Patterns of drug use in the public sector primary health centers of Bhopal district

Costa, Ayesha De; Bhartiya, Shekhawat; Eltayb, Amani; Nandeswar, Sunil; Diwan, Vinod

doi:10.1007/s11096-008-9215-6

Cited by 26 publications

(31 citation statements)

References 7 publications

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“…The socio-demographic details of the study participants are represented in Table 1 and the result shows male predominance (60.52%) in antimalarial usage. The antimalarial are prescribed highly in the age group of 31-45 years (21.58%) which was like previous studies conducted in various areas 10,11 and this reflects that the prevalence of the disease was higher among adult patients in this region during the study. During the study, out of 98 subjects prescribed with antimalarial drugs, 46 subjects showed malarial infection and 52 patients were diagnosed with non-malarial infection and in 46 malarial cases, 78.78% of patients were serum positive for Plasmodium falciparum and 21.22% were with Plasmodium vivax and mixed type of infection.…”

Section: Resultssupporting

confidence: 83%

Evaluation of Antimalarial Drug use in Tertiary Care Teaching Hospital

Deshpande¹,

Shalavadi²,

Patel³

et al. 2017

IJOPP

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Background: Malaria is a major cause of morbidity and mortality in the developing countries. Rational use of antimalarial drugs reduces the development of drug resistance and cost of therapy. Hence, we sought to evaluate the use of antimalarial drugs. Aim: The study was designed to evaluate the use of anti-malarial drugs in in-patient admission of medicine and pediatrics department at tertiary care teaching hospital. Methods: The data was obtained prospectively from 98 patients with antimalarial drugs over a period of 6 months. The evaluation was assessed based on age, pattern of malarial parasite, therapy and rationality of prescription. Results: The demographic details of patients admitted in hospital showed more male patients (60.52%) than children's (19.48%) and this reflects that the prevalence of the disease was higher among adult patients in this region during the study. Out of 98 patients prescribed with antimalarial drugs, only 46 patients showed malarial infection and 52 patients were diagnosed with non-malarial infection. In this study three drug combination therapy was prescribed more (30.61%) followed by two drugs combination. Rationality of antimalarial drug prescription was assessed by NVBDCP out of which 45.65% and 82.69% were irrational respectively. Conclusion: In this study it was found that inappropriate use of antimalarial drugs was higher among patients with Plasmodium falciparum and non-malarial patients. Cost of therapy was very high and thus it contributed to the economic burden on patients. Irrational prescriptions were high which indicated non-adherence to guidelines. Hence it concludes that educating the health professional for rational drug use as well as reducing the cost of therapy is essential.

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Section: Resultssupporting

confidence: 83%

Evaluation of Antimalarial Drug use in Tertiary Care Teaching Hospital

Deshpande¹,

Shalavadi²,

Patel³

et al. 2017

IJOPP

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“…The demographic details of patient attending health care facilities shows not much variation between male and female attending the health facilities in comparison to the other studies conducted in various areas 18,19 reflecting that the prevalence of disease was higher among adult patient in this region during the study period.…”

Section: Discussionmentioning

confidence: 51%

“…14,19 With regards to study conducted at other developing countries like India, Saudi Arabia, Bahrain it was comparatively high. 18,26,[28][29][30] Prescribing by generic name is recommended by WHO as it enables selection of more alternatives and also has major impact in cost minimization. The factor influencing low generic prescribing may be due to poor regulation and enforcement, drug promotion and less number of generic drug productions in Nepal.…”

Section: Discussionmentioning

confidence: 99%

Drug use pattern in Primary Health Care facilities of Kaski District, Western Nepal

Dahal

Bhattarai

Adhikari

et al. 2013

Sunsari Tech. Coll. J.

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Background: Drug utilization research has been defined by the WHO as 'the marketing, distribution, prescription and use of drugs in a society, with special emphasis on the resulting medical, social and economic consequences. Several studies of drug utilization conducted in many developed countries shows wide evidence of irrational drug use.Objectives: To assess the drug use pattern in Primary Health Care (PHC) facilities of Kaski district, Western Nepal. Methods :A prospective cross-sectional descriptive study was conducted in 11 PHC facilities of Kaski district using WHO core drug use indicators. Results: A total of 301 prescriptions was analyzed. The average age of patients visiting PHC was 33.11 years (female 35.79; male 30.40). The average number of drugs prescribed was 2.29. Percentage of encounters with at least one antibiotic prescribed was 57% whereas encounters with at least one injection prescribed was low 3%. The total percentage of drugs prescribed using generic names was found to be 59.02% and percentage of drugs prescribed from EDL was 85.19% respectively. The average consultation and dispensing time of 109 patients was 2.02 minutes and 42.52 seconds. Only 30% of patients had adequate knowledge of drug whereas none of the drugs were adequately labeled. Percentage of drugs actually dispensed was 89.63%. All health facilities had availability of Essential Drug List (EDL). The total percentage of availability of key drugs in study PHCs was 89.69%. Conclusion:The study shows trend toward irrational practice mainly on antibiotics use and nongeneric prescribing in most facilities studied. Patient care provided by health facilities studied was insufficient and thus effective intervention program for promotion of rational drug use practice is recommended in PHC facilities.

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“…Study conducted at Bhopal (India) [28], Iran [29] and Jordan [30] reported that antibiotic percentage of encounter was. 63.5%, 61.9 % and 60.9% which was higher as compared to our study.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Out Door Patients’ Prescriptions According to World Health Organization (WHO) Prescribing Indicators Among Private Hospitals in Western India

Shelat

Kumbar

2015

JCDR

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Patterns of drug use in the public sector primary health centers of Bhopal district

Abstract: Antibiotic use in our setting was high, while generic drug prescribing was lower in comparison to other recent studies in Asia. The study provides a baseline measure against which changes in practice can be monitored as elements of the state drug policy are put into place.

Cited by 26 publications

References 7 publications

Evaluation of Antimalarial Drug use in Tertiary Care Teaching Hospital

Evaluation of Antimalarial Drug use in Tertiary Care Teaching Hospital

Drug use pattern in Primary Health Care facilities of Kaski District, Western Nepal

Analysis of Out Door Patients’ Prescriptions According to World Health Organization (WHO) Prescribing Indicators Among Private Hospitals in Western India

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