Drug Utilization Study in Patients Admitted in Medical Wards in a Tertiary Care Rural Hospital in North Kashmir

Maqbool, Rubeena; Rehman, Shakil U

doi:10.14260/jemds/2020/310

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Considering that drug utilization studies are scarce in developing countries,[ 11 ] this retrospective study is valuable in revealing the current situation regarding rational drug use. To the best of our knowledge, this is the first study to evaluate the rational drug use based on WHO prescribing indicators at an orthopedics and traumatology outpatient clinic in Turkey.…”

Section: Discussionmentioning

confidence: 99%

Drug utilization pattern and rational drug use at orthopedics and traumatology outpatient clinics: A cross-sectional study

Özdamar¹,

Özdamar

2021

Jt Dis Relat Surg

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Objectives The aim of the present study was to assess the prescriptions of patients who were admitted to the orthopedics and traumatology outpatient clinic of a tertiary care hospital according to the WHO prescribing indicators. Patients and methods Between January 2020 and March 2020, a total of 1,024 patients (273 males, 751 females; mean age: 51.9±13.9 years; range, 19 to 103 years) were included in the study. Only patients who were prescribed drugs and 18 years of age or older were included in the study. The WHO core prescribing indicators were utilized for the assessment of rational drug use. The WHO prescribing indicators percentages between the age categories were analyzed. The average number of drugs between the age categories was also examined. Results The average number of drugs per encounter was 2.9. The percentage of encounters with an antibiotic prescribed was 2.6% and with an injection prescribed was 10.7%. The percentage of drugs prescribed from essential drugs list was 33.8%. There were no prescriptions consisting generic name of drugs (0%). Polypharmacy was significantly higher in the ≥65 age group compared to the 18-44 age group (p=0.001). Conclusion The percentage of encounters with an antibiotic and injection prescribed were optimal according to WHO standards, while the average number of drugs per encounter was higher than the WHO ideal ranges. Unfortunately, the parameters such as the percentage of prescribing with generic name and from essential drug list was far more behind the optimal range.

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Section: Discussionmentioning

confidence: 99%

Drug utilization pattern and rational drug use at orthopedics and traumatology outpatient clinics: A cross-sectional study

Özdamar¹,

Özdamar

2021

Jt Dis Relat Surg

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“…Cephalosporins (n=63, 47%) and quinolones (26.95%) show highest utilization. 10 Another study reported a very high consumption of antimicrobials (79.0%) among pediatric patients (n=205). Ceftriaxone (n=81, 50.0%) and amikacin (n=52, 32.3%) were prescribed to most of the patients.…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial drug utilization pattern in a tertiary level intensive care unit in Northern India: Antimicrobial Stewardship Programme need of the hour

et al. 2023

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Background: Antimicrobial drugs are the most frequently prescribed drugs in hospital settings with intensive care unit (ICU) patients showing the highest consumption of these drugs. Antimicrobial overuse and misuse is attributed to antimicrobial resistance (AMR). AMR in coming years will emerge as a global pandemic, maiming the modern health-care system. High consumption of antimicrobial drugs is one of leading factors contributing to AMR. Aims and Objectives: This study aimed at evaluating the prescription pattern of antimicrobial drugs in ICU and estimates the burden of inappropriate antimicrobial drug utilization in ICU settings of a tertiary level teaching hospital. Materials and Methods: The current study was conducted on 100 patients over a period of 6 months, admitted in surgical ICU (SICU), and neuro SICU (NICU) of a tertiary level hospital in Jammu and Kashmir, India. Study patients were identified through daily review of pharmacy records and antimicrobial drugs prescribed for the initial 5 days of ICU admission were documented in a well-designed questionnaire consisting all the necessary information regarding antibiotic therapy. Results: Out of the 100 enrolled study subjects, 98% received an empiric therapy. Majority of the patients were given a combination antimicrobial therapy during the initial 5 days of ICU admission. The most common antibiotic prescribed as monotherapy was ceftriaxone during the initial 2 days of ICU stay followed by piperacillin-tazobactam and meropenem in the next 3 days. Amikacin was the most frequently prescribed antibiotic in combination therapy during first 2 days followed by vancomycin in the consecutive days. A total of 27 antimicrobial drugs belonging to 15 classes were prescribed to the study participants during the initial 5 days of ICU admission. Conclusion: The study reports a very high consumption of antimicrobial drugs in ICUs with maximum of antimicrobial therapies prescribed empirically. A robust action plan, consisting of proper protocol for prescribing empiric antimicrobials, regular monitoring of antibiotic consumption in ICUs with a system of prospective audit, and feedback and timely interventions are a keystone of good antibiotic stewardship and should be the focus in ICU and NICU.

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Drug Utilization Study in Patients Admitted in Medical Wards in a Tertiary Care Rural Hospital in North Kashmir

Cited by 2 publications

References 10 publications

Drug utilization pattern and rational drug use at orthopedics and traumatology outpatient clinics: A cross-sectional study

Drug utilization pattern and rational drug use at orthopedics and traumatology outpatient clinics: A cross-sectional study

Antimicrobial drug utilization pattern in a tertiary level intensive care unit in Northern India: Antimicrobial Stewardship Programme need of the hour

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