Assessment of drug utilization pattern of steroids in a district general hospital in Amravati region

Abstract

Introduction: Rational use of corticosteroids is very important in the long term for improving patient safety. The main objective of the study was to analyze the prescribing patterns of steroids in a district general hospital, Amravati. Materials and methods: A prospective observational study was carried out over a period of six months in a district general hospital. All patients receiving any category of steroid therapy were enrolled, and the prescribing tapering patterns of steroids were reviewed. The demographic data, disease data and data on the utilization of various steroids were analyzed, and the knowledge of the patients was assessed by using a Michigan questionnaire. Results and discussion: 179 patients were recruited for the study. Steroids were prescribed for various (29.6%) respiratory conditions, (10.1%) CVS diseases, (11.7%) CNS, (1.6%) in hepatic disorders, (1.1%) musculoskeletal disorders, (3.4%) skeletal disorders, (0.6%) renal impairments, (3.9%) GI disorders, (19.0%) skin diseases and (19.0%) other diseases. The utilization of steroid dexamethasone was the most commonly prescribed to 111 patients (63.8%) followed by hydrocortisone (57 patients, 32.8%) and prednisolone (6 patients, 3.4 %). Dexamethasone was most commonly associated with adverse effects (1.8% of such as headaches, abdominal pains, and rashes), followed by prednisolone (0.8% of such as facial swelling), clobetasol (0.4%) and fluticasone (0.4 %). Conclusions: Very little variation was found in the prescription pattern amongst the healthcare professionals. Most of the drugs were prescribed rationally; the significance of the study is to improve the patient safety in the long-term use of steroid therapy by observing the prescribing patterns as irrational use of steroids can increase the risk of adverse effects.

Gambaran Peresepan Kortikosteroid Tunggal pada Pasien Poliklinik Kulit dan Kelamin RSUP Dr. M. Djamil Padang

“…Penggunaan kortikosteroid yang rasional dibutuhkan untuk meminimalkan efek samping yang ditimbulkan dari penggunaan kortikosteroid sistemik dan topikal. 10 Pada studi pendahuluan, didapatkan dari 5 rekam medik yang didapatkan, ada 2 rekam medik yang kosong atau tidak lengkap, 2 rekam medik yang meresepkan kortikosteroid dan 1 rekam medik yang tidak meresepkan obat kortikosteroid. Dari 2 rekam medik yang meresepkan kortikosteroid tersebut didapatkan 1 rekam medik yang hanya mencantumkan nama obat saja tanpa menuliskan dosis dan aturan pakainya.…”

Khảo Sát Tình Hình Sử Dụng Glucocorticoid Trên Bệnh Nhân Điều Trị Ngoại Trú Tại Bệnh Viện Đại Học Y Dược Buôn Ma Thuột Năm 2022

“…-Các phép kiểm được sử dụng: Phép kiểm thống kê mô tả được dùng để xác định tần suất, tỷ lệ % và số trung bình. [6] với tỷ lệ bệnh hô hấp chiếm 29,6%, nghiên cứu của Yohnannes với tỷ lệ bệnh hô hấp chiếm 63,5%) [7]. Bệnh đường hô hấp trên có thể xuất hiện vào bất kỳ thời điểm nào trong năm, đặc biệt, vào tháng 11 là thời điểm bệnh hô hấp có xu hướng gia tăng mạnh.…”