A Prospective Study of Evaluation of Medical Prescriptions And Drug Utilization For Bronchial Asthma Patients At A Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 11
Abstract
This study was conducted to assess medical prescriptions andprescribing pattern inpatients of bronchial asthma in Chest – TB department. It was prospective, cross sectional, observational study. Data of first 200 eligible consecutive prescriptions during 3 months were considered.About 26% prescriptions were lacking patient’s diagnosis so effort must be made to encourage writing complete prescription with diagnosis. Dose and duration were quoted in more than 90% of prescriptions as dose and duration of drug treatment is saved and auto-generated in HMIS system. Hence there are minimal chances of prescribing errors.Out of 200 patients, 54.5% were male and 45.5% were female. Majority of patients were from age group of 46 – 60 years. Allergy (53%) was most common precipitating factor followed by non-atopic (22%), infective (16.5%) and multifactorial (8.5%) of patients. Only 25.78% of drugs were prescribed by brand names. More than 99% drug prescriptions were from national list of essential medicines 2015.Most frequently prescribedanti-asthmatic drug was tablet salbutamol (87%) followed by tablet levocetirizine and methylxanthines. Polypharmacy was observed.Oral dosage form of B2 agonist was commonly prescribed in patients (87%).Inhalational therapy was prescribed to 13% of patients. Anti-asthmatic drugs given as inhalational therapy are more beneficial to the patients than systemic therapy. Hence, their maximum utilization in asthmatics will definitely reduce incidence of acute asthma as well as the adverse effects of anti-asthmatic drugs.
Authors and Affiliations
More SR, Dabhade SS, Ghongane BB
Keywords
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- DOI 10.9790/0853-1611053743
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