A Cross Sectional Study of Drug Utilization Pattern in Indoor Patients of Tertiary Care Teaching Hospitals in Central India

  • Ahmad Najmi Assistant Professor, Dept. of Pharmacology, AIIMS Bhopal
  • S Balakrishnan Professor & Hod, Dept. of Pharmacology, AIIMS Bhopal
  • Ratinder Jhaj Additional Professor, Dept. of Pharmacology, AIIMS Bhopal
  • Shubham Atal Assistant Professor, Dept. of Pharmacology, AIIMS Bhopal
  • Pooja Singh Senior Resident, Dept. of Pharmacology, AIIMS Bhopal
  • Sunil Kumar Tutor, Dept. of Pharmacology, AIIMS Bhopal
Keywords: Drug Utilization, Indoor Patients, Polypharmacy, Antimicrobials

Abstract

OBJECTIVE: To evaluate the pattern of drug utilization with special focus on the use of antimicrobials. METHODS: Single day hospital-wide point prevalence survey was conducted to assess drug utilization pattern.  Information regarding age, gender, occupation, income group, diagnosis, patient’s present/past medical history, treatment, any adverse drug reactions, and investigations were recorded in a proforma. Drug utilization pattern was evaluated using quality indicators of drug use recommended by WHO. RESULTS: A total of 77 patients were included, 62% male and 38% female. Maximum number of patients was admitted for infectious diseases (34%). Pantoprazole was most commonly prescribed drug & ceftriaxone was most commonly prescribed antibiotic. The average number of drugs prescribed per encounter was 4.87.  Oral route was the most preferred route. Percentage of drugs prescribed by generic name was 42.44%. Percentage of drugs prescribed from essential medical list was 49.33%. Multivitamins & non steroidal anti-inflammatory drugs (NSAIDS) were most commonly prescribed fixed dose combination in our study.  CONCLUSION: Majority of drugs were prescribed by oral route. Essential medical list and updated guidelines were available in the hospital. Poly-pharmacy, over use of proton-pump inhibitors & multivitamins was areas of concern. Prolonged and irrational use of antibiotics for surgical prophylaxis was noted in surgical indoor patients. There was underutilization of microbiological facilities.  

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Published
2019-09-30
How to Cite
1.
Najmi A, Balakrishnan S, Jhaj R, Atal S, Singh P, Kumar S. A Cross Sectional Study of Drug Utilization Pattern in Indoor Patients of Tertiary Care Teaching Hospitals in Central India. Int Arch BioMed Clin Res [Internet]. 2019Sep.30 [cited 2019Dec.13];5(3):89-3. Available from: https://iabcr.org/index.php/iabcr/article/view/510
Section
ORIGINAL ARTICLES ~ Pharmacology