Drug prescribing pattern in surgical wards of a teaching hospital in North India (original) (raw)
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Drug prescribing pattern in surgical wards of a tertiary care hospital in Western part of India
International Journal of Basic & Clinical Pharmacology, 2018
Background: In surgical wards, drugs are required to manage pain, nausea, vomiting, infections, etc. A growing number of pharmaceutical products are available in present era. Irrational prescribing of drugs is prevalent worldwide. Drug utilization study can be used to assess prescribing patterns. Authors undertook this study to determine current practice of prescribing in surgical wards of the hospital.Methods: Authors conducted observational, noninterventional, descriptive study among patients admitted in surgical wards for one year. Authors have analysed collected data of 604 patients using descriptive statistics to determine utilization pattern of drugs and drug use indicators.Results: Appendicitis (14.9%) followed by hernia (10.6%) were leading diseases for admission. Mean duration of stay was 7.44. Average number of drugs in a prescription was 8.94. Antibiotics (32.07 %), analgesics (17.11 %) and antacids (16.09 %) were leading drug groups prescribed. Amikacin (5.81 %) followed...
2015
Pharmacotherapy with multiple agents before, during and after surgery is marked in present day indoor hospital setting. The main objective of drug utilization research being to assess the rationality of drug use, the present study intends to evaluate the drug utilization patterns using WHO/INRUD indicators in the inpatient ward of department of surgery in a teaching hospital of Eastern India ; and to assess how much it conforms to standard treatment guidelines. A descriptive, cross-sectional survey was conducted for 2 months in which 75 prescriptions were screened. In an average 6.27 ± 1.31 (mean ± SD) were prescribed per patient, with all of them receiving at least one injection and 78.67 % of the cases being given an antibiotic. Percentage of drugs prescribed by generic was a modest 68.51 % while only 54.89 % of all drugs were from WHO list for essential medicines. In this study we observed that the prescribing practices for antibiotic and injection deviates from the standard reco...
International Journal of Research in Medical Sciences
Background: Surgical site infections are associated with prolonged hospital stays and increased cost of therapy. Prophylactic use of antimicrobials is to prevent the incidence of postoperative wound infection. To generate data on postoperative use of antimicrobials this study was planned.Methods: The information was collected in semi-structured questionnaire format from the patient’s case paper. Information regarding the antimicrobials prescribed by surgeon, including drug combinations, duration of therapy, frequency of drug administration, and diagnosis for the surgery was collected. Surgical wounds were classified based on National Research Council (NRC) criteria.Results: Mean duration of antibiotic use was 3.71 days for clean surgeries (70%) and ranging from 2.67 days to 6 days for clean contaminated, contaminated and dirty types of surgeries. average number of antimicrobials prescribed for surgical antimicrobial prophylaxis was 3 per patients. Ceftriaxone, cefixime, ofloxacin, l...
International Journal of Basic & Clinical Pharmacology
Background: This study was aimed to evaluate the drug prescription pattern and to analyze the drug usage in post operative surgical patients with appendicitis, cellulitis, diabetic foot ulcer, hernia and hydrocele in tertiary care teaching hospital.Methods: A prospective observational study was conducted over a period of six months in post-operative surgical patients at Mahatma Gandhi Memorial Hospital, Warangal, Telangana, India, which was approved by Institutional Ethics Committee. The data obtained was analyzed using graph pad prism 7.0 and the conclusions were drawn using descriptive analysis.Results: A total of 429 cases were recruited during the following study period of which, parenteral drugs were pantoprazole 399 (93%), ceftriaxone 319 (74.35%), metronidazole 239 (55.71%). Oral drugs were multivitamin 400 (93.24%), serratiopeptidase 299 (69.69%), voveran 162 (37.76%). Majority of the drugs prescribed were intravenous fluids, antacids, antibiotics, analgesics were accounted....
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.
Journal of BP Koirala Institute of Health Sciences
Background: Prescription is a written instruction by a health care personnel to pharmacist to dispense drug(s). Irrational drug prescribing is a global problem, particularly in developing and transitional countries. This study was conducted to see the status of World Health Organization (WHO) core prescription indicators, complementary indices and prescription errors. Methods: It was a quantitative cross-sectional descriptive study carried out among inpatients of general surgery of tertiary hospital in eastern Nepal. Ethical approval for the study was obtained from the Institutional Review Committee. It was a convenience sampling. Calculated Sample size was 224. Enrollment of patients started on 16 May 2018 with the last case being enrolled on 1 Oct 2019 after obtaining informed consent. Relevant data was entered in a semi-structured proforma. Microsoft excel 2016 and IBM Statistical Package for the Social Sciences (SPSS) v. 21 were used for descriptive statistics. Results: Median a...
2017
Surgical management cannot be completed without the use of antimicrobial and analgesic drugs. Pharmacotherapy with multiple agents before, during and after surgery is marked in present day indoor hospital settings.Irrational prescription may lead to severe postoperative complications.The present prospective observational study aims to evaluate the drug utilization patterns using WHO core indicators and to assess how much it confirms to standard treatment guidelines in the inpatient ward of surgery in a tertiary care hospital, by collecting the admitted cases of surgery as per the study criteria. A total of 104 cases were enrolled into the study for a period of 9 months.The results shown that, majority (43.26%) of the surgery cases were in the age group of 21-40 years. The majority of patients were males (67.30%) compared to females (32.70%). Majority of them were from rural area (74.03%) and the remaining is from urban area (25.97%). The majority of surgeries performed were clean- c...
IP innovative publication pvt. ltd, 2019
Introduction: Drug utilization studies are powerful tools to ascertain the role of drug in society. They create a sound socio-medical and health economic basis for healthcare decision making. DUS are conducted to facilitate the rational use of drugs in populations. Therefore, the present study was undertaken to analyze the prescription written by doctors in a Tertiary Care teaching Hospital. Materials and Methods: Present study was a cross sectional, prospective and observational study. The study was conducted in MGM Medical College & Research centre, Aurangabad from July 2018 to March 2019 for duration of 9 months. Data was obtained from 850 prescriptions. Data was analysed as per WHO prescribing indicators. Result: Total 850 prescriptions were analysed, including 490 (57.6%) males and 360 (42.3%) females. The maximum numbers of prescriptions were from the age group of 18-40 (53.6%) years of age. Average number of drugs in the present study was found to be (3.1). Percentage of drugs prescribed by generic name is 16.0%. Percentage of encounters with an antibiotic prescribed was 59.1%. Percentage of encounters with an injection prescribed was 4.9%. Percentage of drugs prescribed from essential drugs list was 68.4 %. Conclusion: There is need of improving the prescribing pattern by keeping the number of medicines as low as possible, prescribing medicines by generic names, using medicines appropriately after selecting and consciously keeping the cost of therapy low. Keywords: Drug utilization studies, WHO prescribing Indicators, Essential drugs.
2018
DOI: 10.21276/sjams.2018.6.5.36 Abstract: The purpose of the present study that we had planned was to evaluate the drug utilization pattern of antimicrobials in post-operative wards of surgery Department of tertiary care hospital. The study was carried out retrospectively by analyzing the record of prescription attached with the discharge tickets of the patients who were admitted in post-operative wards of the surgery department of tertiary care hospital, Rajasthan, Ajmer, from July 2014 to December 2014. A total of 630 prescriptions were analyzed. The percentage of male patients (58.57%) was higher than female patients (41.43%). Antimicrobials constituted 28.85% of the total drugs. Cephalosporin group of antimicrobials was the leading antimicrobials prescribed (33.21%). Ceftrixome was the leading antimicrobial prescribed within the group as well as a whole among the antimicrobials prescribed. Aminoglycosides were the next commonest antimicrobials prescribed (27.66%) among which Ami...
IOSR Journals , 2019
Drug utilization research will increase our understanding of how drugs are being used by estimating to what extent drugs are properly used , over used, or under used, drug utilization research may also enable us assess whether intervention s undertaken to improve drugs use have had the desired impact by monitoring and evaluating the effect of measures taken to improve undesirable patterns of drug .[1]our aim of study to assessing prescribing pattern of out patients in tertiary care hospital whether rational or irrational ,and awareness of essential drugs among physicians , and awareness of antimicrobial use guidelines and protocols. In our study total 512 prescriptions were analysed ,the most group of drug prescribed was analgesics (26%), followed by Multivitamin(15%) and Antiboitics (12%), proton pump inhibitors (10%), anti histaminics (5%), anti hypertensives (4%) anti diabetics (4%), skin & steroids (3%) and miscellaneous (11%).The prescribing pattern in this study are not satisfactory as result reflect poly pharmacy and over prescription of antiboitics. from this study we can conclude that we have increase awareness of rational prescription and essential drugs by conducting seminars and work shops.