Evaluation of prescribing patterns of teaching and non teaching hospitals by undergraduate medical students in Pune, India

Anjali Pillay, Yogendra Keche, Radha Yegnanarayan, Vaibhav Patil, Gargi Patil, Renuka Dangare

Abstract


Background: This study was carried out in various hospitals to analyze the use of rational fixed dose combinations (FDCs) in Pune.

Methods: 279 prescriptions were evaluated in this study. Information about age, sex, names of the all the drugs prescribed by doctor/ physician, diagnosis for the use of prescriptions and adverse effects were noted in the audit form from the prescriptions of the patients. Rationality of fixed dose combination is evaluated according to WHO Model List of Essential Drugs, 17th updated version, 2011.

Results: 56.98 % doctor’s prescriptions in this study were containing of fixed dose combinations and out of this 10.69 % prescriptions were including two or more FDCs in their prescriptions. Only 13.20% FDCs were in accordance with WHO Model List of Essential Drugs. FDCs from antiinflammatory and antirheumatic products, vitamins, minerals, antianaemic preparations, drugs for acid related disorders, antibacterials for systemic use and cough and cold preparations were used more by private non teaching hospitals as compared to SKNMC & GH teaching hospital.  64.61 % prescriptions of private hospitals and 34.08 % prescriptions of teaching hospital were containing more than one drug.

Conclusions: This study has shown that about every alternate prescription contains FDC. More than 80 % of prescribed FDCs are not in accordance with Essential Drugs List. Vitamins, minerals, antianaemic preparation FDCs should be prescribed judiciously as they are not free from ADRs. More number of drugs (poly-pharmacy) and FDCs were prescribed by non teaching private hospitals.


Keywords


FDCs, prescription analysis, rational use of drugs

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References


Shewade DG, Pradhan SC. Auditing of prescriptions in a government teaching hospital and four retail medical stores in Pondicherry. Indian J Pharmacol 1998;30:408-10.

Kshirsagar MJ, Langade D, Patil S, Patki PS. Prescribing patterns among medical practitioners in Pune, India. Bull World Health Organ 1998;76:271-5.

Kastury N, Singh S, Ansari KU. An audit of prescription for rational use of fixed dose drug combinations. Indian J Pharmacol 1999;31:367-9.

WHO Model list of Essential drugs 2011, 17th edition (March 2011). Available at http://www.who.int/medicines/publications/essentialmedicines/en/. Accessed 12 September 2012.

Tripathi KD. Essentials of Medical Pharmacology, 6th edition, Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, 2008.

Beares WT. Analgesic combinations. In: Lasagna, editor. Combination drugs: Their uses and regulation. New York, Stration International Medical Book Corporation, 1975:52-72.

Ansari KU, Singh S, Pandey RC. Evaluation of doctors for rational drug therapy. Indian J Pharmacol 1998;30:43-46.

Current index of medical specialities (CIMS), July-Oct 2011 (update 3). Bangalore, India: CMP Medica India; 2011.

DRUG TODAY, July-Sept 2011 (volume 1 & 2) Delhi, Lorina Publication (India) Inc., 2011.

Gautam CS, Aditya S. Irrational drug combinations: Need to sensitize undergraduates. Indian J Pharmacol 2006;38:169-70.

Rahman Z, Nazneen R, Begum M. Evaluation of prescribing pattern of the private practitioners by the undergraduate medical students. Bangladesh J Pharmacol 2009;4:73-5.