Study of drug prescriptions in medical in-patients in a teaching hospital
DOI:
https://doi.org/10.18203/2319-2003.ijbcp20164136Keywords:
Drug utilization, General medicine, In-patientsAbstract
Background: Study of prescriptions reveals the drug utilization pattern in a given hospital at a given time. This study was conducted to observe and analyse the prescribing pattern of drugs for the in-patients in the general medicine department of a teaching hospital.
Methods: In a prospective observational study, a total of 234 prescriptions of in-patients of general medicine department of a teaching hospital were analysed. The drugs prescribed their route of administration, diagnosis and demographic data were recorded.
Results: Pantoprazole and ondansetron were found in most of the prescriptions. Antimicrobials were the commonest class of drugs prescribed. Cephalosporins, metronidazole, doxycycline, ofloxacin and amoxicillin+clavulanate accounted for most of the antimicrobials. A drug prescribed from the national list of essential medicines (NLEM) was 75.97%. Only 3% of the drugs were prescribed by generic names.
Conclusions: Prescription of pantoprazole and ondansetron was very frequent in this study. Antimicrobials were found in most of the prescriptions. All the prescriptions in this study had injectable drugs. Three-fourths of the drugs were from the national list of essential medicines (NLEM). Generic drugs need to be prescribed more.
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References
World Health Organization. Introduction to drug utilization research. Oslo: World Health Organization; 2003.
Jhaveri BN, Patel TK, Barvaliya MJ, Tripathi CB. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother. 2014;5:15-20.
Kumar A, Dalai CK, Ghosh AK, Ray M. Drug utilization study of co-administration of nonsteroidal anti-inflammatory drugs and gastroprotective agents in an orthopedics outpatients department of a tertiary care hospital in West Bengal. Int J Basic Clin Pharmacol. 2013;2:199-202.
Shankar PR, Pai R, Dubey AK, Upadhyay DK. Prescribing patterns in the orthopaedics outpatient department in a teaching hospital in Pokhara, Western Nepal. Kathmandu Univ Med J (KUMJ). 2007;5:16-21.
National list of essential medicines 2015. http://cdsco.nic.in/WriteReadData/NLEM-2015/NLEM,%202015.pdf (accessed on 23 September 2016).
Mittal N, Mittal R, Singh I. Drug utilization study in a tertiary care center: Recommendations for improving hospital drug dispensing policies. Indian J Pharm Sci. 2014;76(4):308-14.
Dhamija P, Bansal D, Srinivasan A, Bhalla A, Hota D, Chakrabarti A. Patterns of prescription drug use and incidence of drug-drug interactions in patients reporting to medical emergency. Fundam Clin Pharmacol. 2013;27:231-7.
Ramesh L, Sai Sangeeta S. Analysis of antimicrobial prescriptions in pediatric patients in a teaching hospital. Asian J Pharm Clin Res. 2012;5(Suppl 2):124-8.
Sriram S, Mathew L, Manjula Devi AS, Rajalingam B, Ramkumar K, Rajeswari R. Assessment of antibiotic use in pediatric patients at a tertiary care teaching hospital. Indian Journal of Pharmacy Practice. 2008;1(1):30-6.
Gupta N, Sharma D. Auditing of prescriptions to study utilization of antimicrobials in a tertiary hospital. Indian Journal of Pharmacology. 1997;29:411-5.