Drug utilization study in patients visiting dermatology outpatient department in tertiary care hospital
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20204091Keywords:
Antihistamines, Anti-fungal, Drug utilization study, DermatologyAbstract
Background: With the surge of basic and clinical research activities, and subsequent recognition of newer dermatological disorders; dermatology is now considered to be one of the most important specialties in a healthcare setup. Dermatological problem in India manifests as primary and secondary cutaneous complaints. The aim of this study was to assess current prescribing practices among physicians for dermatology patients in tertiary care hospital.
Methods: A prospective, observational and cross-sectional study was conducted in Department of Pharmacology in collaboration with Department of Dermatology in a tertiary healthcare hospital. As per inclusion criteria, patients visiting Dermatology Outpatient department (OPD) from October 2018 to December 2018 were enrolled in the study.
Results: The average number of drugs per encounter was 4.9. 100% of the drugs were prescribed by their generic name and those prescribed from World Health Organization (WHO) list of essential medicines were 68.9%. Analysis of polypharmacy showed maximum 11 and minimum 2 drug was prescribed. Overall analysis of the drugs showed, the most common route of administration was orally. Antihistamines, antifungals and steroids constitute the major bulk of drug prescribed.
Conclusions: In our study, though polypharmacy was found but it was necessary as per the conditions. Anti-fungal, antihistamines and steroids were the most common drugs prescribed. Prescriptions with injections and steroids were less in the study population. All the drugs were prescribed by their generic name and most were present in the essential list of medicines. Use of Nonsteroidal anti-inflammatory drugs (NSAIDs) was higher in our study as compared to other studies.
Metrics
References
Nerurkar RP, Kokane MR, Mehta MN. Study of prescribing pattern of topical corticosteroids in dermatology out patients department in a tertiary care hospital in India. Int J Basic Clin Pharmacol. 2016;5:2194-8.
Patel NG, Patel NJ. Epidemiological study of skin (dermatological) diseases and its treatment in North Gujarat. Asian J Pharm Clin Res. 2010;3(4):40-2.
Karimkhani C, Dellavalle RP, Coffeng LE. Global skin disease morbidity and mortality: an update from the global burden of disease study 2013. JAMA Dermatol. 2017;153(5):406-412.
Tejada CDS, Almeida HLD, Tejada VFDS, Sassi RAM, Figueiredo PN. Impact on quality of life of dermatology patient in southern Brazil. Bras Dermatol. 2011;86(6):1113-21.
Mukherjee S. Assessment of corticosteroid utilization pattern among dermatology outpatients in a tertiary care teaching hospital in Eastern India. Int J Green Pharm. 2016;10(4):178-82.
Lenjisa JL, Fereja TH. A Retrospective Analysis of Prescribing Practice Based on WHO Prescribing Indicators at Four Selected Hospitals of West Ethiopia: Policy Implication. East and Central African J Pharm Sci. 2013;16:69-74.
The Rational use of drugs, report on the conference of experts Nairobi sponsored by WHO Geneva. 1985.
Alam K, Mishra P, Prabhu M, Shankar PR, Plalain S, Bhandari RB et al. A study on rational drug prescribing and dispensing in outpatients in a tertiary care teaching hospital of western Nepal. Kathmandu University Med J. 2006;4(4):436-43.
Good CB. Polypharmacy in elderly patients with diabetes. Diabetes Spectrum. 2002;15(4):240-8.
Salman S, Ismail M, Awan NR, Anees M. Patterns of prescription writing in psychiatric clinics. J Postgrad Med Inst. 2013;27(3):290-6.
World Health Organization. Fact sheet: WHO core drug use indicators. 2017. Available at http://apps.who.int/medicinedocs/en/d/Js2289e/3.html. Accessed on 22 March 2019.
WHO model list of essential medicines. 2019. https://www.who.int/medicines/publications/essentialmedicines/en/. Last accessed on March 22, 2020.
Shankar RP, Partha P, Nagesh S. Prescribing patterns in medical outpatients. Int J Clin Pract. 2002;56(7):549-51.
Gambre R, Khobragade A, Jalikar K, Patel S, Gaidhane S. Analysis of prescribing pattern of drugs among patients attending dermatology outpatient department of a tertiary care hospital. EJPMR. 2018;5(3):259-73.
Pathak AK, Kumar S, Kumar M, Mohan L, Dikshit H. Study of drug utilization pattern for skin diseases in dermatology OPD of an Indian tertiary care hospital - a prescription survey. J Clin Diagn Res. 2016;10(2):FC01-5.
Mukherjee S, Era N, Banerjee G, Tripathi SK. Assessment of drug use practices among dermatology out-patients using WHO core drug use indicators. Int J Basic Clin Pharmacol. 2017;6:2905-10.