scholarly journals Prescribing Pattern in Outpatient Departments of Two Tertiary Care Teaching Hospitals in Dhaka

2015 ◽  
Vol 5 (3) ◽  
pp. 157-160
Author(s):  
Halima Begum ◽  
Mahfuza Mazeda Rowshan ◽  
Sayeda Khanom ◽  
Shammin Haque ◽  
Farhana Afroze ◽  
...  
Keyword(s):  
Public Hospital ◽  
Private Hospital ◽  
Tertiary Care ◽  
Teaching Hospitals ◽  
Prescribing Pattern ◽  
College Hospital ◽  
Care Teaching ◽  
Medical College ◽  
Generic Prescribing ◽  
Outpatient Departments

Background: Medically inappropriate, ineffective and economically inefficient use of drugs is very common in our country. About 40% or more drugs expenditure may be wasted through irrational prescribing and dispensing. The need for promoting rational use of drugs is not only because of economic considerations; also it is an essential element for achieving quality of the health and medical care for patients and the community. For this purpose a cross sectional study was carried out among the individuals attending the outpatient departments (OPD) of Medicine, Surgery, Gynecology & Obstetrics, Pediatrics, Orthopedics, Dermatology & Venereology, Ophthalmology and Otolaryngology of two tertiary care teaching hospitals of Dhaka, Bangladesh.Objective: To observe the prescribing pattern in outpatient departments of two tertiary care teaching hospitals (Dhaka) by using World Health Organization (WHO) core prescribing indicators.Materials and Methods: Six hundred prescriptions of patients attending the OPD of Medicine, Surgery, Gynecology & Obstetrics, Pediatrics, Orthopedics, Dermatology & Venereology, Ophthalmology and Otolaryngology of Enam Medical College Hospital (private hospital) and Sir Salimullah Medical College Hospital (public hospital) were collected randomly on working days from April to September 2014. Then the prescriptions were analyzed by following the “Prescribing indicators form” as recommended by the International Organization of Rational Use of Drugs (INRUD)/WHO.Results: Average number of drugs per prescription was significantly high (3.07 in public hospital and 3.00 in private hospital). Generic prescribing was significantly lower in private hospital (4.00%) than that in public hospital (21.00%). Antibiotic prescription was higher in private hospital (42.35%). Injection prescribed in public hospital was 5.74% whereas 5.66% in private hospital. Drugs prescribed from Essential Drug List of Bangladesh were less in both the hospitals (42.85% in public hospital and 40.06% in private hospital).Conclusion: Average number of drugs per prescription was higher in both hospitals. Generic prescribing was lower in private hospital and prescribing from EDL was low in both hospitals.J Enam Med Col 2015; 5(3): 157-160

scholarly journals Impact of a training intervention on use of antimicrobials in teaching hospitals

2009 ◽  
Vol 3 (06) ◽  
pp. 447-451 ◽  
Author(s):  
Seikh Farid Uddin Akter ◽  
Richard D. Heller ◽  
Anthony J. Smith ◽  
Afia F. Milly
Keyword(s):  
Infectious Diseases ◽  
Tertiary Care ◽  
Signs And Symptoms ◽  
Teaching Hospitals ◽  
Training Intervention ◽  
Post Intervention ◽  
College Hospital ◽  
Medical College ◽  
Intervention Hospital ◽  
Interactive Training

Background: Antimicrobials are often used inappropriately in paediatric wards of medical college hospitals in Bangladesh. Most of the antimicrobials are prescribed based on clinical grounds–signs and symptoms. This intervention study assessed the effectiveness of a training intervention on antimicrobials prescribing by physicians in paediatric wards of tertiary care level hospitals. Methodology: This study was conducted at medical college hospitals in Bangladesh during the period from 1998 through 2000. The pre-intervention survey of antimicrobial use was conducted during 1998 in five hospitals. The post-intervention survey was conducted after the interactive training during the succeeding year in three of the original five hospitals, of which one was the intervention hospital and two control hospitals. A total of 3,466 admitted paediatric patients' treatment charts (2,171 in the pre-intervention and 1,295 in the post-intervention surveys) were reviewed. Results: The most commonly used antimicrobials were ampicillin, gentamicin, amoxicillin, cloxacillin and ceftriaxone. Appropriate antimicrobial therapy for the most common infectious diseases, pneumonia and diarrhoea, increased by 16.4% and 56.8% respectively in the intervention hospital compared with the two control hospitals and these improvenmts were significant (p = < 0.001 and p = 0.002, for pneumonia and diarrhoea respectively). Conclusions: An interactive, focussed educational intervention, targeted at physicians, appears to have been effective in improving appropriate antimicrobial prescribing for the most common paediatric infectious diseases in a medical college hospital in Bangladesh.

Isolation of post operative hospital acquired infections in a private hospital of Bangladesh and identification of clonal relatedness of E. coli by using Pulse filed gel electrophoresis

2012 ◽  
Vol 6 (2) ◽  
pp. 7-10
Author(s):  
Mohammad Murshed ◽  
Sabeena Shahnaz ◽  
Md. Abdul Malek
Keyword(s):  
Private Hospital ◽  
Isolation And Identification ◽  
College Hospital ◽  
Hospital Acquired Infection ◽  
E Coli ◽  
Hospital Acquired Infections ◽  
Medical College ◽  
Clonal Relatedness ◽  
Hospital Acquired ◽  
Dressing Materials

Isolation and identification of post operative hospital acquired infection was carried out from July 2008 to December 2008 in Holy Family Red Crescent Medical College Hospital (private hospital). The major pathogen of wound infection was E. coli. A total; of 120 samples were collected from the surrounding environment of post operative room like floor, bed sheets, instruments, dressing materials, catheter, nasogastric and endotracheal tube. E. coli (40%) was the predominant organism followed by S. aureus (24%). DNA fingerprinting analysis using pulsed field gel electreopheresis of XbaI restriction digested genomic DNA showed that clonal relatedness between the two clinical nd environmental isolates were 100%.DOI: http://dx.doi.org/10.3329/bjmm.v6i2.19369 Bangladesh J Med Microbiol 2012; 06(02): 7-10

scholarly journals Peripartum hysterectomy: a five year review at a tertiary care centre

2017 ◽  
Vol 6 (8) ◽  
pp. 3590
Author(s):  
Deepak A. V. ◽  
K. J. Jacob ◽  
Sumi P. Maria
Keyword(s):  
Tertiary Care ◽  
Case Series ◽  
Case Fatality ◽  
Tertiary Care Centre ◽  
Retrospective Case ◽  
College Hospital ◽  
Peripartum Hysterectomy ◽  
Medical College ◽  
Obstetric Haemorrhage ◽  
Suboptimal Care

Background: Peripartum hysterectomy is a life-saving procedure resorted to when conservative measures fail to control obstetric haemorrhage. Several predisposing factors, suboptimal care and lack of infrastructure may lead to this emergency procedure. We wanted to find out factors associated with peripartum hysterectomy and the adverse maternal outcomes at our centre.Methods: A retrospective case series analysis of 40 cases of peripartum hysterectomy performed over a period of 5 years from January 2010 to December 2014 at Government Medical College Hospital, Thrissur, Kerala was done.Results: The incidence of peripartum hysterectomy was 0.29%. The most common indication for peripartum hysterectomy was hysterectomy was uterine atony (50%). Thirty-five women (88%) were between 20 and 35 years. Most of the subjects were unbooked. There were two maternal deaths (case fatality rate of 5%) following peripartum hysterectomy during this period. All the subjects required blood transfusion.Conclusions: Prompt performance hysterectomy before the patient’s clinical condition deteriorates is the key to success. The incidence of adherent placenta is increasing, so every effort should be taken to reduce the caesarean section rates globally. 

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.

scholarly journals Patients Characteristics in a General Intensive Care Unit (GICU): Facts and Outcomes

KYAMC Journal ◽  
2017 ◽  
Vol 7 (1) ◽  
pp. 678-680
Author(s):  
Kamrunnahar Alo ◽  
Md Mahfuzar Rahman ◽  
Rahena Khatun
Keyword(s):  
Tertiary Care ◽  
Support Service ◽  
Admission Diagnosis ◽  
Technological Advancement ◽  
Management Skills ◽  
College Hospital ◽  
Team Members ◽  
Medical College ◽  
Diagnosis And Prognosis ◽  
Management Protocol

Background: Patient's management during emergency differs significantly between countries. However, technological advancement and requirement of quality support service as well as survivality is a great concern towards reduced hospital mortality.Aim and Objectives: The aim of this study is to find out patient's characteristics admitted at GICU of Khwaja Yunus Ali Medical College Hospital (KYAMCH) in order to investigate selected variables like; the duration of stay at GICU, their health problems on admission, diagnosis and prognosis including certain demographic characteristics in particular.Methods and Materials: This was an exploratory study on patient's characteristics during the period from January to June 2015 at GICU of KYAMCH. The data were collected through record review according to variables available on GICU admission register.Results: Total 163 cases were studied in 6 months. Among them 98 (60.12%. were male & 65 (39.88%) were female. The mean age of admitted male patients were 47 & in female it was 40 years with mean ± 16 and 17 years respectively. In addition GICU stays were found up to 5 days among 76.58% patients. The study revealed septic shock, cancer, injury and CVD as the common emergencies that needed skillful attention. Moreover, death and Discharge on Risk Bond (DORB) were found unwanted outcomes (52.23%) that also need to be addressed through developing skilled management protocol at GICU of concern tertiary care hospital.Conclusions: The findings will help hospital managers to identify necessary support needed as well. It will also help to identify emergency management skills needed for the GICU personnel team members in particular. Thus it can be a basis for the hospital administrators to take appropriate measures in towards reducing hospital mortality rate as well.KYAMC Journal Vol. 7, No.-1, Jul 2016, Page 678-680

Sign in / Sign up

Export Citation Format

Share Document