scholarly journals Drug utilization pattern of antiseizure drugs and their adverse effects in the pediatric population, in a tertiary care hospital attached to a medical college

Author(s):  
Rusva Mistry ◽  
Krunal Solanki ◽  
Hiren Prajapati ◽  
Tejas Doshi ◽  
Hiren Trivedi
Author(s):  
Neelam Sharma ◽  
Anshul Jhanwar

Background: With increasing awareness the flow of patients visiting gynecology outpatient department has increased. Drugs used in gynecology are one of the most selling drugs in India, however they are least studied with respect to drug utilization. Thus, present study was undertaken to analyse drug utilization pattern of Gynecology OPD in a tertiary care hospital.Methods: A retrospective, cross sectional, observational study of prescriptions in Gynecology OPD of Jhalawar medical college, Jhalawar. Data was obtained from medical record database of patients that attended Gynecology OPD from October 2017 to March 2018 over period of six months. Prescription records of patients were screened as per inclusion and exclusion criteria and 300 prescriptions were randomly selected. Patient related, and drug related information was collected on a customized data collection sheet.Results: The mean age of patients was 20.5±8.65 years and common age of presentation was >18-30 years. In infective cases, PID (40.6%) was common, and in non-infective cases, menorrhagia (23.8%) was common. The average number of drugs per prescription was 5.2. In drug category, minerals (46.4%) were most commonly prescribed, followed by antimicrobials (27.6%), and NSAIDs (20.1%). Polypharmacy was observed in 100% of the prescriptions.Conclusions: In the present study all of the drugs prescribed were generic which were from the essential medical list of NLEM and WHO. This study revealed deviation from rational prescribing by the prescribers because average number of drugs per prescription was significantly higher than that recommended by WHO.


Author(s):  
Mudasir Maqbool

Introduction: Irrational drug use, especially antimicrobials in a pediatric population, has become a commonly noted practice. Most of the drugsprescribed for children have not been tested in the pediatric population due to the difficulties in carrying out clinical studies in children andethical issues due to children not being able to make their own decisions to participate in a clinical trial. Objective: The main aim of this studywas to evaluate the pediatric drug utilization pattern in a tertiary care hospital. Material and methods: This study was conducted at a Tertiarycare hospital, Srinagar, Jammu &Kashmir, India for a period of 6 months. It was a prospective, descriptive, cross-sectional study. Results: Thisstudy evaluated a total of 205 patients from the inpatient department of the pediatric department of Tertiary care hospital, Srinagar, Jammu &Kashmir, India. Out of 205 patients, 62.4% (128) were male and 37.6% (77) were female. The number of male patients was more than the numberof female patients. A total of 767 medicines were prescribed to 205 patients. Mean ± SEM of medicines prescribed was 3.74 ±0.07. Mean ± SEMof medicines prescribed 125 for male patients was 3.76 ± 0.10, while for female patients it was 3.69 ± 0.11. Conclusion: Development andimplementation of Standard Treatment Guidelines (STGs) based on essential drug concept and promoting rational drug therapy will lead to moreand more rational prescribing in pediatrics. Periodic prescriptions analysis and effective feedback to clinicians should be done based on results toensure rational prescribing and effective health care management, which will ultimately lead to better child health.


2013 ◽  
Vol 4 (8) ◽  
pp. 205-210
Author(s):  
Pooja Prajwal ◽  
Mohandas Rai ◽  
Sharath K Kumar ◽  
Srinivas U Bhat ◽  
Floyd Vernon Dsouza

2020 ◽  
pp. 28-30
Author(s):  
Neha Raval ◽  
Neeta K

Background: Despite alarming rise in prevalence of cardiovascular diseases (CVDs), there is paucity of Indian data in such population. Drug Utilization Study (DUS) in government clinical setup is instrumental in developing effective healthcare system of the country. The study was carried out with objectives to study the pattern of usage of drugs in CVDs in patients of Medicine Outpatient Department (MOD), Sir Sayajirao General Hospital, Vadodara and to have information about the current trends with CVDs and their correlation with different WHO indicators. Methods: A cross-sectional, observational DUS was carried out in adult patients of either sex. The data were recorded in previously prepared case record form for a period of four months (March 2014 to July 2014). The data were analyzed as per WHO prescribing indicators. Results: Among 1020 patients, 570 (55.88%) were female and 450 (44.11%) were male. Most of patients (30.49%) belonged to the age-group of 60-69 years. Total 19 CVDs were observed during the study period, with hypertension prevailing in maximum cases (70.88%). Diabetes mellitus was most frequently encountered (21.6%) non-cardiovascular comorbidity. Number of drugs prescribed by brand name was as low as 15 (19.7%) and >80%, drugs were prescribed by generic name. Number of drugs per prescription was 6.4. Conclusion: This study gives an idea of treatment measures being conducted in a large population at a tertiary care hospital in Gujarat and gives a comparative description of drug utilization pattern in similar settings across other regions of India.


Author(s):  
Smita Bhandare ◽  
Santoshkumar R. Jeevangi

Background: Dengue fever (DF) is a serious public health problem, gaining global attention because of its morbidity and mortality. Less studies on Drug utilization pattern of DF in India. The present study was undertaken to analyze Drug utilization pattern of dengue infection in a tertiary care hospital.Methods: A prospective cross-sectional study was conducted for a period of 2 months in a tertiary care hospital and the data was analyzed by using various drug use indicators.Results: A total of 52 prescriptions were analyzed. Male and female were (46.16%, 53.84%), A total of 330 drugs were prescribed. 86 (26.06%) antibiotics, 70 (21.21%) antipyretics, 51 (15.46%) antacids, 19 (5.76%) multivitamins, 52 (15.76%) anti-emetics and 52 (15.76%) papaya leaf extract was prescribed. 84 (25.46%) oral and 246 (74.54%) injectable drugs. IV-fluids given to all patients. 10 (19.24%) were given blood transfusion. 6.17 drugs per prescription. 96% drugs were prescribed by brand names. High DDD for drugs like diclofenac (184), doxycycline (115), metronidazole (2.5), pantoprazole (161.5), rabeprazole (34.6), ondansetron (200) was observed.Conclusions: Most commonly used drugs are antipyretics, antibiotics, antacids, antiemetic, papaya leaf extract. As the incidence of DF is increasing with epidemics, demand for specific treatment guidelines is in great need. Early recognition of the disease, with a rational approach in case management leads good clinical outcome.


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