A Drug Utilization Study in Post-operative Patients of IPD Obstetrics and Gynaecology
DOI:
https://doi.org/10.21276/1apv7e98Keywords:
Drug Utilization Study, Rational use of MedicineAbstract
Background: During delivery and postpartum period, antibacterial drugs play a very crucial role. The availability of these drugs can reduce maternal mortality. It is estimated that 350 000 maternal deaths happen worldwide. Infections are the major causes of maternal mortality. WHO reported that infections are responsible for 15% of the worldwide maternal mortality.
Methods: 148 total number of cases were included in this study. Patients aged more than 18 years. Post-operative patients till discharged, in Obstetrics and Gynaecology Department were included in this study. This study was conducted in the Department of Pharmacology in collaboration with Gynaecology. Results: In this study 148 total numbers of cases were included. Out of total cases 67.5% were belonged to 21-30 age group followed by 22.3% (31-40),5.4% (>40),4.7% (<20). In our study, we were seen 48.6% cases having LCSC surgery while 17.5% hysterectomy followed by 10.8% dilation & curettage, 10.1% TAH, 9.4% emergency laparotomy, 4.7% TAH with bilateral salpingo-oophorecomy, 4.0% cystectomy, 2.7% wound gap repair & total vaginal hysterectomy & 1.3% cervical biopsy.
Conclusions: These studies conclude that broader evaluation of safety and efficacy of drug prescription in surgical wards of a teaching hospital. Cost effective treatment is required to avoid polypharmacy.
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References
Hawkey PM. The growing burden of antimicrobial resistance. J Antimicrob Chemother. 2008 Sep; 62 Suppl 1:i1-9.
Shankar PR, Partha P, Dubey AK, Mishra P, Deshpande VY. Intensive Care Unit drug utilization in a teaching hospital in Nepal, Kathmandu Univ Med J 2005; 3:130-7.
International Institute for population Sciences (IIPS) and Macro International 2007. National Family Health Survey (NFHS-3), 2005-06: Mumbai India: (I): IIPS.
World Health Organization: The evolving threat of antimicrobial resistance – options for action. 2012, Geneva: Switzerland: World Health Organization
Potharajua H, Kabra SG: Prescription audit of outpatient attendees of secondary level governmental hospitals in Maharashtra. Indian J Pharmacol. 2011, 43: 150-156. 10.4103/0253-7613.77350.
De Costa A, Bhartiya S, Eltayb A, Nandeswar S, Diwan VK: Patterns of drug use in the public sector primary health centers of Bhopal district. Pharm World Sci. 2008, 30: 584-589. 10.1007/s11096-008-9215-6.
Kumar R, Indira K, Rizvi A, Rizvi T, Jeyaseelan L: Antibiotic prescribing practices in primary and secondary health care facilities in Uttar Pradesh, India. J clin Pharm Ther. 2008, 33: 625-634. 10.1111/j.1365-2710.2008.00960.x.
International Institute for Population Sciences (IIPS): District Level Household and Facility Survey (DLHS-3), 2007–08. 2010, India: Madhya Pradesh: Mumbai: IIPS
Pathak A, Mahadik K, Dhaneria SP, Sharma A, Eriksson B, Lundborg CS: Antibiotic prescribing in outpatients: Hospital and seasonal variations in Ujjain, India. Scand J Infect Dis. 2011, 43: 479-488. 10.3109/00365548.2011.554854.
Pradeep Sharma. Use of Antimicrobial Agents in Post-operative Patients in Obstetrics and Gynaecology Ward: A Prospective Study. Int J Med Res Prof.2017 Sept; 3(5); 19-22.
Heethal J, Sarala N, Kumar TN, Hemalatha M. Pattern of antimicrobial use in caesarean section in a tertiary care hospital in rural south India. Int J Pharm Biomed Res 2010;1:57- 61.
Agrawal JM, Patel NM. Drug utilization study in postoperative patients in obstetrics and gynecology ward of a tertiary care teaching hospital. J Clin Exp Res 2014;2(2):103-9.
Prashanth P et al. Trends in prescribing antimicrobials in post- operative wards in a tertiary care hospital. Drug Invention Today 2011;3:301-4.
Shah BK, Shah VN. Antimicrobial use by the department of obstetrics and gynecology of a tertiary care hospital: Analysis for rationality and other aspects. J Obstet GynecolInd2004;54:387-92.
Gyawali S, Shankar PR, Saha A, Mohan L. Study of prescription of injectable drugs and intravenous fluids to inpatients in a teaching hospital in Western Nepal.MJM 2009;12:13-20.
Bhushan et al. European journal of pharmaceutical and medical research. Drug utilisation study in gynaecological post operative cases: a retrospective study.ejpmr,2017,4(04), 418-423.
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