Studies on Prescribing Pattern in the Management of Diabetes Mellitus in Rural Teaching Hospital
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2016, Vol 2, Issue 5
Abstract
Abstract: The aim of the study was to observe and analyze the prescribing pattern of anti diabetic drugs in medicine ward. This study was a descriptive cross sectional study/ prospective observation study. The study was conducted at Rajah Muthiah Medical College Hospital (RMMCH), Annamalai University, Chidambaram, a 1250 bedded multi specialty tertiary care University teaching hospital located in rural India. Analyze the prescription as per the WHO Prescribing Indicators. The following are the parameters: Prescribing indicator, Patient care indicator and Facility indicator. A prescribing practices measure the performance of health care providers in several key dimensions related to the appropriate use of drugs. The indicators are based on the practices observed in a sample of clinical encounters taking place at outpatient health facilities for the treatment of acute or chronic illness. A total of 1232 drug products were prescribed. Thus, the average number of drugs per prescription or mean was 4.83. The total number of drugs prescribed by generic name was 40.01% (493 drugs), 32.46% drugs prescribed with diabetic medication and 67.54% of drugs prescribed with the management of co morbidity diseases conditions, 17.04% of prescription containing injections that include insulin, antibiotics, GIT and some vitamins. Almost all drugs (58.76%) prescribed from Tamilnadu EDL, as well as RMMCH drug list. Drugs prescribed from an Essential Drug List (EDL) were 74.30%. Since Insulin can be administered only by subcutaneous route, % of injections (17.04%) comprise only of insulin injection. Among the 255 patients the average consultation time with prescribe was 8.40 minute and the average dispensing time in medical store was 7.2 minute. About 30.58% patients have good knowledge about the correct dosage of each tablet. Present study shows that the majority of diabetes patients were in the age group of 40 -60 years. Resulting in the development of diabetic related complications in most productive years of life, as compared to western studies were mean age is around 60 years, Prescription pattern analysis showed that most of the patients were on combination therapy 51.37% and followed by monotherapy48.62%,Commonest drugs used in monotherapy were sulfonylureas, Insulin and metformin. The commonest two drug combinations were sulfonylureas with metfomin. There are no overall changes in prescription pattern by the physicians during the three year study period. Keywords: Prescribing pattern, Diabetes, Prescribing indicators.
Authors and Affiliations
V. Karthikeyan, S. Maadhusudhan
Keywords
Related Articles
- EP ID EP388334
- DOI -
- Views 108
- Downloads 0
Legibility assessment of handwritten O.P.D prescriptions of a tertiary care Medical College and Hospital in Eastern India
Abstract: Legibility and accuracy are the key features of every handwritten prescription. Large number of medication errors and even death of patients may occur due to illegible prescriptions. The present study was under...
Biowaiver studies of seven generic brands of allopurinol (100 mg) tablets available in Sudanese market
Abstract:Allopurinol is the drug of choice in the treatment of gout It reduces the concentration of urates and uric acid in tissues, plasma and urine, while increasing the concentration of xanthine and hypoxanthine.The p...
Effect of Ginseng Herbal Tea on Whole Brain Serotonin Level and its Metabolites 5-HTP and 5-Hydroxyindole Acetic Acid (5-HIAA) with the Change in Feeding Behavior and Body Weight in Albino Westar Rats
Abstract:Obesity is becoming a major worldwide health problem associated with a number of diseases. Serotonin (5-HT) is a biogenic neurotransmitter with a well-defined network in the central and peripheral nervous system...
Yarrowia lipolytica Grown on Biofuel Waste as a Source of Single Cell Protein and Essential Amino Acids for Human Diet
Abstract:Single Cell Protein (SCP) can be obtained from various microorganisms by growing them on a number of types of substrates, including industrial products waste. This work focuses on non-conventional yeast Yarrowia...
Dengue Outbreak in Eastern part of the Sri Lanka, Study Conducted in Teaching Hospital Batticaloa, Sri Lanka
Abstract: SriLanka is a south-Asian island of Indian Ocean and situated south-east of the Indian subcontinent. Itis in the grip of a severe dengue epidemic. Currently, dengue fever [DF] and dengue hemorrhagic [DHF] fever...