Prescribing and Utilization Trends of Anti-Asthmatic Drugs amongst Children in a Tertiary Care Hospital in Lahore, Pakistan

Ahmed, Aziza; Tanveer, Maria; Khan, Gul Majid; Hanif, Kashif

doi:10.5530/jppcm.2017.2.17

Cited by 7 publications

(10 citation statements)

References 9 publications

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“…In this study also, asthma was reported to be more prevalent in males (50.67%). These findings are similar to studies by Garje, et al 17 and Shah, et al 18 and Ahmed, et al 19 .…”

Section: Discussionsupporting

confidence: 92%

“…Majority of the children were suffering from intermittent asthma and this finding is consistent with a study conducted by Ahmed, et al 19 . On the other hand, in a study by Garje, et al 17 , majority of patients had mild persistent asthma.…”

Section: Discussionsupporting

confidence: 92%

“…. Many other studies like Garje, et al (2.96) 17 , Shah, et al (6.10) 18 , Ahmed, et al (3.19)19 and Kumar, et al (3.5) …”

mentioning

confidence: 92%

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Drug Prescription Pattern in Pediatric Patients of Bronchial Asthma Attending outpatient Department in a Private Hospital

Kaur¹,

Sattigeri

Mishra

2020

Asian Journal of Pharmaceutical Research and Health Care

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Bronchial asthma, being a chronic airway disease, requires long-term pharmacotherapy. Since, a wide range of antiasthmatic drugs are available, study of prescription pattern is essential to promote rational use of drugs. The aim of the study was to evaluate prescription pattern in paediatric patients of bronchial asthma in a private hospital. An observational, non-interventional cross-sectional study was conducted in paediatric outpatient department at a private hospital in Aurangabad after institutional ethical clearance. Asthmatic children of either gender or age group 1-17 years were enrolled and patients details such as demographic details, drugs used etc. were filled in the specially designed case record form. Data was presented in percentages. SPSS software version 20.0 was used to analyse data using statistical test ANOVA. 'P' value ≤ 0.05 was considered as significant. Out of total 300 children enrolled in the study, 43.33% children had intermittent asthma, 16.33% had mild persistent, 21.34% had moderate persistent and 19% had severe persistent asthma. Asthma in majority of the children (40%) was partly controlled. Maximum study population was males of 6-10 years of age. Most of the children received multiple anti-asthmatic drugs (66%) and prevalence of two drug combinations was the highest (46%). Average drugs per prescription were 2.7. Inhalational route was preferred. Most commonly encountered anti-asthmatic drugs were short acting beta 2 agonists (74.33%) followed by inhalational corticosteroids (56.33%). Inhalational corticosteroid usage was profound in children with persistent asthma. Encounter with antibiotics was found to be 18.33%. All the drugs were prescribed by their brand names. Inhaled and oral corticosteroids were prescribed more often in children with persistent asthma than children with intermittent asthma and differences were statistically significant (p=0.001). However, no statistically significant difference was observed among intermittent and persistent asthma in terms of prescription of drugs like salbutamol, levosalbutamol, levosalbutamol plus ipratropium bromide and salmeterol plus fluticasone. The findings of the study suggested a rational approach in providing anti-asthmatic pharmacotherapy to children. Health care professionals seemed to be well versed with the current treatment guidelines. Only matter of concern is prescribing with brand names. Promotion of educational strategies and programmer will incur awareness about benefits of prescribing generic drugs.

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“…In this study also, asthma was reported to be more prevalent in males (50.67%). These findings are similar to studies by Garje, et al 17 and Shah, et al 18 and Ahmed, et al 19 .…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

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Drug Prescription Pattern in Pediatric Patients of Bronchial Asthma Attending outpatient Department in a Private Hospital

Kaur¹,

Sattigeri

Mishra

2020

Asian Journal of Pharmaceutical Research and Health Care

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“…This difference may be due to, majority of children were taking controller therapy. A study conducted by Ali Ahmed et al in Lahore showed intermittent asthma, the most frequent severity and there was no child with severe persistent asthma 14 , this difference may be due controller therapy taken by children.…”

Section: Figure-1 Frequency Of Severity Of Asthma In Children N=106mentioning

confidence: 96%

Severity of chronic asthma in children 2 to 12 years, presenting to a Tertiary Care Hospital.

Soomro

Chohan

Khan

et al. 2020

TPMJ

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Objectives: To determine the frequency of severity of Chronic asthma (never taken controller therapy) in children 2 to 12 years, presenting to Pediatric Out Door Department. Liaquat National Hospital Karachi. Study Design: Descriptive Cross-Sectional Study. Setting: Department of Pediatrics Medicine, Liaquat National Hospital Karachi. Period: From June 2016 to December 2016. Material & Methods: A total of 106 children with symptoms of airflow obstruction characterized by recurrent cough, difficulty in breathing and wheeze were included in this study. All the study subjects were asked about clinical symptoms and on the basis of that severity of asthma were classified as mild, moderate or severe asthma. Results: The average age of the children was 6.38± 6.0 years. In this study, intermittent asthma was observed in 24(22.64%) cases. There were 30(28.6%) children with mild persistant asthma, 40(37.74%) children with moderate persistant asthma and severe persistant asthma was found in 12(11.32%) children. Conclusion: We found moderate persistent asthma, as the most frequent category, while severe persistent asthma was the least frequent category. Age had the significant effect on the asthma frequency; it was most common in less than 10 years old children. Duration of asthma and gender had no effect on asthma severity, while weight and height had a significant effect on asthma severity.

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“…[1] This hypersensitivity is triggered by the allergen exposures, air pollution, cigarette smoking and noxious particle insult.…”

Section: Introductionmentioning

confidence: 99%

Role and Frequency of Asthma Risk Factors in Triggering the Asthmatic Attack: A Cross-Sectional Study from Pakistan

Hassan¹,

Ahsan²,

Asem³

et al. 2017

JPPCM

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Prescribing and Utilization Trends of Anti-Asthmatic Drugs amongst Children in a Tertiary Care Hospital in Lahore, Pakistan

Cited by 7 publications

References 9 publications

Drug Prescription Pattern in Pediatric Patients of Bronchial Asthma Attending outpatient Department in a Private Hospital

Drug Prescription Pattern in Pediatric Patients of Bronchial Asthma Attending outpatient Department in a Private Hospital

Severity of chronic asthma in children 2 to 12 years, presenting to a Tertiary Care Hospital.

Role and Frequency of Asthma Risk Factors in Triggering the Asthmatic Attack: A Cross-Sectional Study from Pakistan

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