in the respective guidelines.Results: 55.3% of the patients with COPD had co morbidities. 18/88(20.5%) patients presented with multiple co-morbidities. 49/88, 55.7% COPD patients were affected with cardiac (either only cardiac or had multiple organs affected besides cardiac), the commonest co-morbidity. Amongst cardiac, hypertension and congestive heart failure (CHF) was the commonest (n=19/49, 38.8% each) followed by CAD/CSA/IWMI/IHD/AF. Others were metabolic (n=14/88, 15.9%), GERD (n=13/88, 14.8%), Depression (n=11/88, 12.5%). Less prevalent co-morbidities were Osteoporosis (n=8/88, 9.1%), Lung cancer (n=6/88, 6.8%), Bronchiectasis (n=5/88, 5.6%) and OSA (n=3/88, 3.4%).Conclusions: Urban indwelling, advancing age and duration of illness, presentation with low mood, loss of pleasure/ interest, appetite disturbances and heart burn with relief on taking proton pump inhibitor can be predictors of co-morbidities in COPD patients. Chance of finding co-morbidities may be multifactorial. Thus, it is important to look out for co morbidities in each and every COPD patients.

scholarly journals A study on prescribing pattern and medication adherence in elderly COPD and bronchial asthma patients in a tertiary care teaching hospital

2021 ◽  
Vol 10 (12) ◽  
pp. 1385
Author(s):  
Anbu D. ◽  
Benimana Grace ◽  
Manna P. K. ◽  
Babu Raj K.
Keyword(s):  
Medication Adherence ◽  
Bronchial Asthma ◽  
Tertiary Care ◽  
Health Concern ◽  
Chronic Obstructive ◽  
Prescribing Pattern ◽  
Obstructive Pulmonary Disease ◽  
Patient Counselling ◽  
Prescription Pattern ◽  
Co Morbidity

Background: Chronic obstructive pulmonary disease and bronchial asthma are common among elderly people and have become a major public health concern of today. The purpose of this study is to identify the prescription pattern and role of medication adherence in the COPD and bronchial asthma. Prescription pattern monitoring (PPMS) are mainly focus on prescribing, dispensing, administering of drugs they promote appropriate use of monitored drugs and reduction of abuse/misuse.Methods: A hospital based prospective observational study was conducted at department of medicine in Rajah Muthiah Medical College and Hospital. A total of 90 patients were enrolled based on inclusion and exclusion criteria and the data was collected using designed data collection form.Results: Out of 90 patients, male (81.10%) and female (18.90%) are reported with COPD and bronchial asthma. On prevalence 57 (63.34%) of patients with co-morbidities and without co-morbidities 33 (36.66%). Among co-morbidity patients, 38.90% of patients has type-2 diabetes mellitus. PPA indicate that cephalosporins (46.68%), macrolides (38.88%) class of antibiotic are used prominently along with corticosteroids of hydrocortisone 47 (62.66%) and prednisolone 28 (37.34%). 47 (62.66%) patients received expectorants and anti-tussive in that, Ipratropium bromide + levosalbutamol (50%) are commonly prescribed.Conclusions: This study concludes that COPD and bronchial asthma was most predominant in elderly patients and its treated with mainly antibiotics and corticosteroids with bronchodilators in the way of inhalers and nebulizers. The rational use of drugs and patient counselling reflects a better medication adherence.

scholarly journals A STUDY ON DRUG UTILIZATION PATTERN OF CEPHALOSPORINS IN GENERAL MEDICINE AND SURGICAL INPATIENT DEPARTMENT

2018 ◽  
Vol 10 (3) ◽  
pp. 33
Author(s):  
Naveen V. ◽  
Abubaker Siddiq ◽  
Chandana G.
Keyword(s):  
Drug Utilization ◽  
Tertiary Care ◽  
General Medicine ◽  
Developed Countries ◽  
Fourth Generation ◽  
Utilization Pattern ◽  
Healthcare Facilities ◽  
The World ◽  
The Developed Countries ◽  
Third Generation Cephalosporins

Objective: Cephalosporins are a commonly used group of antibiotics in hospitals and healthcare facilities around the world. In the developed countries through the use of older cephalosporins is declining, that of the newer generations has increased. The objective of this study was to assess Drug Utilization Pattern of Cephalosporins in General Medicine and Surgical Inpatient Departments of tertiary care hospital.Methods: The data of enrolled patients were collected from case records of admitted inpatients during the study period. The collected data was assessed by statistical analysis using descriptive analysis.Results: A total of 110 inpatients were enrolled in the study. Out of 110 patients, males were 54.5% and females were 45.5%. The results analyzed that the prescriptions are more with third-generation cephalosporins than fourth-generation cephalosporins.Conclusion: The study concludes that 3rd generation cephalosporins is widely used for treating various nosocomial infections.

scholarly journals A PRESCRIPTION AUDIT AND ASSESSMENT OF DRUG UTILIZATION PATTERN IN A TERTIARY CARE TEACHING AND REFERRAL HOSPITAL IN UTTAR PRADESH, INDIA

2019 ◽  
pp. 161-165
Author(s):  
SURABHI ARORA ◽  
AFROZ ABIDI ◽  
DILSHAD ALI RIZVI
Keyword(s):  
Drug Utilization ◽  
Tertiary Care ◽  
General Medicine ◽  
Uttar Pradesh ◽  
Referral Hospital ◽  
Prescribing Patterns ◽  
Fixed Dose ◽  
Utilization Pattern ◽  
Care Teaching ◽  
Disease Pattern

Objective: The objective of our study is to assess the prescription and drug utilization pattern in a tertiary care teaching and referral hospital in Uttar Pradesh, to investigate the rational use of drugs. Methods: The study was carried out in the general medicine outpatient department (OPD) setting for a period of 3 months in our tertiary care teaching and referral hospital. The prescriptions were randomly sampled and the photocopies of all the prescriptions were obtained from the OPD during the period of the study and were processed and analyzed for the demographic profile, drug profile, fixed-dose combinations, therapeutic classes of antibiotic prescribed, morbidity profile according to the disease pattern, and prescription pattern including the errors in prescription and the assessment of polypharmacy. Results: A total of 350 prescriptions were randomly sampled, out of which 312 prescriptions were fit to be analyzed. The total number of drugs in 312 prescriptions was 1022. Basic information of patient was written in 79.25% prescriptions, 84.25% prescriptions were legible, and only 71.21% prescriptions were complete. The majority of prescriptions had at least five drugs ordered which constituted around 43.14% of total number of prescriptions leading to polypharmacy. Conclusions: Our study highlights that there is a scope for improvement in prescribing patterns in areas of writing legible and complete prescriptions. To lay down the principles of rational pharmacotherapeutics, proper training of the prescribers on rational prescription writing is the need of an hour for improving the quality of prescriptions.

scholarly journals Assessment of Prescription Pattern Among COPD Patients in Departments of General Medicine Ward and Pulmonology in Tertiary Care Hospitals of Khammam Region

2020 ◽  
Vol 11 (2) ◽  
pp. 1798-1806
Author(s):  
Sai Lakshmi Srikala T ◽  
Saika V ◽  
Raveendra Babu K ◽  
Chinna Eswaraiah M
Keyword(s):  
Tertiary Care ◽  
General Medicine ◽  
Symptomatic Treatment ◽  
Chronic Obstructive ◽  
Pulmonary Medicine ◽  
Care Hospital ◽  
Prescribing Pattern ◽  
Copd Patients ◽  
Co Morbidity ◽  
Study Population

Chronic obstructive pulmonary disease is a common preventable and treatable disease. It has been a leading cause of morbidity and mortality in industrialized and developing countries. Drug utilization research promotes the rational use of drugs and decreases adverse drug reactions in the population. The present study is aimed to analyze and evaluate the trends and patterns of prescribing drugs among COPD patients. A prospective observational study was conducted in 301 patients admitted in the general and pulmonary medicine departments over six months at a tertiary care hospital in Khammam region. Out of the 301 study population, male patients were more (81.39%).  The majority of the patients were from the age group of 51-60 years (30.56%). Smoking was found to be more prominent in the study population (63.6%). Bronchodilators (46.90%) were mostly prescribed class of drugs in the management of COPD followed by Systemic Corticosteroids (20.60%), Antibiotics (19.09%) Most common co-morbidity was found to be Hypertension (19.85%). The study concludes that symptomatic treatment was given to COPD patients in the hospital. The prescribing pattern was found to be in concordance with the current GOLD guidelines in the management of COPD patients

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