Drug Utilization Study in Patients Admitted in Medical Wards in a Tertiary Care Rural Hospital in North Kashmir
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Date
2020-04
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Akshantala Enterprises Private Limited
Abstract
Drug utilization studies are an integral part of medical audit and are undertaken to monitor and evaluate prescribing practices. Drug utilization studies are rarely conducted in rural settings where regulations are weak, and expertise and manpower are low.METHODSThis prospective observational study was conducted at Govt. Medical College, Baramulla, by reviewing the inpatient records of patients admitted in the medical wards and staying in the hospital for at least one night. Data is presented as percentages.RESULTSA total of 300 patients were enrolled and 260 were included for the study, out of which 43.07% were male and 56.92 % were females. 50 % of patients were in age group of 18 to 45 years while as 25% of the patients belonged to age group 46 to 65 years and > 65 years. The diagnosis of GI disorders comprised of 45%; respiratory, renal, endocrine and hepato-biliary disease was 24.25%, 6.92%, 23 % and 5% respectively. 5.30% of patients were having fever only, 3.46 % were of miscellaneous group while 2.30 % were having organophosphorous poisoning. The drugs most often prescribed were antimicrobials 88.46 %, analgesics 55 %, and GI drugs 70 %. Among the antimicrobials, 63.47 % were cephalosporins, 26.95 % quinolones, 5.21 % antiprotozoal, 17.39 % cephalosporins and antiprotozoals. 39.16 % analgesics were NSAIDs; opioids comprised 18.88 % and antispasmodics 40.55 %. The GIT drugs comprised 7.69 % antiemetic, 78.02 % PPIs 9.89 % antispasmodic combination of anti-emetics, and 4.39 % PPIs. Other drugs were 66.15 % of which 95.34 % were IV fluids. 85.77 % were discharged while as 3.46 % were referred and 3.07 % had LAMA. ADRs were seen in 6.15 % of patients. Antibiotics were started empirically without culture sensitivity tests being done.CONCLUSIONSThe present study highlights the problem of over-prescription of antimicrobials. The need of the hour is to formulate guidelines for hospital antibiotic usage.
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Keywords
Drug Utilization, Rational Use, Antimicrobials, Drugs
Citation
Maqbool Rubeena, Rehman Shakil U.. Drug Utilization Study in Patients Admitted in Medical Wards in a Tertiary Care Rural Hospital in North Kashmir. Journal of Evolution of Medical and Dental Sciences. 2020 Apr; 9(17): 1423-1426