Drug Prescribing Pattern in Ophthalmology Out Patient Department of a Medical College

Akram, Md Faiz; P, Shamsheer R; Krishnan, Divya; Raju, G.J.K Prakash; Pawar, Anant T.

doi:10.21276/iabcr.2016.2.4.4

Cited by 4 publications

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“…In our study, the most commonly prescribed dosage formulation was eye drops in 89.12% of the prescriptions. A similar finding was reported in other studies done by Nehru M et al, 16 , Maniyar Y et al 20 , Bhatt JH et al, 21 and Akram MF et al 22 . The use of drops has the advantage of local action of the drug and minimizes the unwanted adverse drug effects that can occur with the use of systemic administration.…”

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confidence: 90%

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2021

IJPSR

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Ophthalmologists generally treat ocular infections by giving prophylactic anti-microbial therapy as they do not have data from culture analysis. The indiscriminate use of anti-microbials can lead to drug resistance, difficulty in treating infections, and increased chances of severe ocular damage. The purpose of this study was to analyze the utilization of anti-microbial drugs in the ophthalmology department at a tertiary care hospital. This is an observational study conducted in a tertiary care hospital. Details of total 740 prescriptions were collected from out-patient records and analyzed. The total 740 prescriptions, 56.4% were males, and 43.6% were females. The highest number of patients was in the age group of 61-70 years. Post-operative cataract cases were in maximum (51.9%) followed by conjunctivitis (15.3%). A total of 846 anti-microbial drugs were analyzed from 740 prescriptions. Average number of anti-microbials per prescription was 1.15. Eye drops were the most commonly prescribed dosage formulation. Moxifloxacin was the most commonly prescribed anti-microbial drug as monotherapy. The most commonly prescribed fixed-dose combination was gatifloxacin plus prednisolone. The frequency and the duration of anti-microbial therapy were recorded in all the prescriptions. The present study shows that the prescribing patterns of ophthalmologists are based on clinical knowledge, expertise and is in accordance with the rational utilization of anti-microbials. In this study, the information regarding the frequency and duration of the study were recorded in all the prescriptions. Restraint on polypharmacy revealed in our study could be advantageous in reducing the potential adverse effects and economic burden on the patients. INTRODUCTION:Medicines are essential components of the health care system, and modern health care is dependent on the availability of necessary medicines. They cure diseases, promote health and save the lives of the public. The medicines are doubtlessly one of the important weapons of mankind to combat illness 1 .

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confidence: 90%

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2021

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“…19 It also indirectly indicates more chances of correct diagnosis. 18 While the recommended antibiotic prescription is 20.0-26.8%, present study showed it to be higher than this. This again shows higher use of antibiotics, which can increase the chance of emergence of drug resistance.…”

Section: Discussioncontrasting

confidence: 56%

“…Our finding is in consistent with the other previous studies, 2.10, 2.0 and 2.23 and slightly more in others, 2.5, 2.6 and 2.7. [13][14][15][16][17][18] The attitude to provide prompt relief at all cost might be one of the reason. However, it is preferable to keep the number of drugs per prescription as low as possible to reduce possible drug-drug interaction, increased adverse effects and poor patient's compliance.…”

Section: Discussionmentioning

confidence: 99%

Drug Utilization Study in Outpatient Department of Ophthalmology in Tertiary Care Hospital

Shrestha

et al. 2022

Kathmandu Univ. Med. J.

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Background The advancement in drug development and availability of newer drugs has improved overall health services including decrease in mortality and hospital stay. Along, it has brought negative impacts such as polypharmacy and associated adverse drug reactions and antimicrobial resistance. Drug utilization research is an essential approach to understand the drug use pattern, identify the early signs of such irrational drug use and to improve quality of drug use. Objective To study the drug utilization pattern in the Ophthalmology Outpatient department (OPD) of Dhulikhel Hospital, Kathmandu University Hospital (DH-KUH). Method A descriptive, cross sectional study was conducted from March 2019 to August 2019 in patients attending OPD of Ophthalmology in Dhulikhel Hospital, Kathmandu University Hospital. Prescriptions of 311 patients were analyzed using World Health Organization (WHO) International Network of Rational Use of Drug (INRUD) and additional other indices. The descriptive data was presented in mean and standard deviation. Result The average number of drugs per prescription was 2.10±1.35. Out of total 311 prescriptions, drugs prescribed in generic name were 152 (23.30%). Total antibiotics encountered were 247 (37.90%) and total drugs prescribed from National Essential Medicine List (NEML) were 371 (56.90%). Antibiotics 247 (37.90%) were the most commonly prescribed drugs followed by lubricants 146 (22.40%). Conclusion Practice of polypharmacy was very high. Most of the drugs were prescribed in brand names and antibiotics were the most frequently used drugs.

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“…The findings revealed that the EDL prescribed medicines were just 50.9%, lower than the standard value given by WHO i.e., 100%, but showed a greater value in contrast to the reports published by Akram MF et al 24 Use of EDL drugs should be encouraged for the purpose of optimal use of medications for maximal safety and thereby fulfilling the needs of health care of majority of population.…”

Section: Discussionmentioning

confidence: 56%

Drug Utilization Study in Ophthalmology Outpatient Department of a Tertiary Care Teaching Hospital

Sarfaraz¹,

Thomas²,

Joy³

et al. 2021

IJOPP

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Background: World Health Organization (WHO) has defined drug utilization in 1977 as marketing, distribution, prescription and use of drugs in a society with special emphasis on the resultant medical and social consequences. It should be evaluated periodically to increase the therapeutic efficacy and decrease adverse effects. Objectives:The aim of study is obtain data on the current prescribing pattern and drug utilisation trend of ophthalmologist in a tertiary care teaching hospital with ultimate goal to promote appropriate use of drugs. Methods: This prospective interventional study was conducted in 272 patients of either sex visiting Ophthalmology outpatient department over a period of six months at NMCH and RC, Raichur, Karnataka. The data collected from data collection form was analysed with the help of WHO prescribing indicators and evaluated using descriptive statistics. Results: Prescription analysis showed that the average number of drugs per prescription was 2.45. Drugs were mostly prescribed by brand name (98.5%), Eye drops (69%) were most prescribed dosage form, Injections (0.75%) were least prescribed, drugs prescribed from Essential Drug List was 50.9%. Antibiotics were most prescribed class of drugs (49.62%). Dosage form, frequency and duration of therapy were recorded in 100%, 95.5% and 84% of prescriptions. Conclusion: Polypharmacy was slightly seen in prescriptions. Antibiotics were highly used. The most commonly prescribed dosage form was eye drops. Half of drugs were prescribed from Essential drug list (EDL). Physicians preferred branded drugs rather than generic drugs. Diagnosis of the patient was not recorded for most of the prescriptions.

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Drug Prescribing Pattern in Ophthalmology Out Patient Department of a Medical College

Cited by 4 publications

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Drug Utilization Study in Outpatient Department of Ophthalmology in Tertiary Care Hospital

Drug Utilization Study in Ophthalmology Outpatient Department of a Tertiary Care Teaching Hospital

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