scholarly journals Prescribing Pattern of NSAIDs Used in Orthopedic Out Patient Department in Two Tertiary Hospitals in Mymensingh

2020 ◽  
Vol 27 (2) ◽  
pp. 195-198
Author(s):  
Tasmin Shahnaz ◽  
Kazi Afzalur Rahman ◽  
AHM Mostafa Kamal ◽  
Habibun Nahar ◽  
Sabrina Shammi Shahnewaz ◽  
...  

Context: Non-steroidal anti-inflammatory drugs (NSAIDs) are most commonly used drugs for years for management of pain and inflammation with good efficacy. NSAIDs are increasingly used for variety of indications like rheumatoid arthritis (RA), osteoarthritis (OA), low back pain (LBP) etc. Prescribing patterns need to be evaluated periodically to increase the therapeutic efficacy, decrease adverse effects and provide feedback to prescribers. A prospective observational study was conducted among patients attending the Out Patient Department (OPD) of Orthopedic and received prescription for NSAIDs in the Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH) in Mymensingh. Material and Methods: The study was carried out on 300 (three hundreds) prescriptions for NSAIDs from orthopedic Out Patient Department (OPD) of Mymensingh Medical College Hospital (MMCH) and Community Based Medical College Hospital (CBMCH). A prospective observational study was conducted from January 2015 to December 2015. Data were collected only from the patients prescribed for NSAIDs and prescribing pattern of NSAIDs were analyzed using SPSS method version 20.1 Results: In case of orthopedic OPD patients most common NSAIDs prescribed to the patients was aceclofenac (29.33%). Others NSAIDs prescribed to the patient in pain management were ketorolac (10%), etoricoxib(8%), ibuprofen (9%), naproxen(9%), sulindac (7%) in orthopedic out patients of both Medical College Hospitals. Most of the NSAIDs were prescribed in brand name (85.34%) where only (14.76%) were prescribed in generic name in both hospitals. Conclusion: From the study it was observed that aceclofenac was the most common NSAIDS used in orthopedic OPD of CBMCH and indomethacin was the most common used NSAIDs in MMCH. Other used NSAIDs were ketorolac, naproxen, etoricoxib, ibuprofen and sulindac. J Dhaka Medical College, Vol. 27, No.2, October, 2018, Page 195-198

2013 ◽  
Vol 2 (1) ◽  
pp. 9-14
Author(s):  
Md Hadiuzzaman ◽  
Muhammad Hasibur Rahman ◽  
Nahida Islam ◽  
Md Shahidul Islam ◽  
Sabrina Alam Mumu ◽  
...  

The spectra of the prevalence of skin diseases vary worldwide and from country to country. Therefore the information about the local prevalence of diseases is very important in helping the development of appropriate health improvement policies for promotion of better management. To document the types of skin disorders prevalent among rural children attending the Community Based Medical College Hospital out patient department, Mymensigh, a defined population based study was undertaken. The medical register from the Hospital was used to obtain information on pattern and outcome of skin diseases seen from January 2010 to December 2011. The frequency of pediatric dermatoses and their distribution patterns were studied. The results revealed that out of the 9279 Patients attending Dermatology out patient department of Community Based Medical College Hospital, 1753 (18.89%) Children were identified with involvement of skin diseases. Age range related to disease was found between one day old to 14 years. The most frequent skin condition was exposure to fungal diseases which was 25.67% followed by scabies 24.10% and eczema 20.25%. Infectious skin diseases represent considerably a high percentage of skin disorders encountered in pediatric population. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14175 Community Based Medical Journal Vol.2(1) 2013 9-14


2021 ◽  
Vol 11 (2) ◽  
pp. 168-170
Author(s):  
Nimmy N John ◽  
Arjun VJ ◽  
Annie James ◽  
Ramesh NN ◽  
Ashok Mahendrakar

A prospective observational study on prescribing pattern of drugs in the geriatric patients was conducted in Navodaya Medical College Hospital and Research Centre. The present study aimed to study prescribing patterns of various drugs in elderly patients and to evaluate inappropriate prescribing with the help of beers criteria. A total of 100 patients of geriatric age group(>/65 years) was included in the study for the period of 3 months of which, most of the patients were in the age group of 65-70 years (79.24%), out of which 52 were male and 48 were females. Maximum subjects were prescribed with antibiotics and proton pump inhibitors followed by analgesics. A minimum of 5 drugs were prescribed in 46 cases, followed by 5-8 drugs in 36 cases, then more than 8 drugs were prescribed in around 18 cases. Based on beers criteria 23 patients received potentially inappropriate prescription of at least 1 drug and all these belongs to category A. The study concluded that there is need for careful application of the criteria by health care professional, consumers, payers and health systems should lead to closer monitoring of drug use. Keywords: Prescribing pattern, geriatrics, beers criteria, antibiotics, analgesics.    


2015 ◽  
Vol 4 (1) ◽  
pp. 13-17
Author(s):  
Mamunur Rashid Chowdhury ◽  
Md Anwarul Haque ◽  
Md Nasir Uddin ◽  
Md Saiful Islam ◽  
Sabrina Alam Mumu ◽  
...  

Day by day road traffic accident in Bangladesh is increasing. Mymensingh-Dhaka highway passes beside the Community Based Medical College Hospital, Bangladesh. We often have to manage a greater number of traumatic patients. In road traffic accident the incidence of fracture shaft of femur is the most common. That's why my study was done to evaluate the result of management of fracture shaft of the femur with antegrade interlocking intramedullary nailing under the department of Orthopedic Surgery in CBMCH,B in the period between January 2009 to July 2013. Total 88 patients were selected for interlocking nailing initially in the study. Out of them 8 patients did not report in subsequent follow up. So the result of the study was based on 80 patients (48 males; 32 females) with the range of 20- 68 years of age. The average age of the patient was 36 years. Motor vehicle accidents was the most common cause of fracture shaft femur (65%) and the second most common cause was fall from height (20%) specially fall from tree. Among the patients; right sided femur involvement was 67.5% (54) and left sided femur involvement was 32.5% (26). The majority fracture of the shaft of the femur was lower third (70%). The patients were mostly in the day-laborers' groups (35%), and, the next group was students. The mean union time was 18 weeks with the range of 15-30 weeks. After operation, complications were found such as; infection 3.75%(3), non-union 1.25% (1). Excellent functional outcome was found in 82.5% (66), good in 12.5% (10), fair in 5%(4). This functional outcome study was evaluated by Klemm & Borner 1 criteria. CBMJ 2015 January: Vol. 04 No. 01 P: 13-17


2017 ◽  
Vol 25 (1) ◽  
pp. 58-60
Author(s):  
Kazi Afzalur Rahman ◽  
AHM Mostafa Kamal ◽  
Sanjida Akhter ◽  
Khadeza Khatun ◽  
Rumana Afroz ◽  
...  

Context : Drug therapy is the most commonly used method in disease treatment in general practice. The pattern of drug prescription are often inappropriate and need for registration of these patterns is essentian in an effort to improve prescribing standard. Nonsteroidal antiinflammatory drugs (NSAIDs) are a drug class that groups together drugs that provide analgesic (pain-killing) and antipyretic (fever-reliefing) effects, and, in higher doses, anti-inflammatory effects. Non steroidal anti inflammatory drugs are the most common drugs prescribed in the world over specially in the orthopedic department. The study of prescribing pattern of NSAIDs in the orthopedic department was conducted to monitor, evaluate and if necessary suggest modification in the prescribing behavior of the medical practitioner to make it rational and cost effective.Material and Methods: The present study was performed on 300 (Three hundred) prescriptions from both admitted and outpatients (OPD) of the orthopedic department of Dhaka Medical College Hospital, Dhaka. The check list type of data was collected with prior permission from the concern department and the authority. The study was cross sectional analytical type and was conducted in the department of Pharmacology, Dhaka Medical College, Dhaka, from July 2010 to June 2011.Result : In case of OPD patients most common NSAIDs prescribed to the patients were aceclofenac (44.7%); followed by diclofenac (23.3%). Other NSAIDs were naproxen, ketorolac and ibuprofen 8%, 15.3% and 5.4% respectively. In case of admitted patients most common NSAIDs prescribed to the patients were ketorolac (54.7%) followed by diclofenac (24.0%).Conclusion: Non steroidal anti inflammatory drugs were the main prescription drug for both indoor and outdoor patients in the orthopedic department. Aceclofenac in outdoor and ketorolac in indoor were the most common NSAIDs drug used.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 58-60


1970 ◽  
Vol 7 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Md Abul Kalam Azad ◽  
Hanif Mohammad ◽  
Md Billal Alam ◽  
Anup Kumar Saha ◽  
Tofayel Ahmed

Dengue fever was not recognized as a major public health hazard in Bangladesh before 1999 outbreak, so there was little evidence and awareness in this regard. A prospective observational study was carried out to determine the risk group of patients suffering from dengue syndrome; clinical parameters of the subjects for hospitalization and the pattern of presentation of dengue fever in hospital care in different medicine units of Dhaka Medical College hospital from July 2000 to March 2001. Total 150 cases were selected randomly and diagnosed clinically as dengue, and were classified into 3 groups, i.e. 18 cases of classical dengue fever, 127 cases of dengue hemorrhagic fever (DHF-I and DHF-II) and 5 cases of dengue shock syndrome (DSS), and were discharged uneventfully. Among them 125(83.3%) were male and 25(16.7%) were female. Mean ages of the subjects were 26.75 ±3.69, 27.59 ± 1.18 and 10.67 ± 2.33 years in respective groups. Mean temperature was 103.45±0.28, 103.08±0.13, and 104.00±1.00 °F with mean duration was 5.50±0.51 days, 6.12±0.2 days, and 5.00±1.15 in respective groups. Majority had profound weakness, headache, myalgia, anorexia, nausea, and vomiting. Diarrhoea, abdominal pain, organomegaly, ascites, and pleural effusion were frequent complaints in group-3 patients, whereas infrequent complaints in other groups. Haemorrhagic manifestations were common in group 2 and 3 patients, melaena being the most common manifestations.   DOI = 10.3329/jom.v7i1.1355 J MEDICINE 2006; 7: 3-9


2013 ◽  
Vol 1 (2) ◽  
pp. 19-25
Author(s):  
Kamrun Nahar ◽  
Sabina Yesmin ◽  
Ismail Hossain ◽  
Halima Yasmin ◽  
Lutfun Nahar ◽  
...  

DOI: http://dx.doi.org/10.3329/cbmj.v1i2.13859 Community Based Medical Journal Vol.1(2) 2012 19-25


2017 ◽  
Vol 28 (2) ◽  
pp. 66-68
Author(s):  
Rowshan Ara Begum ◽  
Naireen Sultana ◽  
Nahid Sultana ◽  
Amena Begum ◽  
Mohammad Emran Hossain ◽  
...  

To find out the common indications of caesarean section and complications of this operation, both for mother and baby. This observational study was carried out on 100 cases of caesarean sections, who were operated in the Department of Obstetrics & Gynaecology, Tairunnessa Memorial Medical College & Hospital. Previous caesarean section and oligohydroamnios with fetal distress contribute the major causes of caesarean section. Contribute the major causes of caesarean section. Common complications are UTI, wound infection. Indications of caesarean section should be properly identified to decrease the unnecessary operation, which ultimately decrease indication of previous caesarean section. Maintenance of proper asepsis would avoid the complications of this operation.Medicine Today 2016 Vol.28(2): 66-68


Sign in / Sign up

Export Citation Format

Share Document