Prospective Assessment of Drug Prescribing Among Patients Admitted in General Medicine Department of a Tertiary Care Hospital in Ujjain.
Journal Title: PARIPEX-Indian Journal of Research - Year 2016, Vol 5, Issue 2
Abstract
A prospective observational study was conducted in Department of Pharmacology in collaboration with Department of Medicine, R. D. Gardi Medical College, Ujjain. The main aim of this study was to determine patterns of prescribing practices by using the WHO core prescribing indicators in management of indoor patient of medicine department. The study conducted in 809 patients, admitted in Medicine wards. Relevant data was collected in a Data Collection Form (DCF) from day one till patient was discharged. The entire 809 prescriptions encounter during the study period. A total of 5188 drugs were prescribed. There were more male 51.29% (n=415) compared to the female patients encounter noted 48.70% (n=394). More patients were from the age group 41-50 years 27.07% (i.e.94 males and 125 females). Average number of drugs per prescription was 6.41. Average duration of prescription was 6.29 days. Percentage of drugs prescribed by generic name was 42.94%. Percentage of encounter with an Antibiotic prescribed was 38.44%. Percentage of encounter with an Injectable prescribed was 52% which means out of 809 prescriptions, injectable were prescribed in 428. Percentage of drugs prescribed from Essential Medicine List was 71.10%. Percentage of drugs prescribed from WHO model List was 56.57%. In our study some of the prescribing indicators showed deviation from the standard values recommended by WHO. This indicated some degree of irrational/inappropriate prescribing in the hospital, particularly polypharmacy, underuse of international non-proprietary names (generic names) and over prescription of antibiotics usage. So, there is an urgent need to develop standards of drug prescription and special attention needs to be given to the irrational prescribing in terms of polypharmacy and long duration.
Authors and Affiliations
Dr. Pawan Tiwari, Dr. Ashutosh Chourishi
Keywords
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