Prescribing Pattern in Outpatient Departments of Two Tertiary Care Teaching Hospitals in Dhaka.
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Date
2015-09
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Abstract
Background: Medically inappropriate, ineffective and economically inefficient use of drugs is very
common in our country. About 40% or more drugs expenditure may be wasted through irrational
prescribing and dispensing. The need for promoting rational use of drugs is not only because of
economic considerations; also it is an essential element for achieving quality of the health and
medical care for patients and the community. For this purpose a cross sectional study was carried
out among the individuals attending the outpatient departments (OPD) of Medicine, Surgery,
Gynecology & Obstetrics, Pediatrics, Orthopedics, Dermatology & Venereology, Ophthalmology
and Otolaryngology of two tertiary care teaching hospitals of Dhaka, Bangladesh. Objective: To
observe the prescribing pattern in outpatient departments of two tertiary care teaching hospitals
(Dhaka) by using World Health Organization (WHO) core prescribing indicators. Materials and
Methods: Six hundred prescriptions of patients attending the OPD of Medicine, Surgery,
Gynecology & Obstetrics, Pediatrics, Orthopedics, Dermatology & Venereology, Ophthalmology
and Otolaryngology of Enam Medical College Hospital (private hospital) and Sir Salimullah
Medical College Hospital (public hospital) were collected randomly on working days from April to
September 2014. Then the prescriptions were analyzed by following the “Prescribing indicators
form” as recommended by the International Organization of Rational Use of Drugs
(INRUD)/WHO. Results: Average number of drugs per prescription was significantly high (3.07 in
public hospital and 3.00 in private hospital). Generic prescribing was significantly lower in private
hospital (4.00%) than that in public hospital (21.00%). Antibiotic prescription was higher in
private hospital (42.35%). Injection prescribed in public hospital was 5.74% whereas 5.66% in
private hospital. Drugs prescribed from Essential Drug List of Bangladesh were less in both the
hospitals (42.85% in public hospital and 40.06% in private hospital). Conclusion: Average
number of drugs per prescription was higher in both hospitals. Generic prescribing was lower in
private hospital and prescribing from EDL was low in both hospitals.
Description
Keywords
Public hospital, Private hospital, Generic prescribing
Citation
Begum Halima, Rowshan Mahfuza Mazeda, Khanom Sayeda, Haque Shammin, Afroze Farhana, Dina Ashrafun Naher. Prescribing Pattern in Outpatient Departments of Two Tertiary Care Teaching Hospitals in Dhaka. Journal of Enam Medical College. 2015 Sept; 5(3): 157-160.