Drug utilization study in ophthalmology in OPD patients at a tertiary care teaching hospital

Bhatt, Jigar H.; Verma, Shashwat; Bagde, Srushti; Sane, Rohit Mahesh; Shahani, Savita

doi:10.18203/2319-2003.ijbcp20180105

Cited by 4 publications

(6 citation statements)

References 4 publications

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“…Physicians may have been unwilling to prescribe medicines by generic name probably because it can lead to the purchasing of variable potency drugs and lower potent generic antibiotics which may contribute to drug resistance and instability in clinical response. The results obtained were contrary to study done by Bhatt JH et al 23 where 42.6% of medications were prescribed by generic name.…”

Section: Discussioncontrasting

confidence: 99%

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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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Section: Discussioncontrasting

confidence: 99%

“…This serves as a measure of degree of polypharmacy. 20 and Mumbai (1.9) by Bhatt JH et al 23 showed lower number of drugs per prescription.…”

Section: Discussionmentioning

confidence: 92%

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

Sarfaraz¹,

Thomas²,

Joy³

et al. 2021

IJOPP

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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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“…2 This necessitates a periodic review of pattern of drug utilization to ensure safe and effective treatment. 3 The principal aim of drug utilization research is to facilitate the rational use of drugs in populations. For the individual patient, the rational use of a drug implies the prescription of a well documented drug at an optimal dose, together with the correct information, at an affordable price.…”

Section: Introductionmentioning

confidence: 99%

Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

Parekar

Maindarkar²,

Maindarkar³

2020

Int J Basic Clin Pharmacol

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Background: Drug utilization study is essential, as safe and effective therapeutic regimen in paediatric population is challenging. Pattern of use of drugs in pediatrics vary as compared to adults, also there is limited data available. The objective of this study was to study drug utilization pattern in pediatric patients attending pediatric outpatient department of Maindarkar pediatric hospital, Latur.Methods: A cross sectional study was carried out for a period of six months from September 2019 to February 2020, by analysing a total 1000 prescriptions of patients who had visited the OPD of Maindarkar pediatric hospital. Prescriptions were selected by simple random sampling method.Results: In our study, out of the total of 1000 prescriptions, 244 (24.4%) were of neonates, 556 (55.6%) were of infants (1 month to 1 year) and 200 (20%) were of children above 1 year. 547 (54.7%) prescriptions were of male patients and 453 (45.3%) were of female patients. The most frequent classes of drugs prescribed were nonsteroidal anti-inflammatory drugs 704 (70.4%), followed by drugs used for respiratory disorders 655 (65.5%) and supplements (60%). Antimicrobials were prescribed in 498 (49.8%) prescriptions. The average number of drugs per prescription was 2.45. About two third of all the prescribed drugs (74.41%) were from national essential medicine list. Most of the prescriptions had oral drug formulation 825 (82.5%) followed by inhalational 208 (20.8%) followed by injectables 150 (15%). All the drugs were prescribed by brand names.Conclusions: Our study helps health-care system to understand, interpret and improve prescribing, administration, to minimize adverse events and promote rational use of medicines.

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Drug utilization study in ophthalmology in OPD patients at a tertiary care teaching hospital

Cited by 4 publications

References 4 publications

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

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

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Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

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