Study on drug prescribing pattern in diabetes mellitus patients in a tertiary care teaching hospital at Dehradun, Uttarakhand

Author(s):  
Shaktibala Dutta ◽  
Mirza Beg ◽  
Mohammad Anjoom ◽  
Amit Varma ◽  
Shalu Bawa

Background: Drug use is a tricky task comprises of prescriber, dispenser and the patient. It is influenced by factors such as prescribing experience, drug cost, availability, dispenser knowledge and patient cultural belief. Objective: Current study aim is to assess the drug prescribing pattern in the inpatient ward of the surgery department at tertiary care teaching hospital using WHO prescribing indicators. Material and Methods: A prospective observational study was carried out after the approval from the institutional ethical committee for a period of six months from February 2019 to July 2019. Data were collected, evaluated and represented using descriptive statics and graph wherever applicable. Result: Total of 190 prescriptions were collected and analyzed using WHO prescribing indicators. An average number of the drug was 5.23%. The percentage of the drug from essential medicine list, generic name and Injectables prescribed was 46.93%, 17.68% and 53.16% respectively. Conclusion: Labelling status of prescribing was not according to standards of WHO prescribing indicators and needs special attention. Such study plays a crucial role in the institution level and helps in preparation of evidence-based modules for rational use of drugs.


Author(s):  
Shobhitendu Kabi ◽  
Shrikant Kumar Dhar ◽  
Baikuntha Nath Panda ◽  
Chandan Das ◽  
Kamal Kant Jena ◽  
...  

Objective: There is abundant knowledge about the gravity of global load of diabetes mellitus (DM). There are conflicting reports on the cause of death from different parts of the world. In India, there are not enough studies to establish the cause of death in DM. To find out the mortality pattern in DM and non-DM (NDM) in a tertiary care teaching hospital in Eastern India.Methods: Retrospective analysis of in-hospital mortality in a tertiary care hospital in Eastern India, from January 2012 to December 2015.Results: There were a total of 1590 deaths of which 442 were having DM and 1148 did not have DM (NDM). Mean age of death for nondiabetics was 66.4 years (M:F = 67.5:65.3) and that for diabetics were 62.7 years (M:F = 63.5:60.04) which was not statistically significant (p=0.9) though diabetics died younger by 4 years. On analyzing the specific cause of death, coronary artery disease (CAD) was 14.71% in DM and 1.57% in NDM (p=0.0001). Chronic kidney disease (CKD) was 18.55% in DM and 1.92% in NDM (p=0.0001). Congestive heart failure was 7.27% in DM and 1.83% in NDM (p=0.0001). CVA was 13.57% in DM and 1.66% in NDM (p=0.0001). Infection was the most common cause of death (39.37%) in DM, but in NDM also this was quite high 34.41% (p=0.21). The death due to CVA in DM was more in hemorrhage as compared to ischemic (p=0.00001).Conclusion: We found causes of death in DM were an infection, CKD, CAD, CVA, and CHF in descending order in this part of the world. The diabetes patients had lesser hospital stay than nondiabetes patients (p=0.009).


Author(s):  
Rajesh Venkataraman ◽  
Madan Rayamajhi ◽  
Shahinur Islam ◽  
Nanjunda N

 Objectives: The objectives of the study were to study the prescribing pattern on psychotropic agents at psychiatric department at rural tertiary care teaching hospital, B.G. Nagara.Methods: A prospective and observational study was conducted among psychiatric department (either sex) after considering inclusion and exclusion criteria for the period of 6 months and a total of 300 prescriptions were analyzed.Results: A total of 300 psychiatric patients were enrolled, male 170 (56.67%) patients predominated over females 130 (43.33%) patients. Majority of participants were under age group of 31–40 years (28.6%), illiterate (75%), unemployed (52%), and married (84%). Prevalence of mood disorder 109 (36.33%) was high followed by substance used and addictive disorder 53 (17.67%), schizophrenia 46 (15.33%), and psychosomatic medicine 22 (7.33%). Antidepressant (28.59%) was the commonly prescribed group followed by benzodiazepines (14.81%), anticholinergic (7.18%), and anticonvulsants (7.18%). Tricyclic antidepressants drugs amitriptyline (53.44%) was most frequently prescribed an antidepressant. An average number of drugs per prescription was 2.32 out of which 16.91% of drugs were prescribed by their generic name.Conclusion: Selective serotonin reuptake inhibitors (SSRIs) were the most common group, and escitalopram was the most common medication used among the SSRIs. Majority of the drugs were prescribed from essential drug list. This study advocated an overall rational utilization of psychotropic drugs with fewer deviations due to the socioeconomic status of patients and prescription practices of healthcare providers and need to improve prescribing habits to ensure rational use.


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