A Prospective Analytic Assessment on Use of Antimicrobial Agents in Post-operative Patients in Obstetrics and Gynaecology Ward
DOI:
https://doi.org/10.21276/frz8nw71Keywords:
Drug utilization, Gynecology, AntibioticsAbstract
Background: Antibiotics are the major drugs prescribed in hospitals. This study was aimed to identify pattern of drug use in post-operative patients in obstetrics and gynaecology department in tertiary care hospital attached with medical college.
Methods: We collected data from 155 postoperative patients in the obstetrics and gynaecology ward of a tertiary care hospital over a period of 3 months. We analyzed the data using various drug use indicators given by the WHO.
Result: Antacids, analgesics, antibiotics, intravenous fluids accounted for majority of the drugs prescribed. 100% of the encounters were prescribed with an antibiotic. The percentage of encounters with an injection prescribed was 89.13% in our study. Out of 24 different drugs prescribed, 10 (82.42%) were from the National list of essential drugs and 14 drugs were prescribed by their generic name.
Conclusion: The present study provides valuable insight about the overall pattern of drug used in postoperative patients in the Obstetrics and Gynecology unit of a tertiary care hospital. It is intended to be a step in broader evaluation of safety and efficacy of drug prescription in surgical wards of a teaching hospital.
Downloads
References
4th Report of WHO Expert committee: The use of essential drug, WHO TRS 796, World Health Organization; 1990. [Internet] 2012. [Cited March 2013]. Available from: www.who.int/iris/bitstream/10665/39338/1/WHO_TRS_796.pdf
Shewade D, Pradhan S. Auditing of prescriptions in a government teaching hospital and four retail medical stores in Pondicherry. Indian J Pharmacol 1998;30:408–10.
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.
9th Report of the WHO expert committee: The use of Essential Drugs. WHO TRS 895, 2000. [Internet] 2012. [Cited March 2012]. Available from: www.who.int/iris/bitstream/10665/42373/1/WHO_TRS_895.pdf
WHO how to investigate drug use in health facilities: selected drug use indicators. Geneva: World Health Organization; 1993. [Internet] 2012. [Cited March 2012]. Available from: www.who.int/medicinedocs/pdf/s2289e/s2289e.pdf
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.
Sallie SO, et al. Trends over time with commonly performed obstetric and gynecologic inpatient procedures. Obstet Gynecol 2010;116: 926–31.
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 Gynecol Ind 2004; 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.
Dashputra AV, Badwaik RT. Utilization of analgesics in perioperative cases of teaching hospital. Int J Med Pharm Sci 2013;3:14-19.
National Model List of Essential Medicines, India 2011. [Internet] 2013. [cited May 2013]. Available from: http://www.drugscontrol.org/
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Archives of BioMedical and Clinical Research
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors are required to sign and submit the completed “Copyright transfer Form” upon acceptance of publication of the paper. This is determined by a publishing agreement between the author and International Archives of Biomedical and Clinical Research. These rights might include the right to publish, communicate and distribute online. Author(s) retain the copyright of their work. International Archives of Biomedical and Clinical Research supports the need for authors to share, disseminate and maximize the impact of their research.
