Drug utilization pattern in geriatric out patient in tertiary care hospital
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20173299Keywords:
Cross-sectional study, Geriatric patients, Inappropriate drug prescribing, ProspectiveAbstract
Background: Inappropriate drug prescribing is a global problem affecting the healthcare system. Aim and objective of the study was to study the drug utilization pattern in geriatric patient at rural tertiary care hospital.
Methods: This was a cross- sectional observational study involving 600 geriatric outpatient. This study was carried out from Nov 2015 to May 2016. The data were collected using predesigned proforma specially designed for this purpose. Relevant information was obtained by analyzing prescription for World Health Organization (WHO) core drug indicators.
Results: Total number 600 prescriptions analyzed at the end of six months were from general medicine department. The mean age of the patients was 63.9 years in which male (61.33%) outnumber the female. Total number 2598 drugs were prescribed to 600 patients for different diseases. The mean number of drugs per prescription were 4.33, drugs were prescribed by generic name 26.42%. drugs were prescribed from WHO essential drug list86.33. The type of formulations used were tablets and capsules in 88.5%, syrups in 5%, injections 3.5 % and inhalers 2%. Drug for Cardiovascular diseases were the most common (29.66) followed gastrointestinal (16.67), vitamins and minerals (14.66). Analgesic and NSAIDS (14.13) also prescribed commonly. Antimicrobial drugs prescribed in (7.46%) and common antibiotic prescribed were Amoxicillin ciprofloxacin and metronidazole.
Conclusions: This study also effectively provides very useful baseline data also demonstrates the prescribing patterns of drugs in the geriatric patients.
References
Moore T, Bykov A, Savelli T, Zagorski A. Guidelines for implementing drug utilization review programs in hospitals. Management Sciences for Health, Arlington. 1997 Jan.
Sultan H, Sayegh K, Mohammad A, Hussain S, Sumaily J. Prescribing Pattern of Drugs in the Geriatric Patients in Jazan Province, KSA. Pharm Pharmacol Int J. 2015;2(1):00013.
Rochon PA, Gurwitz JH. Drug therapy. The Lancet. 1995 Jul 1;346(8966):32-6.
Munger MA. Polypharmacy and combination therapy in the management of hypertens. Drugs Aging. Nov 2010;27:871-83. PMID 20964461.
Goulding MR. Inappropriate medication prescribing for elderly ambulatory care patients, Arch Intern Med. 2004;164(3):305-12.
Adibe MO, Aguwa CN, Ukwe CV, Okonta JM, Udeogaranya PO. Outpatient utilization of antidiabetic drugs in the South Eastern Nigeria. Int J Drug. 2009;1(1):27-36.
Eizadi-Mood N, Sabzghabaee AM, Yaraghi A, Montazeri K, Golabi M, Sharifian A, et al. Prescribing Patterns and Inappropriate Use of Medications in Elderly Outpatients in a Tertiary Hospital in Nigeria. Tropical Journal of Pharmaceutical Research. 2011 Feb;10(1):27-31.
Sowers JR. Hypertension in elderly, Am J Med. 1987;Jan 26,82(1B):1-8 .
Fletcher RH, Fairfield KM. Vitamins for Chronic Disease Prevention in Adults Clinical Applications, JAMA. 2002;287:3127-9.
Kolhe A, Kale AS, Padwal SL. drug utilization study in geriatric patients at rural tertiary care hospital. Asian J Pharm Clin Res. 2015;8(4):90-2.
