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

Patil, Arun; Dighe, Darshana; Kolte, Shrikrishna; Jadhav, Pradeep R.; Deshmukh, Y. A.

doi:10.18203/2319-2003.ijbcp20170812

Cited by 9 publications

(15 citation statements)

References 8 publications

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“…In this research, percent encounters with an antibiotic prescribed were 13%. Similar data was found in study of 19 (11.07%) where it was higher than our study 18 (28.61%). Antibiotics were most commonly prescribed class of drugs 22,5 and.…”

Section: Who Core Prescribing Indicatorsupporting

confidence: 92%

“…18 Average number of drugs per prescription was nearly equal to 3.27, the value obtained in the study of. 19 Average number of drugs per prescription was 3.73 in the study of 20 which is higher than what was observed in our study. Average number of drugs prescribed per patient encounter is high in comparison to optimal value in the range of 1.6-1.8 21 and hence our study suggests that the number of drugs prescribed per patient is more than what suggested by WHO.…”

Section: Who Core Prescribing Indicatorcontrasting

confidence: 75%

“…Percentage of medicines prescribed by generic name was 11.2% which was lower than study carried out by, 18 15.07%), 19 (31.1%) and 20 (84.18%). Lower prescribing of generic names is reflecting inclination and preference of prescribers towards branded drugs.…”

Section: Who Core Prescribing Indicatorcontrasting

confidence: 55%

“…Percentage of medicines prescribed from the 23 National essential drug list (NLEM) or formulary 2016 of Nepal 2019 was 22.4% which was slightly lower than study carried out by 19 (44.2%). However, there is ample of scope for improvement and need to encourage dermatologist to prescribe from National essential drug list first.…”

Section: Who Core Prescribing Indicatormentioning

confidence: 68%

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Assessment of Drug use Practices among Patients Visiting Outpatient Department of Dermatology at a Hospital in Pokhara, Nepal.

Bhandari

Khan

2020

jhas

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Introduction: Skin is the part of an integumentary system that constitutes the largest organ of the human body and thus it is exposed to injury by various extrinsic factors such as environmental, chemical, infectious agents as well as intrinsic factors such as metabolic, genetic and immunological. These are the major contributors to disease burden in society. The goal of the study was to assess the current drug use practices and pattern of skin diseases among the patients visiting the outpatient department of dermatology at a Green Pastures Hospital in Pokhara, Nepal. Methods: A prospective observational study was conducted in an outpatient pharmacy over a period of three months by clinical pharmacists. Patient data collection forms were the tools used to collect data. Results: A total of 246 patients were included where 135 were females and 111 were males. The most common skin disease seen in the age group of 19-29 (39.4%). The major skin disease seen in the study were Tinea skin infections (21.1%), Urticaria (11.8%), Eczema (11.1%), Dermatitis (10.6%) followed by Acne (8.1%) and so on. Antihistamines (33.38%), Antifungals (30.03%), Corticosteroids (27.1%) were majorly prescribed drugs. The average number of drug prescriptions per encounter was 2.66. Drugs prescribed by their generic name were 11.2% and those prescribed from the National essential medicines list of Nepal were 22.4% and those prescribed from WHO list of essential medicines was 21.6%. Conclusion: Overall analysis of the drug showed, the most common route of the prescribed drug was topical followed by oral. In this study, generic prescribing of the drug was low compared with a brand prescription. WHO core drug use indicators have been used in the present study as a measure of performance of drug usage. The prescription audit can be an eye-opener and therefore it should be done periodically to rationalize the prescription, reduce error and suggest cost-effective management.

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Section: Who Core Prescribing Indicatorsupporting

confidence: 92%

Section: Who Core Prescribing Indicatorcontrasting

confidence: 75%

Section: Who Core Prescribing Indicatorcontrasting

confidence: 55%

Section: Who Core Prescribing Indicatormentioning

confidence: 68%

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Assessment of Drug use Practices among Patients Visiting Outpatient Department of Dermatology at a Hospital in Pokhara, Nepal.

Bhandari

Khan

2020

jhas

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“…In a study done by Patil et al showed male were affected 56.86% followed by the female 43.14%. 10 In George et al study also most commonly male (51.35%) were affected followed by female. 11 Dermatophytosis can affect every age group with no specific age group being immune to the infection.…”

Section: Discussionmentioning

confidence: 84%

A pharmacoepidemiology study of local fungal infections in skin and venereal diseases outpatient department of a rural tertiary care hospital

Bansal¹,

S²

2020

Int J Basic Clin Pharmacol

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Background: Fungal infections of the skin were the 4th most common skin disease in 2010 affecting 984 million people. An estimated 20-25% of the world’s population has some form of fungal infection. Dermatophytes are fungi that cause superficial infections of the skin, commonly referred to as tinea infections.Methods: This was a prospective and an observational study conducted from February 2018 to January 2019 in Dermatology Department. Prescriptions included all newly diagnosed patients with cutaneous fungal infection of both sex who attended dermatology OPD. Factors considered were sociodemographic parameters, the disease encountered and number of patients in each group and number of patients who received antifungal therapy (oral and topical) etc.Results: 1000 prescriptions were analysed of patients between 18 to 65 years of age with cutaneous fungal infections. There were a greater number of males (57.4%) than females (42.6%). The average number of antifungal drugs prescribed per prescription was 2.33. Majority of the patients were prescribed itraconazole (82.30%) followed by terbinafine (9.70%) and fluconazole (8.0%).Conclusions: The most common oral antifungal drug used was itraconazole. Ketoconazole and Terbinafine were the most commonly used topical agents respectively.

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Prescribing Pattern of Antifungal Drugs in a Tertiary Care Teaching Hospital in Western India

Patel,

Prajapati,

Patel

et al. 2023

Pharmacology and Clinical Pharmacy Research (PCPR) is an intern

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Fungal infections are prevalent in a tropical country like India. Pharmacotherapy of fungal disease has been revolutionized by the introduction of relatively less toxic oral drugs, com- bination therapy, and new formulations of older agents. However, data regarding antifungal drug usage patterns in India must be more present. Hence, this study was planned to study the prescribing pattern and to compare the cost of antifungal drugs in patients attending a tertiary care teaching hospital. It was a cross-sectional, observational study carried out at GCS Hospital, Ahmedabad, from April 2021 to Sept 2021. Prescriptions of 130 patients were collected and analyzed using Microsoft Excel version 2013. A total of 213 antifungal drugs were prescribed to 130 patients. Most patients, 81 (62.3%) were from the 18-40 age group. Combined antifungal treatment (Oral + Topical) was prescribed in 77(59.2%). The most common class of antifungal drugs was imidazole 107 (50.23%), and clotrimazole was the most familiar drug. The most common indication for antifungal therapy was tinea cruris (45.38%). An average of 3.75 drugs were prescribed per prescription, of which 1.63 were antifungal drugs. Combined treatment of oral and topical antifungal drugs was common in dermatological practice. However, the cost of the treatment can be reduced by prescribing generic drugs.

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

Cited by 9 publications

References 8 publications

Assessment of Drug use Practices among Patients Visiting Outpatient Department of Dermatology at a Hospital in Pokhara, Nepal.

Assessment of Drug use Practices among Patients Visiting Outpatient Department of Dermatology at a Hospital in Pokhara, Nepal.

A pharmacoepidemiology study of local fungal infections in skin and venereal diseases outpatient department of a rural tertiary care hospital

Prescribing Pattern of Antifungal Drugs in a Tertiary Care Teaching Hospital in Western India

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