Email this article Drug utilization pattern in sick paediatric patients: analysis for rationality and other aspects
Abstract
Background: The aim of this research work was to study the drug utilization pattern in the indoor paediatric patients with specific objective to analyse the rationality status of prescriptions and other aspects.
Methods: A retrospective observational study was conducted for a period of 6 months. We analysed 120 prescriptions for the rationality status and different other parameters using Phadke’s criteria and W.H.O. prescribing indicators.
Results: In our study out of total 120 prescriptions; 90 were rational followed by semi-rational and irrational. Average number of drugs prescribed was 5.39 drugs per prescription. Out of total FDCs prescribed 30% were irrational. Most commonly prescribed drug was anti-bacterial. Among anti-bacterial, most commonly prescribed anti-bacterial was from the cephalosporin group; which is categorized as “WATCH” category in W.H.O.-EML for children, March 2017.
Conclusions: Though the results in present study reflect rational prescribing in pediatric patients in our hospital set up, there is still scope of improvement in prescription habits like avoid prescribing unnecessary drugs and irrational FDCs. There is also need of prescribing by generic names.
Keywords
Full Text:
PDFReferences
World Health Organisation. Rational use of Medicines. Available at: http://www.who.int/medicines/areas/rational_ use/en/index.html; 2010. Accessed 14.01.12.
Abidi A, Gupta S, Kansal S. Prescription auditing and drug utilization pattern in tertiary care teaching hospital in western UP. Int J Basic Clin Pharmacol. 2012 Dec;1(3):184-90.
WHO Expert committee report. The use of essential drug. WHO TRS 615,1977. Available at: http://apps.who.int/iris/bit¬stream/10665/41272/1/WHO_TRS_615.pdf.
Gajjar BM. Evaluation and comparison of prescribing pattern of physician from the institute and private sector for rational drug therapy (dissertation), Vallabh Vidhyanagar, S.P. Univ; 1999.
Shah RB, Gajjar BM, Desai SV. Evaluation of the appropriateness of prescribing in geriatric patients using Beers criteria and Phadke’s criteria and comparison thereof. J Pharmacol Pharmacotherapy. 2011;2:248-52.
Neha P, Shreya S, Pratik A, Anand A. Prescription auditing and drug utilization pattern in indoor patients of pediatrics department. International Journal of Current Research and Review. 2016 Dec;8(23):39-46.
Shah AM, Dhanani JV, Shah RB. Evaluation of prescription pat¬tern in terms of essentiality and rationality and assessment of Hospital pharmacy services utilization in tertiary care teaching hospital. Indian J Pharm. Pract. 2010;3(2):11-5.
Patel S, Gajjar B. Evaluation and Comparison of Prescribing Pattern of General Practitioners from Public and Private Sectors. Natl J Physiol Pharm Pharmacol. 2012;2(1):33-8.
Vishwanath M, Reddy NS, Devadas S. Assessment of drug utilization in hospitalized children at a tertiary care teaching hospital. J. Chem. Pharm. Res. 2014;6(2):592-8.
Akhtar MS, Vohara D, Pillai KK. Drug prescribing practices in pediatric department of a North Indian University Teaching Hospital. Asian J Pharm. Clin. Res. 2012;5(1):146-9.
Suman RK, Mohanty NC, Mohanty IR. The study of drug usage patterns in pediatric patients at MGM Hospital, Navi Mumbai. World J of Pharmaceutical Research. 2014;3(4):734-43.
Sachdeo G, Keche Y, Yegnanarayan R. Prescription analysis of drugs prescribed for children in some town of Mahrashtra. Asian Journal of Biomedical and Pharmaceutical Science. 2013;3(21):17-9.
Saurabh MK, Yadav AK, Gupta P. Comparative study of prescribing behaviors of government doctors of teaching hospital and private practitioners in Jhalawar City (Rajashtan). J. Pharm. Sct. & Res. 2010;2(4):208-15.
Shinde R, Keche Y, Yegnanarayan R. Prescription analysis of drugs prescribed for children in Pune, Mahrashtra, India. International J of Biological and Pharmaceutical Research. 2013;4(7):528-32.
Venkatswaramurthy N, Murali R, Kumar RS. The Study of Drug Utilization Pattern In Pediatric patients. International Journal of Pharmacy and Pharmaceutical Sciences. 2013;5(3):140-4.
