Evaluation of treatment pattern with Global Initiative for Asthma (GINA) guidelines in patients of bronchial asthma
Journal Title: Medpulse International Journal of Pharmacology - Year 2019, Vol 10, Issue 3
Abstract
Background: Drugs play an important role in improving human health and promoting well-being. However, to produce the desired effect, they have to be safe, efficacious and have to be used rationally. Aims and Objectives: A Study of evaluation of treatment pattern with Global Initiative for Asthma (GINA) guidelines in patients of bronchial asthma. Methodology: The study was a prospective observational study for a period of one year from February 2015-January 2016. The study was conducted at outpatient and inpatient department of medicine and paediatrics in a tertiary care hospital. The study was approved by Institutional Ethics Committee of the Institution to which the study site is affiliated. Permission was acquired from the head of department of medicine and paediatrics for the study. Results: overall pattern of drug use in medicine patients. β2 agonists were the most common antiasthmatic drugs prescribed in all the patients followed by corticosteroids (92.57%) and methylxanthines (85.71%) respectively. The next common drug class prescribed was antimicrobial agents (65.14%). Oxygen was prescribed in 7.43% patients. Other drugs prescribed were antacids and antireflux agents (28.57%), antihistaminics (20%), vitamins and minerals (15.43%), antidiabetics (9.71%), antihypertensives (9.14%) and antipyretics and analgesics (3.43%). Conclusion: It was concluded from our study that Overall pattern of drug use showed that β2 agonists and corticosteroids were most common class of antiasthmatic drugs prescribed. A detailed drug utilization of antiasthmatic drugs indicated that the use of oral and nebulised salbutamol, injection hydrocortisone, nebulised budesonide and injection as well as oral theophylline was high in both IPD and OPD medicine patients. The use of oral and nebulised salbutamol, systemic steroids and nebulised budesonide was high only in paediatric IPD patients as compared to paediatric OPD patients.
Authors and Affiliations
Shreyas Ramchandra Burute, Ruchi Doongarshi Shah, Ramchandra B. Burute, Sunita Jaiprakash Ramanand
Keywords
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