DRUG UTILIZATION REVIEW IN PEDIATRICS AT THE TERTIARY CARE TEACHING HOSPITAL
Journal Title: Journal of Biomedical and Pharmaceutical Research - Year 2017, Vol 6, Issue 2
Abstract
To understand the prescribing patterns of various classes of drugs in Pediatrics and to identify the barriers associated with rational prescribing of pediatric drugs. Methodology: A Prospective-observational study was carried out in the tertiary care research hospital over a period of 6 months using a specially designed Case Report Form (CRF). Results: There were 126 (63%) prescriptions collected from male patients and (37%) from female patients with a total of 630 prescribed drugs. Seizure was the most common disease with 107 cases (54%) followed by various LRTIs (26%) and Pneumonia (9.5%) respectively. WHO prescribing indicators were used in the study. Average number of drugs per prescription was 3.15 which was higher than standard (1.6-1.8). Percentage of drugs prescribed with generic names was found to be 38.2%. Among 200 prescriptions 10.2% was found to be Antibiotics with Penicillin was most common (56%) followed by Cephalosporins (28%). About 14.7% of drugs were given as Injections, which was within WHO recommended range of 13.4%-24.1%. Nearly 41.4% drugs were from EDL. Salbutamol was the most commonly prescribed for Off-label use (70%) for children under age of 2 years (Infants) out of 20 Off-label use. Illegible writing and time scarcity were the commonly seen barriers associated with the Physicians. About 93.5% prescription orders were found to be rational. Conclusion: This study provides few insights into the drug use patterns in pediatric department of the tertiary care teaching hospital and Continuous medical education with a focus on rational drug use and evidence based medicine should form part of the program of the hospital.
Authors and Affiliations
Ahammed Fuwad C. H*| Pharm D Interns, Krupanidhi College of Pharmacy, Bangalore-560035, Amal Sebastian| Pharm D Interns, Krupanidhi College of Pharmacy, Bangalore-560035, Muhammed Ashique K| Pharm D Interns, Krupanidhi College of Pharmacy, Bangalore-560035, Ren Joy Mathew| Pharm D Interns, Krupanidhi College of Pharmacy, Bangalore-560035, Rajeswari Ramasamy| M Pharm. (Ph. D), Associate Professor, Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bangalore-560035, B Ravichander| MD, Medical Superintendent, MVJ Medical College and Research Hospital, Hoskote-560029
Keywords
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