Prescribing Trends in the Out Patient Department in a Tertiary Hospital in Bangladesh

Alam, MM; Parveen, Feroza; Ara, Ferdous; Iqbal, Mju; Saha, Ripon K.

doi:10.3329/bmj.v40i2.18496

Cited by 15 publications

(19 citation statements)

References 8 publications

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“…In the current study, only 0.20% drugs were prescribed under generic names but Paul et al and Alam et al reported it to be 0.13% and 1.33% respectively 14,15 . In an Indian study it was 4.24%, which was 44% in Nepal study 8,16 .…”

Section: Introductioncontrasting

confidence: 53%

Evaluation of Prescribing Pattern of the Private Practitioners in Bangladesh

Begum

Uddin²,

Islam³

et al. 2013

Faridpur Med Coll J

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:A prescription order is a written instruction of doctors to pharmacist to supply drugs in particular form to a patient and the directions to the patients regarding the use of medicines. This study was undertaken to observe the prescribing patterns of the private practitioners in Bangladesh, 430 prescriptions were collected randomly from Dhaka city and analyzed using WHO/INRUD indicators. There were average 3.40 drugs per prescription. Drugs were prescribed in generic name only in 0.20%. About 46.31% drugs were prescribed from the Essential Drug List, only 19% of prescriptions were complete in respect to patient medication information. Antibiotics were prescribed in 70.33% of the prescriptions; injections were prescribed in about 8.35% of the prescriptions.

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Section: Introductioncontrasting

confidence: 53%

Evaluation of Prescribing Pattern of the Private Practitioners in Bangladesh

Begum

Uddin²,

Islam³

et al. 2013

Faridpur Med Coll J

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“…In the present study, the percentage of encounters with an antibiotic prescription was 6.67%. According to WHO, 15-25% of antibiotics encountered is expectable in the countries where an infectious disease is more prevalent [4][5][6][7][8] . So this result indicates that the antimicrobial prescribing pattern was acceptable according to WHO guideline.…”

Section: Discussionmentioning

confidence: 99%

Audit of Prescribing Practices to Evaluate Rational Use of Medicines in the OPD of Orthopaedics in a Private Medical College Hospital

Afsan

Haque

Alam

et al. 2013

J Shaheed Suhrawardy Med Coll

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Background: Prescribing patterns need to be evaluated periodically to increase the therapeutic efficacy, decrease adverse effects and provide feedback to prescribers. Like all other developing countries, irrational and inappropriate use of drugs is very common in Bangladesh. Objectives: The main objective of the prescription audit was to define the pattern of drug used in the outpatient department of orthopaedics. Methodology: This was a descriptive type of cross-sectional study. The study was conducted in the Outpatient Department (OPD) of Orthopaedics in a tertiary care private teaching hospital. Dhaka, Bangladesh in between January to March '2012. A total of 300 prescriptions were obtained with the help of a pre-inserted carbon paper in a special format using WHO core prescribing indicators and some additional indices. Results: The average number of drugs per encounter was 3.78 and no single drug was prescribed by generic name. Use of an antibiotic and an injection was in 6.67% and 3.33% of encounters respectively. Only 4.32% drugs were prescribed from national essential drug list (EDL). Percentage of encounters with a NSAID, an antiulcerant and a calcium preparation prescribed were 97%, 97.33% and 67.33% respectively. Conclusion: The patterns of drug prescribing in the OPD of orthopaedics did not fulfill the WHO criteria for rational use of medicine.

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“…In less developed countries with high infectious disease burden and absence of reliable data, estimates of mortality also run into hundreds of thousands annually [13][14][15]. The rise in antimicrobial resistance in low income countries is related to a number of factors including misuse due to easy availability of antibiotics, self-medication, extensive use in agriculture, and failures in infectious disease control system in healthcare facilities etc [16,17] and irrational prescription practices [18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

Empirical Antibiotic Prescription Pattern among Patients in a Nigerian Tertiary Hospital, is There Evidence of Irrationality?

Paul

Abdulmalik

2019

JAMMR

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Background: Resistance to antibiotics is spreading rapidly around the world with its associated morbidity and mortality. Infections are becoming increasingly difficult to treat resulting in increased cost of medical care. In low income countries with high infectious disease burden, antibiotic resistance is reported to be accelerated by irrational prescriptions in health facilities. In the absence of adequate resources, many clinicians engage in empirical antibiotic prescriptions some of which their appropriateness is questionable. There is need for laboratory evidence to justify empirical antibiotic use in the light of increasing resistance to commonly prescribed antibiotics. Aims: This study aims to determine empirical antibiotic prescription pattern and to determine rationality using resistance profile of common bacterial isolates in hospitals. Methods: Antibiotic prescriptions in the NHIS department and antibiogram records were obtained from pharmacy and laboratory records respectively. Analysis was carried out using descriptive statistics and comparison between antibiotics prescribed and their respective resistance pattern were compared to determine rationality. Results and Discussion: The Penicillins and Quinolones were the most prescribed class of antibiotics and resistance range between 30 – 90% and 3 – 23% respectively. Resistance to other antibiotics was high thus making empirical prescriptions irrational in most of the cases. These findings have been consistently reported in several studies so widespread empirical antibiotic prescriptions are not in tandem with principles of rational drug use. Conclusion: Antibiotic resistance is common among hospital isolates, so there is need to emphasize that prescriptions be based on laboratory evidence of microbial sensitivity.

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Prescribing Trends in the Out Patient Department in a Tertiary Hospital in Bangladesh

Cited by 15 publications

References 8 publications

Evaluation of Prescribing Pattern of the Private Practitioners in Bangladesh

Evaluation of Prescribing Pattern of the Private Practitioners in Bangladesh

Audit of Prescribing Practices to Evaluate Rational Use of Medicines in the OPD of Orthopaedics in a Private Medical College Hospital

Empirical Antibiotic Prescription Pattern among Patients in a Nigerian Tertiary Hospital, is There Evidence of Irrationality?

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