Drug utilization trends in ENT out patient department in a private teaching hospital in Bangladesh

Abstract

A cross-sectional descriptive study was carried out among individuals attending the ENT out-patient department from 1 st June 2012 to 3Oth August 2012 in Z.H. Sikder Women's Medical College& Hospital, Dhaka. Bangladesh. The primary aim of this study was to generate up to date information on drug use in the ENT outpatient service of our hospital indications for use. A total of 150 prescriptions were randomly audited at varying time interval from the department of ENT during a three month period. The data was collected in customized proforma. Maximum cases were of otitis media 74(49.33%), sinusitis 24 (16.00%), tonsilitis 15 (10.00%), pharyngitis 14 (09.33%), DNS 14 (09.33%), rhinitis 07 (04.66%), adenoiditis 02 (01.33%). The average number of drugs used in the prescriptions was 2.94%. None of the drugs were prescribed by generic name. All of them were prescribed with trade names. The topical preparations were the most commonly prescribed drugs. Middle and lower income group of patients generally attend outpatient department, the average cost per prescription was 112 taka. The average cost to be high in this group. Educational sessions for the doctors at different levels to encourage prescribing by generic names and on correct writing of prescriptions may be considered. Studies covering a larger number of patients and for a longer time period are required. A greater number of patients can be studied, seasonal variations can be overcome and drug utilization can be measured quantitatively.

Positive Attitude Towards Personal Drug Selection among Undergraduate Medical Students of a Medical College

“…However, various studies reported that P-drug selection exercises should be incorporated into the curriculum. 4 , 6 , 12 , 13 The male-to-female ratio in our study was 1.93 which is higher than that of the previous study with a ratio of 1.45. 4…”

Drug Utilisation Trends in Ent Outpatient Department in a Tertiary Care Hospital of Sikkim

“…A study done by Sivakumar P et al (2011) 7 showed that the major ear complaints were CSOM (37.89%), amongst the nasal complaint acute rhinosinusitis was common (56.10%) and amongst the throat complaints tonsillitis was seen in 65.11%. In a similar study conducted by Any OH et al (2014) 10 , amongst the total of 150 patients, maximum cases were of otitis media 74 (49.33%), sinusitis 24 (16.00%), tonsillitis 15 (10.00%), pharyngitis 14 (9.33%), DNS 14 (9.33%), rhinitis 7 (4.66%) and adenoiditis 2 (1.33%).…”

Rational Drug Use and equivalent drugs price analysis in prescription

“…Bangladesh'te bir hastanede yapılan reçete analizi ile de doktorların tamamının ilaçları ticari isimleri ile yazdıkları, bu nedenle düşük ve orta gelirli aileler için ilaç tutarlarının yüksek olduğu ortaya çıkmıştır. İlaçların jenerik isimleri ile reçetelendirilmesi gerektiği belirtilmiştir [3]. Birleşik Arap Emirlikleri'nde yapılan bir başka çalışmada ise incelenen reçetelerin tamamında jenerik isim tanımlamasının kullanıldığı saptanmış, örneklem üzerinden bir reçetede ortalama 2.6 adet ilaç bulunduğu belirlenmiştir [4].…”