Prescribing Patterns in Hospital Inpatients
Keywords:
Prescribing patterns, Private hospital, Inpatients, Rational use, DrugsAbstract
Objective: To evaluate the prescribing patterns by an audit of prescriptions in hospital inpatients.
Materials and methods: After a written informed consent from the medical ward incharge & hospital administrator 32 case notes of adult patients discharged from a private hospital in Malir were collected from 1st to 30th April 2012. Patients demographics, disease & prescription details (number, type, dose, route, frequency, duration of drug use, tendency of polypharmacy, cost of drugs & discharge notes) were entered in a specially designed performa.
Results: Mean age of patients was 27.18years with 14 males & 18 females. They were diagnosed to have enteric fever (10), gastroenteritis (5), RTI & others (13). Average hospital stay period was 2.5 days.Total number of drugs used were 120, of which only 5 (4.17%) were prescribed by generic name. 25.83% drugs were from National Essential drug List of Pakistan (NEDLP). Mean number of drugs per patient was 9.35. Antibiotics & analgesics each was given to 29 (90.63%) patients. Anti -ulcer drugs were given to 27(84.38%) & nebulization to 11 (34.38 %) patients without need. Average cost of drugs per patient was 1200 rupees. None of the prescription was complete for the above mentioned parameters.
Conclusion: Audit of prescribing patterns in hospital inpatients of a private setup showed irrational use of drugs
References
Falkenberg T, Tomson G. The World Bank and Pharmaceuticals. Health Policy and Planning 2000;15(1):52-8
Copeland C. Prescription drugs: Issues of cost, coverage and quality. Employee Benefit Research Institute Issue. Brief 1999;208:1-21
Hafeez A, Kiani A G, ud Din S, Mohammad W. Prescription and Dispensing Practices in Public Sector Health Facilities in Pakistan: Survey Report. JPMA 2004; 54(4):187-91
The Rational Use of Drugs. Report of the Conference of Experts. Nairobi, 25-29 November 1985
Buxton ILO. Principles of prescription order writing and patient compliance In: Goodman & Gilman`s The Pharmacological Basis of Therapeutics. Editors, Laurence L Brunton, John S Lazo, Keith L Parker. 11th edition. 2006; 1777-86. McGraw Hill Companies USA.
Lofholm PW, Katzung BG. Rational Prescribing & Prescription Writing In: Basic & Clinical Pharmacology. Editors Katzung BG, Masters BS, Trevor AJ. 11th edition 2009; 1127-36.TATA Mcgraw Hill India.
Ndyanabangi B. RUD cycle. Rational Drug Use in ART Programs: An overview. SEAM Conference Accra, Ghana, June 20-22, 2005
Media Centre WHO. Medicines: rational use of medicines. Fact sheet No338 May 2010
Al-Junid SM, Puteh S E W, Surianti S. Prescribing patterns and drug cost among cardiovascular patients in Hospital University Kebangsaan Malaysia. Med J Malaysia 2007; 62(1):59-65
Kumar MA, Nizar A, Shailaja K, Jayasutha J, Ramasamy C. A study on prescribing pattern & potential drug-drug interactions in type 2 diabetes mellitus inpatients in a tertiary care teaching hospital. Der Pharmacia Lettre 2011; 3(4):13-9
Srishyla MV, Krishnamurthy M, Nagarani MA, Andrade C, Venketaraman BV. Prescription audit in an Indian hospital setting using the DD concept. Indian J Pharmacol 1994;26:23-8
Stolley PD. Prescribing patterns of physicians. J chronic diseases. 1969; 22 (6-7):395-405
Offerhaus O. Rational use of drugs in Balkans: a WHO Workshop. Essential Drugs Monitor. 1995;20(3):38-42
Siddiqi S, Hamid S, Rafique G, Chaudhry SA, Ali N, Shahab S et al. Prescription practices of public and private health care providers in Attock District of Pakistan. Int J Health Plann Manage 2002; 17:23-40
Hussain SF, Zahid S, Khan JA, Haqqee R. Asthma management by general practitioners in Pakistan. Int J Tuberc Lung Diseases 2004;8:414-7
Das N, Khan AN, Badini ZA, Baloch H, Parkash J. Prescribing practices of consultants at Karachi, Pakistan. J Pak Med Assoc 2001; 51:74-7.
Mengistu A. Patterns of drug utilization in inpatient departments, Jimma Hospital South West Ethiopia. Ethiop J Health Sci 2005;15(2):139 - 45
Chukwuani C M, Onifade M, Sumonu K. Survey of drug use practices and antibiotic prescribing pattern at a general hospital in Nigeria. Pharm World Sci 2002;24(S):188-95
World Health Organization. Reducing risks, promoting healthy life. Geneva. The World Health Report 2002
Amritzal MN, Rohaizat Y, Zafar A , Saperi S, Aljunid SM. Case Mix costing in University Kebangsaan Malaysia Hospital. A top down approach: Cost analysis for cardiology cases. Malaysian Journal of Public Health medicine 2005;5(2):74-81
Sagardul VJ, LaCalle R M, Casado BS. Substitution of generic for brand medicines in primary care. Factors associated to refuse the change. Aten Primaria 2005; 36(9):489-93
Lucena MI, Ruiz J, Andrade RJ .The impact of hospitalization on drug prescription. Med Clin Barc 1995;104(6):211-5
Najmi MH, Hafiz RA, Khan I, Fazli FR. Prescribing practices: an overview of three teaching hospitals in Pakistan. J Pak Med Assoc 1998; 48(3):73-7
Litton LM, Sisk FA, Akins ME. Managing drug cost: the perception of managed care pharmacy directors.American Journal of managed care 2000;6(7):805-14
Shiwani MH. Quest of prescribing practice in Pakistan. Letter to editor. JPMA 2006; 56(5):249-50
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