Drug utilization study in the paediatric department of a tertiary care teaching hospital
Keywords:Drug utilization, Paediatrics, Prescription pattern
Background: Rational drug use is one of the main concerns of the health care system in India. Paediatric population being more vulnerable require additional focus to achieve this goal. Objectives of the study were to evaluate the prescription patterns according to WHO guidelines and the diseases, for which they are being prescribed, to identify the common diseases and common medications used.
Methods: A cross sectional study was done in the paediatrics department for a period of 2 months. All the paediatric prescriptions were evaluated using WHO core indicators like average number of medicines per encounter, percentage of medicines from the essential drug lists and also complimentary indicators like utilization of different dosage forms and diagnostic patterns. Statistical Analysis: Data was analyzed and represented as frequency (n) and percentage (%).
Results: 89 out of 302 prescriptions had 2 medicines per encounter, 100% of medicines were included from the Essential Drug List (EDL), 59.4% of the medicines were in generic format of prescription.
Conclusions: This study gives a positive outlook at the utilization pattern of drugs with all the indicators specifically Essential Drugs List. Regular auditing, continuous medical education and evidence-based medicine can help in improving the health care.
World Health Organization (WHO). Introduction to drug utilization research 2003 Chapter 1 [internet]. Geneva: WHO; 2003. Available at: www.https://apps.who.int/medicinedocs/en/d/Js4876e/
Kumar AM, Ram TK, Ramaswamy C. Cross-sectional prospective study on drug utilization in an outpatient pediatric department of tertiary care teaching hospital. Global J Pharmacol. 2013;7(2):99-103.
Venkateswaramurthy N, Murali R, Kuamr SR. The study of drug utilization pattern in pediatric patients. Int J Pharm Pharmaceu Sci. 2013;5(3):140-4.
Akhtar MS, Divya V, Pillai KK, Kiran D, Roy MS, Najmi AK et al. Drug prescribing practices in pediatric department of a north Indian university teaching hospital. Asian J Pharma Clinical Res. 2012;5(1):146-49.
Thiruthopu Swamy N, Uday VM, Raju B, Divya S, Srinivas M. Drug utilization pattern in south Indian pediatric population a prospective study. Perspective Clinical Res. 2014;5(4):178-83.
Sharonjeet K, Sujit R, Navjot K, Nusrat S, Asish B, Promila P et al. Drug utilization study in medical emergency unit of a tertiary care hospital in north India. Emergency Medicine Int. 2014:1-5.
Neeta CS, Shailender S. Study of drug utilization in intensive care management of neoantes at tertiary care hospital. Int J Basic Clin Pharmacol. 2017;6(6):1530-4.
Susan LT, Lavanya S, Sudaroli M, George PK. Prescribing patterns of drugs in outpatient department of pediatrics in tertiary care hospital. Ind J Pharmacy Practice. 2014;7(4):16-19.
Nakul G, Safhi M, Jameel MYS, Meetu A. Drug prescribing patterns in children registered in the department of pediatrics of Jizan general hospital of Jizan KSA. Int J Pharmacy Pharm Sci. 2013;5(4):397-9.
Najmi A, Verma A, Aiman U. Drug utilization study in the outpatient pediatric department of a tertiary care teaching hospital of district Lucknow. Asian J Pharmceu Cli Res. 2015;8(3):327-30.