Prescribing Pattern and drug utilization study in inpatients of department of Orthopaedics in a rural teaching hospital of Ujjain, Madhya Pradesh, India

Abstract

Background: Drug utilization study can increase our understanding of how drugs are being used. This study was done to evaluate the current drug prescribing trend in management of indoor patient of orthopaedic department and to comment on rationality of the prescribed medicines.Methods: This is a prospective observational study conducted for 12 months, in Chandrikaben Rashmikant Gardi Hospital, a 600 bedded tertiary care rural based, teaching hospital. Total 611 patients were included in this study.Results: Total 5416 drugs were prescribed in 611 prescriptions. Average number of drugs per prescription was 8.86. Average duration of prescription was 10.7 days. Percentage of drugs prescribed by generic name was 28.8%. Percentage of encounter with an Antibiotic prescribed was 60.23% i.e. out of 611 prescriptions antibiotics were prescribed in 368. Percentage of encounter with an Injection prescribed was 63% which means out of 611 prescriptions, injectables were prescribed in 385. Percentage of drugs prescribed from National Essential Medicine List was 52.63%. Percentage of drugs prescribed from WHO model List was 32.46%. Diclofenac (14.25%) was most commonly prescribed drug. Incidence of polypharmacy was quite high in context of Analgesics. Almost 40% of prescriptions had 2 drugs. Orally prescribed Analgesics were 62.6%, Injectables 34.38% and Topical 3.02%.Conclusions: This study reveals that the pattern of prescription in terms of rationality is poor. Special attention needs to be given to the irrational prescribing in terms of polypharmacy and long duration. Continuing medical education regarding appropriate use of drugs, knowledge of adverse effects and standard prescription guidelines will play pivotal role in rational prescription of drugs.

A Prospective Study of Drug Utilization Pattern in Patients from Orthopaedic Department in a Tertiary Care Teaching Hospital

“…(23%) were diagnosed with pain in knee, (20%) patients with Pain in upper limb, (10%) with fracture while (5%) cases were diagnosed as osteoarthritis which was least no of diagnosed cases. These findings were different to the findings of Baghel R et al 8 who reported fracture as the most common diagnosis however osteoarthritis was the least diagnosed cases in both the study. None of the study was found in the literature who reported pain as the most common diagnosis.…”

“…In our present study among 100 patients (n=100) studied who were undergoing treatment with different kinds of drugs in orthopedic department, it was observed that Male (58%) were predominant than females (42%). The present study findings were almost similar to the study done by Srividya BP et al 7 and Baghel R et al 8 who reported prevalence of more than female. However, our study results were contradictory to the findings of Shivaleela B et al 7 who reported more cases of female patients in their study where they did their study in postoperative patients in different surgical departments including orthopedic department.…”

“…Our study result showed that out of 100 patients prescribed with different types of drugs it was found total of 748 drugs were prescribed for treating various clinical conditions. Prescribing trends by generic name according to the WHO standard should be 100%, but in our study only 230 (30.74%) drugs were prescribed with Generic name and 518 (69.25%) drugs were prescribed with Brand name which was in accordance with the findings of Baghel R et al 8 This revealed more physicians prescribed drugs by brand name rather than by generic name, which needs to be discouraged because it will have an impact on economic burden of the patients leading to poor patient compliance. Factors responsible for this trend could be because of drug promotional activities, pressures of pharmaceutical men, lack of continuing education on the principles of Note: p value < 0.05 = Significant, p < 0.001 = Highly Significant, p < 0.0001 = Very Highly Significant.…”

Assessment of Prescribing Pattern Among Orthopedic in-Patients Using Who Prescribing Indicators

“…The WHO core prescribing indicators measure the performance of health-care providers in various dimensions related to the appropriate use of drugs. Based on the WHO prescribing indicators, most of the prescriptions encountered in this study were deficient in the standard requirement set by the WHO, similar findings were reported by studies done earlier [2,10,13]. The WHO suggested prescribing indicators consider an average number of drugs per prescription as an important parameter indicating polypharmacy.…”

Evaluation of Prescribing Pattern in Orthopedics Department in a Tertiary Care Hospital: A Prospective Observational Study

“…When we compared the average number of drugs (4.84) prescribed in our study was found to be more than several other studies i.e. 3.5 in Alshakka et al [16], 1.33 in Das et al [17] and 1.9 in Shankar et al [18] study, at par (4.72) with Mishra R et al [19] and less than (8.86) that of Baghel R et al [20] study.…”