Drug Utilization Study in Ophthalmology Outpatients in a Tertiary Care Hospital

Vaniya, Hardik V.; Darji, Nishita H.; Patel, Vikas R; Gohel, Devdatta J

doi:10.13189/app.2016.040201

Cited by 3 publications

(6 citation statements)

References 7 publications

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“…In the present study, the percentage of drugs prescribed from essential drug list was 61.4% which is lower than the ideal WHO value. In various studies, values lower than those in our study have been reported (25,26).…”

Section: In This Retrospective Analysis Of Patient Data From the Obesity Outpatient Clinic Of Istanbul Medeniyet University Goztepe Traincontrasting

confidence: 84%

“…Low antibiotic use rate could be related to the type of outpatient clinic, namely similar to our results, very low rates of antibiotic use were reported from diabetes outpatient settings in South-Eastern Nigeria (1.7%) and Nepal (0.88%), (24,25). Conversely, high rates of antibiotic use were reported by a study conducted at ophthalmology outpatient clinic in India (62.2%) (26).…”

Section: In This Retrospective Analysis Of Patient Data From the Obesity Outpatient Clinic Of Istanbul Medeniyet University Goztepe Trainmentioning

confidence: 90%

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Üçüncü basamak bir hastanenin obezite polikliniğinde Dünya Sağlık Örgütü temel reçete göstergeleri kullanılarak akılcı ilaç kullanımının değerlendirilmesi

Özdamar

Mutlu

2021

Ege Tıp Dergisi

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The aim of this study was to evaluate the rational use of drugs prescribed in the obesity outpatient clinic of a tertiary care hospital by using WHO prescribing indicators. Materials and Methods:The patients that admitted to obesity outpatient clinic between April 1, 2016-August 1, 2017 were reviewed retrospectively. Parameters such as patients' demographic characteristics (age, sex), body mass index, comorbid diseases, number of prescribed drugs, drug names, dosage forms and routes of drug administration were evaluated. Prescriptions were analyzed according to the WHO core prescribing indicators such as average number of drugs per encounter, percentage of drugs prescribed by generic name, percentage of encounters with an antibiotic prescribed, percentage of encounters with an injection prescribed and percentage of drugs prescribed from essential drugs. Results: The mean age of the patients was 47.5±12.4 years and most of them were female (88.1%). Essential hypertension was the most common co-morbid disease (33%). Vitamin D3 (cholecalciferol), (23.7%) was the most frequently prescribed drug. The average number of drugs per encounter was 1.7. The percentage of drugs prescribed by generic name was 0%. Antibiotics were prescribed in 14 (2.8%) patients and injections were prescribed in 26 (5.2%) patients. The percentage of drugs from essential drug list was 61.4%. Conclusion:We demonstrated that the prescribing indicators such as the average number of drugs per encounter and the percentage of encounters with an antibiotic and injection prescribed were appropriate as compared to WHO standard values, parameters such as the percentage of drugs prescribed by generic name and the percentage of drugs prescribed from essential drug list was quite far from the WHO ideal values. The findings of this study will provide contributions to implement appropriate interventions by health authorities to promote rational drug use.

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Section: In This Retrospective Analysis Of Patient Data From the Obesity Outpatient Clinic Of Istanbul Medeniyet University Goztepe Traincontrasting

confidence: 84%

Section: In This Retrospective Analysis Of Patient Data From the Obesity Outpatient Clinic Of Istanbul Medeniyet University Goztepe Trainmentioning

confidence: 90%

Üçüncü basamak bir hastanenin obezite polikliniğinde Dünya Sağlık Örgütü temel reçete göstergeleri kullanılarak akılcı ilaç kullanımının değerlendirilmesi

Özdamar

Mutlu

2021

Ege Tıp Dergisi

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“…Other similar studies in ophthalmology in India have reported 30%-45% encounters with antibiotics which is lower than our study. 14,15 Fluoroquinolones were the most common group of antibiotics prescribed which were similar to reports of previous studies done in ophthalmology. 13,14,15 Ciprofloxacin 0.3% as drops and ointment is included in National List of Essential Medicines 2015, deemed to be available at Primary, Secondary and Tertiary levels of health care and hence preferred in many prescriptions as patients could use them free of cost.…”

Section: Generic Namesupporting

confidence: 80%

A prospective study of drug utilization in patients attending ophthalmology outpatient department at KBN teaching and general hospital of Gulbarga, India

Ahmed

Harsoor

Nizami

2018

Int J Basic Clin Pharmacol

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Background: Drug utilization studies are an important part of rational use of drugs. Assessment of drug use pattern especially in developing countries is becoming increasingly necessary to promote the rational use of drugs. This study was planned to prospectively assess the drug utilization pattern in Ophthalmology outpatient department at KBN teaching and General hospital.Methods: After approval from Ethics Committee, the prescriptions of 1000 outpatients were analyzed using a predesigned form to record information from the OPD prescriptions. Mentioned WHO drug use indicators and additional indices were analyzed: Average number of drugs per prescription, number of encounters with antibiotics, percentage of encounters with injections, percentage of drugs prescribed by their generic names, percentage of drugs prescribed from the National Essential Drug List (NEDL), etc.Results: Prescription analysis showed that the average number of drugs per prescription was 2.6. The drugs were prescribed in the several forms, predominant dosage form been topical eye drops (69.58%) followed by tablets (11.98%), ointments (10.17%) and capsules (6.6%). The ‘dosage form’ was indicated for all of the drugs prescribed, the ‘frequency’ of drug administration was present in 96.5% of the drugs, and the duration of treatment for 82% of the drugs prescribed. Topical Antimicrobial agents were the most commonly prescribed drugs. followed by anti-inflammatory and anti-allergic, lubricants, anti-glaucoma drugs, etc. Percentage of drugs prescribed by generic name and from NEDL was 7.98% and 55 % respectively.Conclusions: The prescription writing errors were less, however, there was very low generic prescribing and inadequate information about the duration of therapy in many prescriptions. Generic prescribing can be improved. Duration of therapy should be mentioned in all prescriptions. It is essential that appropriate guidelines on the use of topical antimicrobials are required to ensure rational prescribing.

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“…Around 86% patients had encounters with an antibiotic prescribed, which was higher compared to studies done by Vanya HV et al 13 and Bhatt JH et al 23 which showed lower values (62.2%, 32.6%). It may be due to poor sanitation in our area which leads to higher prevalence of the infective diseases of the eyes, poor education, dry environment and less awareness.…”

Section: Discussionmentioning

confidence: 55%

“…12 In India, literature studies in Ophthalmology had shown issues of poor selection and prescribing of essential drugs and generic medicines. 13 Keeping these facts in consideration, the study was intended to obtain knowledge on the prescribing pattern and drug utilization trend in ophthalmology department at a tertiary care teaching hospital with ultimate goal to promote rational use of drugs among prescribers.…”

Section: Introductionmentioning

confidence: 99%

Drug Utilization Study in Ophthalmology Outpatient Department of a Tertiary Care Teaching Hospital

Sarfaraz¹,

Thomas²,

Joy³

et al. 2021

IJOPP

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Background: World Health Organization (WHO) has defined drug utilization in 1977 as marketing, distribution, prescription and use of drugs in a society with special emphasis on the resultant medical and social consequences. It should be evaluated periodically to increase the therapeutic efficacy and decrease adverse effects. Objectives:The aim of study is obtain data on the current prescribing pattern and drug utilisation trend of ophthalmologist in a tertiary care teaching hospital with ultimate goal to promote appropriate use of drugs. Methods: This prospective interventional study was conducted in 272 patients of either sex visiting Ophthalmology outpatient department over a period of six months at NMCH and RC, Raichur, Karnataka. The data collected from data collection form was analysed with the help of WHO prescribing indicators and evaluated using descriptive statistics. Results: Prescription analysis showed that the average number of drugs per prescription was 2.45. Drugs were mostly prescribed by brand name (98.5%), Eye drops (69%) were most prescribed dosage form, Injections (0.75%) were least prescribed, drugs prescribed from Essential Drug List was 50.9%. Antibiotics were most prescribed class of drugs (49.62%). Dosage form, frequency and duration of therapy were recorded in 100%, 95.5% and 84% of prescriptions. Conclusion: Polypharmacy was slightly seen in prescriptions. Antibiotics were highly used. The most commonly prescribed dosage form was eye drops. Half of drugs were prescribed from Essential drug list (EDL). Physicians preferred branded drugs rather than generic drugs. Diagnosis of the patient was not recorded for most of the prescriptions.

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Drug Utilization Study in Ophthalmology Outpatients in a Tertiary Care Hospital

Cited by 3 publications

References 7 publications

Üçüncü basamak bir hastanenin obezite polikliniğinde Dünya Sağlık Örgütü temel reçete göstergeleri kullanılarak akılcı ilaç kullanımının değerlendirilmesi

Üçüncü basamak bir hastanenin obezite polikliniğinde Dünya Sağlık Örgütü temel reçete göstergeleri kullanılarak akılcı ilaç kullanımının değerlendirilmesi

A prospective study of drug utilization in patients attending ophthalmology outpatient department at KBN teaching and general hospital of Gulbarga, India

Drug Utilization Study in Ophthalmology Outpatient Department of a Tertiary Care Teaching Hospital

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