Cephalosporin utilization in the inpatient wards of a teaching hospital in western Nepal

Shankar, P Ravi; Subish, P; Upadhyay, Dinesh K.; Dubey, AK; Deshpande, V Y

doi:10.3126/joim.v27i3.408

Cited by 34 publications

(59 citation statements)

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“…Which shows higher prescription of generic names compared to other study. 17,18 Most common co-morbidities associated seen in CCU admitted patients were hypertension that we found in our study. In our study while comparing the Co-morbidities associated with CVD in both retrospective and prospective study, found that all co-morbidity association increased in prospective study.…”

Section: Discussionsupporting

confidence: 73%

Periodic evaluation of drug utilization in intensive coronary care unit patients in a tertiary care hospital

Sharma

Holla

Subramanyam

et al. 2018

Int J Basic Clin Pharmacol

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Background: A wide and gradual variation exists periodically in the patterns of pharmacotherapy among patients admitted with CVDs in CCU. Periodic evaluation of drug utilization in the CCU is necessary for optimization of health care system, proper use of resources and making prescription policy.Methods: It was retrospective and prospective study. Study was carried out at Tertiary care hospital in Mangalore. Retrospective study period was from 1/07/2010 till 31/12/2010 and Prospective study duration was from 1/01/2016 till 30/06/2016. Patients from CCU were participants of this study.Results: Data of total 278 patients were taken, out of which 138 patients from 2010 and 140 patients in 2016 were analyzed respectively and were compared among drug therapy for IHD - Nitrates, dual antiplatelet therapy (aspirin and clopidogrel), dyslipidemic drugs and beta blockers remain drug of choice in both retrospective and prospective study. But, anticoagulant (heparin/ LMWH) use increased in prospective studies. In Heart failure - nitrates, antiplatelet, dyslipidemic drugs followed by inotropes and diuretics was used in both study. Cardiomyopathy was managed with diuretics, ACEIs, and nitrates in both retrospective and prospective study.Conclusions: In conclusion, predominance of male gender and poly-pharmacy were observed. However, it has identified areas to further rationalize and optimize patterns of polypharmacy and evidence based use of medications like beta blockers, anticoagulants/antiplatelet agents and antiarrythmisc. The results on the major determinants of cardiovascular drug use in CCU matched with the existing indications and cautions for use with each drug class.

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Section: Discussionsupporting

confidence: 73%

Periodic evaluation of drug utilization in intensive coronary care unit patients in a tertiary care hospital

Sharma

Holla

Subramanyam

et al. 2018

Int J Basic Clin Pharmacol

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“…This trend is similar to studies done in elderly patients in India and in Nepal. 15,16 The age group of 65-74 years had the highest number of patients (68.75%); whereas only 4.17% patients were above 85 years. These trends in age group patterns are comparable to similar a study done in India.…”

Section: Discussionmentioning

confidence: 99%

“…This was comparable to two similar studies. 17,18 where average number of drugs in elderly patients in I.P.D. was 7.30 and 7.73 respectively.…”

Section: Discussionmentioning

confidence: 99%

Drug prescribing patterns in elderly patients in a tertiary level hospital

Bhaveshaikh

Sukumaran

Vyas

2017

Int J Basic Clin Pharmacol

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Background: Elderly people have multiple co morbidities and are often prescribed potentially inappropriate medications (PIMs). As there is paucity of information about the prescribing practices in elderly this study was undertaken to assess drug utilization patterns in elderly patients.Methods: A prospective observational study was conducted in a tertiary care hospital. A total of 576 prescriptions of elderly patients were included in the study. Prescribing patterns among elderly patients attending OPD and admitted to wards of departments of Medicine, Psychiatry, Dermatology, Pulmonary Medicine, General Surgery, E.N.T., Ophthalmology, Orthopaedics, Obstetrics and Gynaecology were analysed using the prescribing indicators (WHO criteria). The PIMs were identified as per the Beers 2012 criteria.Results: The average number of drugs per patient was 3.91±1.93 for O.P.D and 7.37 ±2.22 for I.P.D. patients. 37.76% patients in I.P.D. and 26.87% patients in O.P.D. received a medication which was potentially inappropriate as per Beers 2012 criteria. 7.58% (234/3088) of total medications prescribed to patients in the study were potentially inappropriate. There was a significant increase in the number of PIMs (p value ˂0.05) as the total number of drugs prescribed increased.Conclusions: Educational programmes are needed to reinforce rational prescribing by physicians and precautions should be taken while prescribing potentially inappropriate drugs to elderly patients.

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“…These differences in mean cost of total drugs in this study in comparison with other studies may be due to variation in type and severity of the admitted patient, indications for the admission, different prescribing pattern, or inflation in the price of medications. 23,24 This study revealed that most of the analgesics were prescribed for appropriate indication. The duration of prescribing of analgesics is found to be satisfactory in this study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of analgesics use in orthopedic department at tertiary care hospital in Bareilly, Uttar Pradesh, India

Agrawal

Agrawal²

2016

Int J Basic Clin Pharmacol

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Cephalosporin utilization in the inpatient wards of a teaching hospital in western Nepal

Cited by 34 publications

References 0 publications

Periodic evaluation of drug utilization in intensive coronary care unit patients in a tertiary care hospital

Periodic evaluation of drug utilization in intensive coronary care unit patients in a tertiary care hospital

Drug prescribing patterns in elderly patients in a tertiary level hospital

Evaluation of analgesics use in orthopedic department at tertiary care hospital in Bareilly, Uttar Pradesh, India

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