Intensive care unit drug utilization in a teaching hospital in Nepal.

Simple item page
dc.contributor.authorShankar, P Ren_US
dc.contributor.authorPartha, Pen_US
dc.contributor.authorDubey, A Ken_US
dc.contributor.authorMishra, Pen_US
dc.contributor.authorDeshpande, V Yen_US
dc.date.accessioned2009-05-28T04:13:14Z
dc.date.available2009-05-28T04:13:14Z
dc.date.issued2005-04-18en_US
dc.descriptionKathmandu University Medical Journal.en_US
dc.description.abstractOBJECTIVES: The intensive care unit (ICU) is a setting where a large number of drugs are administered to patients and the costs of hospitalization and drug treatment are high. Information on drug utilization in intensive care units (ICUs) are lacking in western Nepal. The present study was carried out to obtain information on the basic demographic pattern of the respondents, drug utilization during the study period, the antibiotic sensitivity patterns of isolated microorganisms and measure drug consumption in defined daily dose (DDD)/ 100 bed-days. METHODS: A retrospective analysis of patients admitted to the ICU of the Manipal Teaching hospital, Pokhara, Nepal during the time period from 01/02/2002 to 31/05/2002 was carried out. The ICU mortality rate, length of stay greater than 7 days and median length of stay were calculated. RESULTS: A total of 259 individuals were admitted. The ICU mortality rate was 15.4%; median length of stay was 4 days. E.coli, H.influenzae, K.pneumoniae, S.aureus and P.aeruginosa were the common organisms isolated and were found to be resistant to some of the commonly used antibiotics. Mean +/- SD number of drugs and cost of drugs were 5.1 +/- 2.7 and 1958.5 +/- 1267.8 Nepalese rupees (25.1 +/- 16.2 US dollars). Total drug consumption was 356.4 DDD/100 bed-days. Consumption of intravenous fluids was 25.8 litres/100 bed-days. CONCLUSIONS: An antibiotic use policy should be framed. Formation of a multidisciplinary team to oversee drug use and periodically review microbial sensitivity patterns will be helpful. Longitudinal surveillance of ICU drug use should be carried out.en_US
dc.description.affiliationDepartment of Pharmacology, Manipal College of Medical Sciences. ravi_p_shankar001@hotmail.comen_US
dc.identifier.citationShankar PR, Partha P, Dubey AK, Mishra P, Deshpande VY. Intensive care unit drug utilization in a teaching hospital in Nepal. Kathmandu University Medical Journal. 2005 Apr-Jun; 3(2): 130-7en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/46617
dc.language.isoengen_US
dc.source.urihttps://www.kumj.com.npen_US
dc.source.urihttps://kumj.com.np/ftp/issue/10/130-137.pdfen_US
dc.subject.meshAnti-Bacterial Agents --pharmacologyen_US
dc.subject.meshDrug Resistanceen_US
dc.subject.meshDrug Utilization Reviewen_US
dc.subject.meshFemaleen_US
dc.subject.meshHospital Mortalityen_US
dc.subject.meshHospitals, Teaching --organization & administrationen_US
dc.subject.meshHumansen_US
dc.subject.meshIntensive Care Units --organization & administrationen_US
dc.subject.meshLength of Stayen_US
dc.subject.meshMaleen_US
dc.subject.meshMicrobial Sensitivity Testsen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshNepalen_US
dc.subject.meshRetrospective Studiesen_US
dc.titleIntensive care unit drug utilization in a teaching hospital in Nepal.en_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
kumj2005v3n2p.130.pdf
Size:
47.19 KB
Format:
Adobe Portable Document Format
Description:
Journal article
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.79 KB
Format:
Plain Text
Description:
Download
Collections
Kathmandu University Medical Journal