Study of Drug Utilization Pattern for Skin Diseases in Dermatology OPD of an Indian Tertiary Care Hospital - A Prescription Survey

Pathak, Anuj Kumar; Kumar, Subodh; Kumar, Manish; Mohan, Lalit; Dikshit, Harihar

doi:10.7860/jcdr/2016/17209.7270

Cited by 28 publications

(55 citation statements)

References 9 publications

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“…14,20 Studies conducted across India have shown similar trend of high antihistaminic prescribing in dermatology. 13,14,16,17 The higher side of antihistaminic prescribing in this study seems to be justified due to its anti-allergic and antipruritic actions. This could be due to prevalence of dermatological disorders with related symptoms of itching/ pruritus (associated with allergy, fungal infection, scabies, eczema and dermatitis).…”

Section: Discussionmentioning

confidence: 99%

“…However other studies in dermatology have documented prescribing drugs by generic names from 7 % to 24 %, which were lower than the findings of our study. [13][14][15][16][17][18][19] In this study, the percentage of encounters with antibiotics was 11.07%. The antibiotic utilization was lower in this study in comparison to other dermatology studies.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings are similar to studies which have documented polypharmacy with average drugs ranging from 3 to 5 per prescription. 13,17,18,20 It is advisable to keep restraint on poly-pharmacy as it leads to risk of drug interactions, errors in dispensing and difficulty in taking dosage as per prescribed schedule.…”

Section: Discussionmentioning

confidence: 99%

“…In our study we found the prescribing of essential drugs from national essential drug list was higher in comparison to studies, which have documented 12% to 24% prescribing of essential drugs in dermatology. [13][14][15][16][17][18][19] However, there is ample of scope for improvement and need to encourage dermatologist to prescribe from national essential drugs first. The World Health Organization emphasizes the prescribing of medicines as much as possible from the essential medicines list or hospital formulary, as medicines are selected for this list with due regard to disease prevalence and to the evidences of efficacy, safety and the cost.…”

Section: Discussionmentioning

confidence: 99%

“…[13][14][15][16][17][18][19][20] There exist paucity of data in literature on the drug utilization trends from this region; therefore this study was conducted to study the prescribing pattern and drug utilization trends in Dermatology outpatient department at a tertiary hospital in Navi Mumbai (Maharashtra).…”

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Drug utilization pattern in dermatology outpatient department at a tertiary care hospital in Navi Mumbai

Patil

Dighe

Kolte

et al. 2017

Int J Basic Clin Pharmacol

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Background: Skin diseases are common and cause a huge disease burden globally. Different class of drugs and combinational products are available in dermatology for treatment. Periodic prescription analysis in the form of drug utilization study can improve the quality of prescription and curb the menace of irrational prescribing. Aim and objective of the study were to study the prescribing pattern and drug utilization trends in Dermatology outpatient department at a tertiary care hospital in Navi Mumbai. Methods: A cross-sectional, observational study was conducted over a period of three months in dermatology department of a tertiary care teaching hospital, Navi-Mumbai. A total of 102 adult patients visiting dermatology OPD were included and their prescriptions were analyzed with WHO prescribing indicators and additional indices. Results: Analysis showed that the average number of drugs per prescription was 3.27. Percentage of drugs prescribed by generic name was 31.1%. Percentage of drugs prescribed from National Essential drug list (NEDL) was 44.2%. The commonest prescribed drugs were antihistaminics followed by antifungals. Oral tablets were the commonest prescribed dosage form. Conclusions: Antihistaminics and antifungals dominated the prescribing pattern in this study with restraint on polypharmacy, but showed ample scope for improvement to prescribe generic and selection of essential drugs.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Drug utilization pattern in dermatology outpatient department at a tertiary care hospital in Navi Mumbai

Patil

Dighe

Kolte

et al. 2017

Int J Basic Clin Pharmacol

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Global Burden of Skin Disease: Inequities and Innovations

et al. 2017

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Purpose of Review We review the current understanding of the burden of dermatological disease through the lens of the Global Burden of Disease project, evaluate the impact of skin disease on quality of life in a global context, explore socioeconomic implications, and finally summarize interventions towards improving quality of dermatologic care in resource-poor settings. Recent Findings The Global Burden of Disease project has shown that skin diseases continue to be the 4th leading cause of nonfatal disease burden world-wide. However, research efforts and funding do not match with the relative disability of skin diseases. International and national efforts, such as the WHO List of Essential Medicines, are critical towards reducing the socioeconomic burden of skin diseases and increasing access to care. Recent innovations such as teledermatology, point-of-care diagnostic tools, and task-shifting help to provide dermatological care to underserved regions in a cost-effective manner. Summary Skin diseases cause significant non-fatal disability worldwide, especially in resource-poor regions. Greater impetus to study the burden of skin disease in low resource settings and policy efforts towards delivering high quality care are essential in improving the burden of skin diseases.

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Antimicrobial Prescribing Practices at Dermatology Outpatient Departments in Tertiary Care Hospitals: A multi-centered, Cross Sectional Study

sultana

Ferdoush

Johora

et al. 2022

Preprint

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Background: The purpose of this study is to evaluate antimicrobial prescribing behaviors in the dermatology outpatient department. Methods: This multi-centered, cross-sectional study was conducted at dermatology outpatient department of three tertiary care hospitals in Chittagong division, Bangladesh during the period October, 2021 to April, 2022. Results: During the study period, 463 prescriptions were obtained. Over half of the participants were female (57%) and between the ages of 21 to 40 years. The majority of patients were diagnosed with eczema (19%), acne (17%), and scabies (15%). Most commonly prescribed antimicrobials was Azithromycin (22%), followed by Permethrin (16%) and Erythromycin (7%). In most cases, antimicrobials were recommended for more than two weeks (60%). Nearly half of the antimicrobials (53 %) were recommended as combination of systemic and topical route. Conclusion: Current study found that dermatologists frequently recommended broad-spectrum antimicrobials for extended periods of time, which may lead to antimicrobial resistance. There is a need for continuing medical education on the appropriate use of antimicrobials, which will result in the effective management of skin diseases.

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Study of Drug Utilization Pattern for Skin Diseases in Dermatology OPD of an Indian Tertiary Care Hospital - A Prescription Survey

Cited by 28 publications

References 9 publications

Drug utilization pattern in dermatology outpatient department at a tertiary care hospital in Navi Mumbai

Drug utilization pattern in dermatology outpatient department at a tertiary care hospital in Navi Mumbai

Global Burden of Skin Disease: Inequities and Innovations

Antimicrobial Prescribing Practices at Dermatology Outpatient Departments in Tertiary Care Hospitals: A multi-centered, Cross Sectional Study

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