scholarly journals Drug Utilisation Pattern in Ear, Nose and Throat Inpatient Department using WHO Prescribing Indicators

2021 ◽  
Vol 1 (1) ◽  
pp. 21-28
Author(s):  
Deependra Prasad Sarraf ◽  
Bajarang Prasad Sah
Keyword(s):  
Drug Utilisation ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Essential Medicines ◽  
World Health ◽  
Prescribing Practices ◽  
Prescribing Indicators ◽  
Utilisation Pattern ◽  
Nose And Throat ◽  
Inpatient Department

Introduction: Assessment of drug utilisation pattern (DUP) based on World Health Organisation (WHO) drug prescribing indicators would enhance the standards of patient care at all levels of the healthcare. It helps to improve the quality of life in developing countries like Nepal. Objective: To assess DUP in patients admitted in ear, nose and throat inpatient department at a tertiary hospital in Eastern Nepal using the WHO prescribing indicators. Methods: A hospital based cross-sectional descriptive study was carried out in 96 patients in ENT department of a tertiary care teaching hospital from February-April 2019. Pre-designed proforma was used to collect the relevant data from the medical case sheets and drug charts. Descriptive statistics were calculated using Microsoft Excel 2010. Results: Out of 96 patients, 52 (54.17%) were female. Most of the patients (46, 47.18%) were pre­scribed four drugs. Combination of Ibuprofen and Paracetamol (77, 19.74%) was the commonest prescribed drug. Ceftriaxone (62, 63.92%) was the most frequently prescribed systemic antibiotic. The average number of drugs per prescription was 4.06. None of the drugs were prescribed by generic name. Out of 360 drugs, only 118 (30.26%) were prescribed from National List of Essential Medicines (NLEM) and 117 (30.00%) drugs were fixed drug combinations. Ninety two (95.83%) patients had been prescribed at least one antibiotic. Conclusions: The prescribing practices of essential medicines, generic drugs, antibiotics and inject­able drugs showed deviation from the standard recommended by the WHO. The prescribers should be motivated to enhance prescription of drugs by generic names and from NLEM.

scholarly journals Drug utilization study in patients visiting dermatology outpatient department in tertiary care hospital

2020 ◽  
Vol 9 (10) ◽  
pp. 1533
Author(s):  
Salman H. Rizvi ◽  
Ujwala P. Gawali ◽  
Prashant S. Mishra
Keyword(s):  
Tertiary Care ◽  
Cross Sectional Study ◽  
Outpatient Department ◽  
Essential Medicines ◽  
World Health ◽  
Care Hospital ◽  
Prescribing Practices ◽  
Cross Sectional ◽  
Research Activities ◽  
Tertiary Healthcare

Background: With the surge of basic and clinical research activities, and subsequent recognition of newer dermatological disorders; dermatology is now considered to be one of the most important specialties in a healthcare setup. Dermatological problem in India manifests as primary and secondary cutaneous complaints. The aim of this study was to assess current prescribing practices among physicians for dermatology patients in tertiary care hospital.Methods: A prospective, observational and cross-sectional study was conducted in Department of Pharmacology in collaboration with Department of Dermatology in a tertiary healthcare hospital. As per inclusion criteria, patients visiting Dermatology Outpatient department (OPD) from October 2018 to December 2018 were enrolled in the study.Results: The average number of drugs per encounter was 4.9. 100% of the drugs were prescribed by their generic name and those prescribed from World Health Organization (WHO) list of essential medicines were 68.9%. Analysis of polypharmacy showed maximum 11 and minimum 2 drug was prescribed. Overall analysis of the drugs showed, the most common route of administration was orally. Antihistamines, antifungals and steroids constitute the major bulk of drug prescribed.Conclusions: In our study, though polypharmacy was found but it was necessary as per the conditions. Anti-fungal, antihistamines and steroids were the most common drugs prescribed. Prescriptions with injections and steroids were less in the study population. All the drugs were prescribed by their generic name and most were present in the essential list of medicines. Use of Nonsteroidal anti-inflammatory drugs (NSAIDs) was higher in our study as compared to other studies.

scholarly journals Evaluation of Drug Prescription Pattern using World Health Organisation Prescribing Indicators in a Tertiary Care Hospital, Bangalore

2021 ◽  
Vol 11 (2-S) ◽  
pp. 41-43
Author(s):  
Ritty Sara Cherian ◽  
Gaddam Mrudula Stuthy ◽  
Dhanush Salin
Keyword(s):  
Drug Use ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Brand Names ◽  
World Health ◽  
Care Hospital ◽  
Prescribing Practices ◽  
Prescribing Indicators ◽  
Use Patterns ◽  
Drug Use Patterns

Aim of the study: To monitor the drug use patterns by using WHO prescribing indicators in a tertiary care hospital and to minimise the irrational prescribing practices by the prescribers. To monitor the drug use patterns by using WHO prescribing indicators in a tertiary care hospital and to minimise the irrational prescribing practices by the prescribers. Materials and Methods: This is a prospective observational study, the patients who were satisfying the inclusion criteria will be enrolled into the study. The patient’s data were collected in specially designed documentation form. The collected data’s were assessed using descriptive statistics. Results: The study was conducted in 143 patients in which the average number of drugs per encounters was 3.5 and the percentage of drugs in the generic name was 37.10% (n=190), and in brand names were 62.89% (n=322). The number of encounters with antibiotics was 61.5% and where as 57.35% of the total drugs prescribed was injections. Most of the medicines prescribed were included in the list of essential medicines of India that is 96.09% and without use of antibiotics 38.46% (n=55). Conclusion: Poly pharmacy leads to drug chances of interactions and risk of ADRs and revealed that most of the patients were prescribed with the poly pharmacy and in brand names.  The use of antibiotics was much more in the study, which should be minimize so that antimicrobial resistance can be minimized. Keywords: adverse drug reaction, essential drug list, prescribing indicators

scholarly journals Prescribing Practices in the Outpatient Department in a Tertiary Care Teaching Hospital in Bangladesh

2013 ◽  
Vol 2 (2) ◽  
pp. 13-17
Author(s):  
Mohammad Afsan ◽  
Muhammad Mahbubul Alam ◽  
Nushrat Noor ◽  
AH Hamid Ahmed
Keyword(s):  
Intervention Program ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Inappropriate Prescribing ◽  
World Health ◽  
Prescribing Practices ◽  
Essential Drug ◽  
College Hospital ◽  
Essential Drug List ◽  
Drug List

A cross-sectional descriptive study was carried out among individuals attending the Out Patient Department (OPD) of Medicine, Paediatrics, Dermatology & Venerology, ENT, Orthopaedics and Gynaecology & Obstetrics from December 2011 to March 2012 in East-West Medical College Hospital, Dhaka, Bangladesh, to see the patterns of prescriptions using World Health Organization (WHO) core prescribing indicators and some additional indices. A total of 300 prescriptions were collected and analyzed by the 3rd year MBBS students in this study. The average number of drugs per encounter was 3.22 and 5.33% drugs were prescribed by generic name. Use of antibiotic (48.67% of encounters) was frequent, but injection use (6.67% of encounters) was within the recommendation of WHO. Only 26.09% drugs were prescribed from national essential drug list. Percentage of encounters with a NSAID, an anti-ulcerant, an antihistamine, a calcium preparation and a multivitamin & multimineral prescribed were 44.33%, 43.33%, 22.33%, 19.33% and 15.67% respectively. So, the findings from current study showed a trend towards inappropriate prescribing, particularly the over-prescribing of antibiotics and under-prescribing of generic drugs and also most of the drugs were prescribed out of national essential drug list. Hence, there would be needed for effective intervention program to encourage the physicians and healthcare providers in promoting more appropriate drug use. DOI: http://dx.doi.org/10.3329/updcj.v2i2.15483 Update Dent. Coll. j: 2012; 2 (2): 13-17

scholarly journals Assessment of prescription writing practices in a government tertiary care hospital in Haryana by using WHO prescribing indicators

2019 ◽  
Vol 8 (9) ◽  
pp. 2145
Author(s):  
Kamaldeep Singh ◽  
Garima Bhutani ◽  
Seema Rani ◽  
Rahul Saini
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Brand Names ◽  
World Health ◽  
Care Hospital ◽  
Prescribing Practices ◽  
Essential Drug ◽  
Prescribing Indicators ◽  
Writing Practices ◽  
Prescription Writing

Background: Writing a prescription is a combination of science and art. Good quality prescriptions are a sign of prescriber’s expertise. World Health Organization has defined certain parameters to promote rational drug use in all countries. This study was designed to assess the prescription writing practices in a government tertiary care hospital in Haryana by using WHO prescribing indicators.Methods: A total of 2155 prescriptions were evaluated. Each prescription was evaluated for average number of drugs prescribed per patient per encounter, percentage of drugs prescribed by generic name, percentage of encounters with an antibiotic prescribed, percentage of encounters with an injection prescribed and percentage of medicines from Essential drug list prescribed. These indicators help us to check polypharmacy, practice of prescribing drugs by brand names, antibiotic overuse, preference of injectables and non-adherence to Essential drug list.Results: The average number of drugs prescribed per patient per encounter was calculated to be 3.25±0.24. The percentage of medicines prescribed by generic names was 35.89%. Percentage of encounters with an antibiotic prescribed was 48.21 % and with an injection prescribed was 1.85%. The percentage of medicines form NLEM was 76.36%.Conclusions: The values of WHO prescribing indicators obtained from this study show that there are some areas where the prescribers need to improve their prescribing practices.

scholarly journals EVALUATION OF DRUG-PRESCRIBING PATTERNS AT OUTPATIENT CLINICS OF PUBLIC HEALTH FACILITIES IN MIRPUR AZAD KASHMIR

2021 ◽  
Vol 71 (4) ◽  
pp. 1243-47
Author(s):  
Saman Omer ◽  
Bushra Tayyaba Khan ◽  
Omer Jalil
Keyword(s):  
Public Health ◽  
Health Facilities ◽  
Prescribing Patterns ◽  
Essential Medicines ◽  
World Health ◽  
Drug Prescribing ◽  
Prescribing Practices ◽  
Prescribing Pattern ◽  
Prescribing Indicators ◽  
Public Health Facilities

Objective: To evaluate prescribing practices in public health facilities of district Mirpur, Kashmir where no previous evidence regarding drug-prescribing behaviours was available. Study Design: Cross-sectional study. Place and Duration of Study: Department of Pharmacology and Therapeutics, Army Medical College, Rawalpindi and outpatient departments of public health facilities in district Mirpur, Kashmir, from Aug to Oct 2020. Methodology: The prescribing pattern analysis was done by objective observations of prescriptions after patient-physician encounter. World health organization defined core and complementary prescribing indicators were evaluated for all the prescriptions. Results: Among the core prescribing indicator, average number of medicines per prescription were 3.11 (World Health Organization’s standard, 1.6-1.8). Only 2% and 67% of medicines were generic and essential medicines respectively (standard, 100%). Almost half the prescriptions contained antibiotics (standard, 20-26.8%) whereas 8% had injections (standard, 13.4- 24.1%). Among the complementary indicators there was no prescription without medicines and average prescription cost was 479 Pakistani Rupees. Conclusion: This is the first study to give a snapshot of prescribing behaviours in public health facilities in Kashmir. All the prescribing indicators except injectables were below the standards. A multi-disciplinary approach involving authorities, industry and professionals is required to promote rational prescribing.

scholarly journals Evaluation of drug use in Jordan using WHO prescribing indicators

2002 ◽  
Vol 8 (4-5) ◽  
pp. 537-543
Author(s):  
S. Otoom ◽  
A. Batieha ◽  
H. Hadidi ◽  
M. Hasan ◽  
K. Al Saudi
Keyword(s):  
Generic Drugs ◽  
Health Care Facilities ◽  
World Health ◽  
Prescribing Practices ◽  
Prescribing Indicators ◽  
Care Facilities ◽  
The Mean ◽  
Health Organization ◽  
Primary Health Care Facilities ◽  
Northern Jordan

Patterns of prescribing and use of pharmaceuticals by physicians and patients in Jordan have not previously been studied. We retrospectively evaluated pharmaceutical drug prescribing practices in 21 primary health care facilities in Irbid governorate, northern Jordan using World Health Organization-recommended core indicators. The mean number of drugs prescribed was 2.3 overall, ranging from 1.9 to 3.0. The percentage of drugs prescribed by generic name was very low, as was the percentage of prescriptions involving injections. The percentages of prescriptions involving antibiotics and drugs from the essential drugs list averaged 60.9% and 93% respectively. We conclude that the prescribing and use of drugs in Jordan requires rationalization, particularly the over-prescribing of antibiotics and the under-prescribing of generic drugs.

scholarly journals Drug utilization study in geriatric patients visiting medicine OPD in tertiary care hospital

2021 ◽  
Vol 10 (4) ◽  
pp. 386
Author(s):  
Ujwala P. Gawali ◽  
Salman H. Rizvi ◽  
Prashant S. Mishra
Keyword(s):  
Drug Utilization ◽  
Geriatric Patients ◽  
Tertiary Care ◽  
The Elderly ◽  
Essential Medicines ◽  
World Health ◽  
Care Hospital ◽  
Prescribing Practices ◽  
Drug Utilization Study ◽  
Cross Sectional

Background: Drug utilization study is of utmost importance in the elderly. The consumption of drug amongst elderly segment of society is maximum and many of them use at least three prescribed drugs, concurrently. One of the plausible explanation of usage of large number of medicines is prevalence of multi-morbidities as well as suffer from chronic and degenerative pathology amongst them along with the alteration of pharmacokinetics and pharmacodynamics of many drugs are altered with advanced age. Thus, the aim of this study was to assess current prescribing practices among physicians for geriatric patients in tertiary care hospital.Methods: A prospective, observational and cross-sectional study was conducted in Department of Pharmacology in collaboration with Department of Medicine in a tertiary healthcare hospital. As per inclusion criteria, patients visiting Medicine outpatient department (OPD) from 01 October 2018 to 31 December 2018 were enrolled in the study.Results: The average number of drugs per encounter was 4.1. 100% of the drugs were prescribed by their generic name and those prescribed from World Health Organization (WHO) list of essential medicines were 70.2%. Analysis of polypharmacy showed maximum 11 and minimum 1 drug was prescribed. Overall analysis of the drugs showed, the most common route of administration was orally. Drugs acting on cardiovascular system (CVS), gastrointestinal system (GI) system, analgesics and anti-inflammatory drugs and vitamins and mineral supplements constitute the major bulk of drug prescribed.Conclusions: In our study, though polypharmacy was found but it was necessary unavoidable, but was within the WHO standards of 1.6 to 4.8. Drugs acting on CVS and GI system were the most common drugs prescribed. Prescriptions with injections and steroids were less in the study population. All the drugs were prescribed by their generic name and most were present in the essential list of medicines.

scholarly journals PRESCRIBING PATTERN OF DRUGS USED IN PAEDIATRIC PATIENTS IN OUTPATIENT DEPARTMENT OF A TERTIARY CARE INSTITUTION

2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Nitika Hans
Keyword(s):  
Drug Use ◽  
Prospective Study ◽  
Generic Drugs ◽  
Tertiary Care ◽  
World Health Organisation ◽  
Outpatient Department ◽  
World Health ◽  
Prescribing Pattern ◽  
Prescribing Indicators ◽  
Essential Drug List

Background: Paediatric prescription is a major concern in terms of public health since infections are the most frequent cause of childhood disease. The aim of this hospital-based observational prospective study was to assess the pattern of drug use in the paediatric outpatient department attached to government medical college, Amritsar.   Methods: A prospective study of six months duration was carried out for the month of October 2020 to March 2021. A total number of 201 patients case sheets were utilized for our study from paediatric out-patients department of GNDH, Amritsar. The data collected was then analysed for various prescribing indicators as laid down by world health organisation (WHO) for analysis of drug use parameters. Results:  The average number of drugs per encounter was 2.52. In present study antibiotic were 18% of total drugs prescribed. Antihistaminics prescribed were 25%. Syrup was the most prescribed dosage form.  %age of drugs prescribed from essential drugs list was 60.3%.  Polypharmacy was evident from the study. Conclusions: Drug prescribing in children is relatively high in GNDH, Amritsar. This study revealed deviation in prescribing pattern from WHO core prescribing indicators. Possible reasons are heavy patient load, lack of essential drug list, insufficient government supply of generic drugs and lack of regular prescription audits. Keywords: prescription pattern, observational study, Paediatric, WHO core prescribing indicators.

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.

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