scholarly journals Drug utilization study in ophthalmology out-patient department of a medical college in India

2014 ◽  
Vol 4 (4) ◽  
pp. 667
Author(s):  
I Banerjee ◽  
T Bhadury ◽  
T Sengupta ◽  
D Roy
Author(s):  
Shaikh Ubedulla S. I. D ◽  
Niloofar V.

Background: Geriatrics tend to be the largest consumers of prescribed drugs exposing them to various drug interactions and adverse drug reactions. Present study is an attempt to assess the drug utilization pattern of psychotropic drugs among the geriatrics in psychiatry out-patient department (OPD) of a tertiary care hospital in Kerala.Methods: Prescriptions of patients diagnosed with psychiatric illness and being prescribed at least one psychotropic drug were collected. Prescriptions of male and female patients of age more than 60 years were sorted and analysed separately according to WHO core prescribing indicators.Results: 18% prescriptions were of geriatric population. Depressive disorders (38.89%) were the most common psychiatric disorder encountered. Out of 291 drugs prescribed in geriatrics, 237(81.44%) drugs were psychotropic drugs. Among the total psychotropic drugs prescribed, antipsychotics (39.24%) were the most commonly prescribed class of drugs. Average number of psychotropic drugs per prescription was 2.19, drugs prescribed by generic name were 2.06% and the drugs prescribed from NLEM (2015) were 41.77%. 86.11% of prescriptions contained more than one drug and 33.33% of prescriptions contained FDCs.Conclusions: Prescription analysis using WHO prescribing indicators showed some deviations from the standard which can be improved. A trend of polypharmacy was noted in this study. Prescribing using generic name and prescribing from NLEM was low as compared to the other reference studies. Proper strategies taken to overcome the inadequacies pointed out by this study can ensure the rational use of medicines.


2015 ◽  
Vol 30 (2) ◽  
pp. 41-45 ◽  
Author(s):  
Omma Hafsa Any ◽  
Layla Afroza Banu ◽  
Rezina Sultana ◽  
Nashid Tabassum Khan ◽  
Marufa Hossain ◽  
...  

A cross-sectional descriptive study was carried out among individuals attending the ENT out-patient department from 1st June 2012 to 3Oth August 2012 in Z.H. Sikder Women’s Medical College & Hospital, Dhaka. Bangladesh. The primary aim of this study was to generate up to date information on drug use in the ENT outpatient service of our hospital indications for use. A total of 150 prescriptions were randomly audited at varying time interval from the department of ENT during a three month period. The data was collected in customized proforma. Maximum cases were of otitis media 74(49.33%), sinusitis 24 (16.00%), tonsilitis 15 (10.00%), pharyngitis 14 (09.33%), DNS 14 (09.33%), rhinitis 07 (04.66%), adenoiditis 02 (01.33%). The average number of drugs used in the prescriptions was 2.94%. None of the drugs were prescribed by generic name. All of them were prescribed with trade names. The topical preparations were the most commonly prescribed drugs. Middle and lower income group of patients generally attend out-patient department, the average cost per prescription was 112 taka. The average cost to be high in this group. Educational sessions for the doctors at different levels to encourage prescribing by generic names and on correct writing of prescriptions may be considered. Studies covering a larger number of patients and for a longer time period are required. A greater number of patients can be studied, seasonal variations can be overcome and drug utilization can be measured quantitatively. DOI: http://dx.doi.org/10.3329/bjpp.v30i2.22682 Bangladesh J Physiol Pharmacol 2014; 30(2): 41-45


Author(s):  
Naveen Choudary Gorantla ◽  
Lalitha Hanumanthu

Background: Drug utilization studies are an important part of rational use of drugs. This study was planned to assess drug utilization pattern in Ophthalmology outpatient department.Methods: After approval from Ethics Committee, 620 prescriptions were analyzed according to WHO drug indicators.Results: 2. 4 drugs were prescribed on an average per prescription. Antibiotics (49%) were the most commonly used drugs. Fluoroquinolones (54%) were frequently used. Topical route was preferred route of drug administration. Prescription of generic drugs was not optimal (13%). Duration of therapy was missing in many prescriptions.Conclusions: Generic prescribing can be improved. Duration of therapy should be mentioned in all prescriptions.


Author(s):  
Ravi Shankar K. ◽  
Krishnakanth K. ◽  
Jagadeesh Alla

Background: A drug utilization study may be helpful to identify the problems, suggest the remedial measures and promote rational use. Antimicrobials are commonly used to treat infections caused by bacteria, viruses, protozoa and fungi, evidently require huge prescriptions in India.Methods: A prospective, observational study was carried out for a period of four months from February to May 2019 in the Department of ENT (OPD) at NRI Medical College and General Hospital. Prescriptions were collected randomly from around 300 patients attending the ENT outpatient department after obtaining informed consent. The data were collected in the predesigned proforma for analysis.Results: 300 ENT patients were selected for the study, 62% were male and 38% were female. Out of 300 patients 190 ear disorders, 50 nasal, and 60 throat infections. Antimicrobial therapy were most commonly instituted in ear diseases (67.66%), nose (16.95%) and throat (15.37%) respectively. The most commonly used agents were amoxicillin with clavulanic acid- n=295, cefixime- n=1260, gentamicin- n=200, ciprofloxacin- n=157, azithromycin- n=199, nitroimidazoles (metronidazole- n=111).Conclusions: Cefixime and amoxicillin+clavulanic acid combination was the most commonly prescribed antibiotic in our study. Interventions to rectify the use of brand names are necessary to promote rational drug use. An antibiotic policy has to be developed for the doctors in treating infections so that rationality in using the antibiotics will be developed and the occurrence of antibiotic resistance can be reduced.


2020 ◽  
Vol 9 (1-2) ◽  
pp. 54-59
Author(s):  
Tasnin Afrin ◽  
Rumana Afroz ◽  
Shahin Sultana ◽  
Kamrunnesa ◽  
Mahbuba Jahan Lotus ◽  
...  

Background & objective: Appropriate use of drugs are important in any diseases in any population. It is particularly so in children. To evaluate whether drugs are properly utilized in terms of efficacy, safety, convenience and economic aspects at all levels in the chain of drug use, periodic studies addressing the utilization of drugs in different health care setting are essential. Various drug utilization studies have been carried out all over the world but there are limited studies addressing drug use patterns in pediatric population in Bangladesh. The present study is one such step to evaluate the pattern of drug use in different pediatric diseases among patients attending at pediatric out-patient department (OPD) in two selected medical college hospitals. Methods: This cross-sectional study was conducted in the paediatric OPD of two tertiary care hospitals, Sir Salimullah Medical College & Mitford Hospital (SSMC & MH) (a public hospital), Dhaka and Dhaka National Medical College (DNMC) & Hospital (a private hospital). A total of 600 children (300 from each of the two Medical College Hospitals) were selected as study subjects. Three hundred prescriptions audited in SSMC & MH contained a total 946 drugs and 300 prescriptions audited in DNMC contained 990 drugs in total. Patients got admitted during out-patient department visit were excluded from the study. The age and sex of the patients and medications use-related variables like dose, frequency, duration and route of administration of the drugs were noted. Pattern of drug use in the hospitals for pediatric population was evaluated. Results: The study subjects of the two tertiary hospitals were almost identical in terms of age and sex (p = 0.181 and p = 0.369 respectively). Use of three drugs per encounter was commonly observed in both the hospitals. Around one-third of the prescriptions contained four drugs. Prescription of five drugs was rare in both the hospitals. Prescription with two drugs was higher in SSMC & MH than that in DNMC Hospital (p = 0.043). Majority of the prescriptions from SSMC (83.1%) contained drugs within essential drug list (EDL) compared to that from DNMC (73%) (p< 0.001). The highest prescribing drug was antibiotic, both in SSMC (22.7%) and DNMC (23.2%) (p = 0.417) followed by analgesic (18% in SSMC and 17.7% in DNMC), anti-diarrhoeal. The less commonly used drugs were gastric acid suppressant, antispasmodic, anthelmintic, antiemetic, while rarely prescribed drugs were antihistamines, antiasthmatic and nasal drops. Pattern of drugs prescribed in two hospitals were similar (p > 0.05). Conclusion: The study concluded that the rate of antibiotics prescribed in both public and private hospitals is higher. Further studies teaching hospitals etc. are required for the monitoring of drug utilization pattern and formulation of Standard Treatment Guidelines (STG) for the physicians is essential. Ibrahim Card Med J 2019; 9 (1&2): 54-59


2019 ◽  
Vol 11 (3) ◽  
pp. 25-29
Author(s):  
Suyog S Chopade ◽  
◽  
Rahul P Bhavsar ◽  
Devendra R Chaudhari ◽  
Bapurao M Bite ◽  
...  

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