scholarly journals Evaluation of prescribing indicators and pattern among dermatological outpatients in a teaching hospital of central Nepal

2016 ◽  
Vol 12 (2) ◽  
pp. 44-49
Author(s):  
Manohar Pradhan ◽  
Mahesh Mathur
Keyword(s):  
Teaching Hospital ◽  
Essential Medicines ◽  
World Health ◽  
Medical Sciences ◽  
Prescribing Indicators ◽  
Central Nepal ◽  
Therapeutic Class ◽  
The Common ◽  
Common Problems ◽  
Health Organization

Background: Evaluation of prescribing indicators by proper analysis of prescriptions under the guidelines of World Health Organization enables us to detect some of the common problems of prescribing.Methodology: This study was conducted on randomly selected 325 prescriptions of dermatological outpatients of teaching hospital of College of Medical Sciences Bharatpur (Nepal) with an objective to detect the problems of prescribing as well as to delineate the pattern of medicines prescribing.Results: Total number of medicines prescribed on these prescriptions was 743. The average number of medicines per encounter was 2.28. Antihistamines, antifungals, corticosteroids and antibiotics were four most frequently prescribed therapeutic classes. One systemic as well as one topical medicine belonging to same therapeutic class was prescribed on about one-third of totally analyzed prescriptions. Cetrizine was the most common individually prescribed medicine and fluconazole was the most commonly prescribed antifungal. Medicines prescribed by their generic name were 15.07% and those prescribed from national essential medicines list were 23.42%.Conclusion: This study reveals polypharmacy, inclination of prescribers for branded medicines and prescribing out of national formulary as problems. Educational and managerial interventions are required to rationalize the prescribing practice.JCMS Nepal. 2016;12(2):44-9.

scholarly journals Prescribing indicators and pattern of use of antibiotics among medical outpatients in a teaching hospital of Central Nepal

1970 ◽  
Vol 6 (2) ◽  
pp. 7-13 ◽  
Author(s):  
Jeetendra Kumar ◽  
MM Shaik ◽  
MC Kathi ◽  
A Deka ◽  
SS Gambhir
Keyword(s):  
Teaching Hospital ◽  
Educational Interventions ◽  
Medical Sciences ◽  
Prescribing Indicators ◽  
Antibiotic Policy ◽  
Central Nepal ◽  
Therapeutic Class ◽  
Key Words Antibiotics ◽  
Common Problems ◽  
Medical Outpatients

The study of prescriptions using prescribing indicators enables us to detect some common problems of prescribing and to focus subsequent efforts to correct them. This study was designed to define the extent and pattern of drug prescribing with emphasis on that of antibiotics among medical outpatients of teaching hospital of College of Medical Sciences Bharatpur, Nepal. The data contained on randomly selected original prescriptions of patients attending medical OPD in between January2008 and June2008 were collected prospectively on duplex prescriptions and analyzed. A total of 955 drugs were prescribed to 339 patients. The average number of drugs per encounter was 2.81. Drugs prescribed by generic name were 20.31% and those matched to national essential drugs list were 49.63%. Encounters with antibiotics were 43.95%. Antibiotics were the most frequently prescribed therapeutic class. Azithromycin, ciprofloxacin and amoxycillin were three most frequently prescribed antibiotics. Respiratory tract infection was the most common indication, for which antibiotics were given. Selections of antibiotics were rational for most of the indications but bacteriological confirmation prior to institution of antibiotics were not done in any case. Polypharmacy, inclination for branded products and overuse of antibiotics were revealed as problems requiring educational interventions and strict antibiotic policy as subsequent efforts to rectify them. Key words: Antibiotics; medical outpatients; prescribing indicators; teaching hospital. DOI: 10.3126/jcmsn.v6i2.3610   Journal of college of Medical Sciences-Nepal, 2010, Vol.6, No-2, 7-13

scholarly journals Evaluation of Prescribing Indicators in a Paediatric Population Seen in an Outpatient Consultation at the Gaspard Kamara Health Centre in 2019 (Senegal)

Pharmacy ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 113
Author(s):  
Oumar Bassoum ◽  
Mouhamadou Faly Ba ◽  
Ndèye Marème Sougou ◽  
Djibril Fall ◽  
Adama Faye
Keyword(s):  
Descriptive Analysis ◽  
Health Centre ◽  
Paediatric Population ◽  
Essential Medicines ◽  
World Health ◽  
Bivariate Analysis ◽  
Prescribing Indicators ◽  
Outpatient Consultation ◽  
International Nonproprietary Name ◽  
Health Organization

Introduction: Data on drug use in paediatrics are scarce in Senegal. The objective of this study was to assess the prescribing indicators in a paediatric population seen in an outpatient consultation at a Health Centre in Dakar, Senegal. Methods: A retrospective and analytical study was conducted. The study population consisted of prescriptions for children aged 0 to 14 years who were seen in ambulatory consultation between 1 June and 30 November 2019. The sample size was 600 prescriptions. The systematic survey was then conducted. Five prescription indicators recommended by the World Health Organization were calculated. The R software was used for descriptive analysis, bivariate analysis and binomial logistic regression. Results: The average number of drugs per prescription was 2.56. The proportion of drugs prescribed under the International Nonproprietary Name (INN) was 18.9%, while the proportion of drugs on the National Essential Medicines List (NEML) was 41.3%. The proportions of prescriptions with at least one antibiotic and one injectable product were 41.5% and 1.3%, respectively. Conclusions: This study showed that prescribing habits were inadequate. Thus, it would be necessary to move towards continuing training of prescribers in the wise use of medicines.

scholarly journals Prescription auditing based on World Health Organization (WHO) prescribing indicators in a teaching hospital in North India

2016 ◽  
Vol 4 (10) ◽  
pp. 1847-1852
Author(s):  
Dr. Marya Ahsan ◽  
◽  
Dr Iram Shaifali ◽  
Dr Ayaz Khurram Mallick ◽  
Dr Hari Om Kumar Singh ◽  
...  
Keyword(s):  
World Health Organization ◽  
Teaching Hospital ◽  
North India ◽  
World Health ◽  
Prescribing Indicators ◽  
Health Organization

scholarly journals DRUG UTILIZATION STUDY IN POST-OPERATIVE PATIENTS IN THE SURGERY WARD OF A TERTIARY CARE TEACHING HOSPITAL IN SOUTH INDIA

2018 ◽  
Vol 11 (12) ◽  
pp. 124
Author(s):  
Mohammad Arshad ◽  
Raghunandan M ◽  
Vasant R Chavan ◽  
Mohd Fayazuddin
Keyword(s):  
Drug Utilization ◽  
Teaching Hospital ◽  
General Pattern ◽  
Tertiary Care ◽  
Hospital Setting ◽  
Essential Medicines ◽  
World Health ◽  
Care Hospital ◽  
Case Record ◽  
Health Organization

Objectives: Pharmacotherapy with multiple agents before, during, and after surgery is marked in the present day indoor hospital setting. The main objective of our research is to evaluate the prescribing and drug utilization patterns using the World Health Organization (WHO) indicators in post-operative patients in the surgery ward of Raichur Institute of Medical Sciences (RIMS) teaching hospital - Raichur, which will help us to use the medicines rationally and decrease the adverse effects in surgical patients.Methods: A retrospective study was done on post-operative patients of surgery ward in RIMS teaching hospital - Raichur. A total of 574 patients prescriptions/case record forms were collected over a period of 15 months from January 2015 to March 2016 from the medical record section of the hospital for analysis and rationalization. We analyzed the data using the various drug use indicators given by the WHO.Results: The average number of drugs per encounter was 7.04. Ranitidine, analgesics, antibiotics, and intravenous fluids accounted for majority of the drugs prescribed. Appendicectomy (34.84%) was most commonly performed surgical procedure. Percentage of encounters in which an antibiotic prescribed was 99.8%. Percentage of encounters with an injection prescribed was 100%. Percentage of drugs prescribed by generic name was 43.93%. Percentage of drugs prescribed from National List of Essential Medicines 2015 was 99.3%.Conclusion: Our study gave us an in general pattern about the use of drugs in post-operative patients in the surgical ward of a tertiary care hospital. Widespread polypharmacy, particularly in case of the antibiotics, lack of generic prescribing are some concerns that need to be addressed to conform to rational drug therapy. However, prescribing according to the national essential list of medicines is good in our study.

scholarly journals Socio-demographic Features of Mothers in Relation to Duration of Breastfeeding in Manipal Teaching Hospital, Pokhara, Nepal

1970 ◽  
Vol 1 (1) ◽  
pp. 27-30 ◽  
Author(s):  
S Basnet ◽  
E Gauchan ◽  
K Malla ◽  
T Malla ◽  
DP Koirala ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Gender Discrimination ◽  
World Health ◽  
Breastfeeding Duration ◽  
Medical Sciences ◽  
Mother’S Age ◽  
Health Organization ◽  
A Prospective Study ◽  
Duration Of Breastfeeding ◽  
Demographic Features

Background: It was noticed by the authors that the patients attending the Pediatrics Department were being breastfed for a longer duration than the recommended two years by the World Health Organization (WHO). This study was undertaken to see the exact duration of breastfeeding of the children who were being treated at the hospital. Method: This was a prospective study carried out from April 2010 to March 2011 in 500 children who were treated at Manipal Teaching Hospital, Pokhara, Nepal. Other demographic features such as the mother’s age, occupation, education, ethnicity and child’s sex were also some of the factors which were studied to see if these factors influenced the duration of breastfeeding. Results: Our study revealed that the median age of breastfeeding among the children studied was 43 months. Out of the 500 mothers who were interviewed 159 of them breastfed their child beyond the age of 60 months (5 years). In addition, we did not find any statistically significant gender discrimination with regards to the breastfeeding duration. Conclusion: This study shows that the studied population has been breastfed for longer duration than the recommended guideline stipulated by the WHO. The duration of breastfeeding seen in this study is higher than shown in previous studies. Keywords: Breastfeeding; extended breastfeeding; socio-demographic DOI: http://dx.doi.org/10.3126/njms.v1i1.5793   Nepal Journal of Medical Sciences. 2012; 1(1): 27-30

Current updates on COVID-19 - A review

2020 ◽  
Vol 10 (1) ◽  
pp. 1-8
Author(s):  
Ghotekar D S ◽  
Vishal N Kushare ◽  
Sagar V Ghotekar
Keyword(s):  
World Health Organization ◽  
Common Cold ◽  
Respiratory Diseases ◽  
Gastrointestinal Diseases ◽  
Hubei Province ◽  
World Health ◽  
The World ◽  
The Common ◽  
Novel Coronavirus ◽  
Health Organization

Coronaviruses are a family of viruses that cause illness such as respiratory diseases or gastrointestinal diseases. Respiratory diseases can range from the common cold to more severe diseases. A novel coronavirus outbreak was first documented in Wuhan, Hubei Province, China in December 2019. The World Health Organization (WHO) has declared the coronavirus disease 2019 (COVID-19) a pandemic. A global coordinated effort is needed to stop the further spread of the virus. A novel coronavirus (nCoV) is a new strain that has not been identified in humans previously. Once scientists determine exactly what coronavirus it is, they give it a name (as in the case of COVID-19, the virus causing it is SARS-CoV-2).

Myths about COVID-19

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 907-912
Author(s):  
Deepika Masurkar ◽  
Priyanka Jaiswal
Keyword(s):  
World Health ◽  
Indian Society ◽  
Common People ◽  
The World ◽  
New Type ◽  
The Media ◽  
Personal Level ◽  
Novel Virus ◽  
The Common ◽  
Health Organization

Recently at the end of 2019, a new disease was found in Wuhan, China. This disease was diagnosed to be caused by a new type of coronavirus and affected almost the whole world. Chinese researchers named this novel virus as 2019-nCov or Wuhan-coronavirus. However, to avoid misunderstanding the World Health Organization noises it as COVID-19 virus when interacting with the media COVID-19 is new globally as well as in India. This has disturbed peoples mind. There are various rumours about the coronavirus in Indian society which causes panic in peoples mind. It is the need of society to know myths and facts about coronavirus to reduce the panic and take the proper precautionary actions for our safety against the coronavirus. Thus this article aims to bust myths and present the facts to the common people. We need to verify myths spreading through social media and keep our self-ready with facts so that we can protect our self in a better way. People must prevent COVID 19 at a personal level. Appropriate action in individual communities and countries can benefit the entire world.

Chemistry of Iodinated Contrast Media (ICM): A Minireview

2020 ◽  
Vol 17 ◽  
Author(s):  
Maithili Pramod Joshi ◽  
Ameya Chaudhari ◽  
Prashant S. Kharkar ◽  
Shreerang V. Joshi
Keyword(s):  
Adverse Effects ◽  
Contrast Media ◽  
Aqueous Solubility ◽  
Synthetic Methods ◽  
Essential Medicines ◽  
World Health ◽  
Iodinated Contrast Media ◽  
Environmental Aspects ◽  
Iodinated Contrast ◽  
Health Organization

: Historically, the use of Iodinated Contrast Media (ICM) for diagnostic purposes, particularly radiography and computed tomography (CT), is well-known. Many of the ICM are included in the World Health Organization (WHO)’s List of Essential Medicines. Depending on the chemotype and the presence of ionizable functional group(s), the ICM are categorized in the ionic/nonionic monomers/dimers. The lipophilicity, aqueous solubility, viscosity and osmolality are major characteristics dictating their use for one procedure versus the other. Over last several decades, substantial advancement occurred in the design and development of novel ICM, solely to reduce their propensity to cause adverse effects. Given the nature of their acute usage, some of the agents with appreciable toxicity are still used. Understanding their chemistry aspects is crucial to appreciate, acknowledge and justify the usage of these extremely important torch-bearers of diagnostic agent’s class. The present review article presents an in-depth overview of the synthetic methods, therapeutic indications, potential adverse effects along with the commercial and environmental aspects of ICM. The safety and tolerability of these agents is a field that has gained significant importance, which is given due importance in the discussion.

Evaluation of Drug Use Based on WHO Prescribing Indicator in Mizan- Tepi University Teaching Hospital, south Western Ethiopia: A Cross Sectional Study

2020 ◽  
Vol 15 ◽  
Author(s):  
Solomon Hambisa ◽  
Rediet Feleke ◽  
Ameha Zewudie ◽  
Mohammed Yimam
Keyword(s):  
Drug Use ◽  
World Health Organization ◽  
Teaching Hospital ◽  
Cross Sectional Study ◽  
University Teaching ◽  
World Health ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Health Organization

Background:: Rational drug use comprises aspects of prescribing, dispensing and patient use of medicines for different health problems. This study is aimed to assess drug prescribing practice based on the world health organization prescribing indicators in Mizan-Tepi University teaching hospital. Methods:: An institutional based retrospective cross sectional study was conducted to evaluate prescribing practices in Mizan-Tepi University teaching hospital. Data were collected based on World health organization drug use indicators using prescription papers. 600 prescriptions dispensed through the general outpatient pharmacy of the hospital were collected by systematic random sampling method from prescriptions written for a 1-year time in Mizan-Tepi University teaching hospital. Results:: The present study found that the average number of drugs per prescription was 2.04 ± 0.87 in Mizan-Tepi University teaching hospital with a range between 1 and 5. Prescribing by generic name was 97.6 % and 47.8% of prescriptions contained antibiotics in the hospital. 27.7% of prescriptions contained at least one injectable medication in Mizan-Tepi University teaching hospital. From prescribed drugs, 96.7% of them were prescribed from Ethiopian essential drug list. Conclusion:: Present study indicated that the average number of drugs prescribed per encounter, the percentage of generic prescribing and prescribing from the EDL were close to optimal value. However, the percentage of encounters with antibiotics and injections prescribed were found be very high. Thus, the study highlights some improvements in prescribing habits, particularly by focusing on the inappropriate consumption of antibiotics and injections.

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