DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20183430

Prescription pattern of drugs in ENT outpatient department of tertiary care teaching hospital

Usha Joshi, Hansa Banjara, Rajesh Hishikar, Ravindra Chandrakar

Abstract


Background: Diseases of the ear, nose and throat (ENT) are common among general population affecting all age groups and accounts for most of the drugs prescribed and used. The aim of the study is to assess the prescription pattern of drugs in ENT outpatient department in a tertiary care teaching hospital.

Methods: A prospective observational study was conducted from December 2017 to May 2018 in the ENT OPD (Outpatient department) at Pt. J.N.M. Medical College and associated Dr. B.R. Ambedkar Memorial Hospital, Raipur. Data were collected in a proforma and evaluated.

Results: A total of 313 prescriptions were analysed. Most of the patients (40.89%) belonged to 13 - 35 years age group.185 patients (59.10%) were male and 128 patients were females (40.90%). A total of 1003 drugs were prescribed. The average number of drugs per prescription was 3.2. Most common class of drugs prescribed was antimicrobials (24.42%), followed by H1 antihistaminics (18.84%), antiulcer drugs (15.55%) and nonsteroidal anti-inflammatory (NSAIDs) drugs (14.35%). The average number of antimicrobials per prescription was 0.78. One or two antimicrobials were prescribed in 202 prescriptions (64.53%). The most common prescribed antimicrobial was of Penicillin group (64.89%) followed by Fluoroquinolone (25.71%). The most common prescribed route of drug administration was oral route (81.35%). The most common prescribed dosage form was tablets (74.87%). FDC constituted 24.62% of prescribed drugs.

Conclusions: The study revealed that the most common class of drug prescribed was antimicrobials followed by H1 antihistaminics, antiulcer drugs and NSAIDS.


Keywords


Antimicrobials, ENT, Outpatient department, Prescription pattern

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References


WHO expert committee. The selection of essential drugs, technical report series no. 615, Geneva: WHO 1977.

Bergman U. The history of drug utilization research group in Europe. Pharmacoepidemiol drug saf. 2005;15(2):95-8.

Pradhan SC, Shewade DG, Shashindran CH, Bapna JS. Drug utilization studies. National Med J India. 1988;1;185-9.

World Health Organisation. The rational use of drug: report of the conference of experts, Nairobi; November 1985:25-29.

Njoroge GN, Bussman RW. Traditional management of ear, nose and throat (ENT) diseases in central Kenya. J Ethnobiol Ethnomed. 2006;2:54.

WHO; The global Burden of Disease; 2004- Page10-Fig 4-Distribution of deaths by leading cause groups, males and females, world; 2004. Available at: www.who.int/healthinfo/global_burden_diseases/GBD_report_2004update_full.pdf

Krishnaswamy K, Kumar BD, Radhaiah G. A drug survey- percept and practices. Eur J Clin Pharmacol. 1985;29(3):363-70.

WHO. How to investigate drug use in health facilities: selected drug use indicators. WHO/DAP/93.1. Geneva: WHO;1993.

Pradhan S, Jauhari AC. A study of antibiotics used in adult respiratory disorders in Kathmandu and Bhaktpur. Nepal Med Coll J. 2007;9:120-4.

Sridevi SA, Janagan A, Rathnasamy P, Rajarajeswari R. Drug utilization study in the otorhinolaryngology department in a tertiary care hospital. Int J Basic Clin Pharmacol. 2013;2(3):306-10.

Padwal SL, Kulkarni MD, Deshmukh VS, Patil JR, Jadhav AD. Drug use pattern in the ear, nose, throat outpatient department of a rural tertiary-care teaching hospital. Natl J Physiol Pharmacol. 2015;5:212-6.

Bhat GMN, Holla R, Kamath PSD. A study of prescription pattern in the drug therapy of ear, nose and throat infections at a tertiary care hospital in Mangalore. Int J Basic Clin Pharmacol. 2015;4:686-90.

Atanasova I, Terziivanov D. Investigations on antibiotics in a hospital for a one year period. Int J Clin Pharmacol Ther. 1995;33:32-3.

Till B, Williams L, Oliver SP, Pollans PI. A survey of inpatient antibiotic use in a teaching hospital. S Afr Med J. 1991;8:7-10.

Sumalatha R, Nagabushan H, Prasad HM. Drug utilization study in otorhinolaryngology outpatient department in a tertiary care teaching hospital. Int J Basic Clin Pharmacol. 2017;6:572-6.

Anandhasayanam A, Kannan S, Md Sajir, Zachariah N. Drug Prescription Pattern Obversation at an ENT OPD Department in a Tertiary Care Hospital at Malappuram District of Kerala. Int J Pharm Sci Res. 2016;7(10):4157-63.

Khan FA, Nizamuddin S, Salman MT. Patterns of prescription of antimicrobial agents in the department of otorhinolaryngology in a tertiary care teaching hospital. Int Res J Pharmacy and Pharmacol. 2011:1(5)79-85.

Suman RK, Kumar R, Garje YA, Wagh AR, Satpathy A, Ray IM. Drug usage patterns in Ent Out Patients Department of Teaching Hospital. Int J Sci Res. 2014:3(7):341-3.