Drugs prescribing pattern in a tertiary care hospital in Central India - Madhya Pradesh in years 2013- 14
Keywords:
Drugs, Prescriptions, Rational / Irrational, WHO, Polypharmacy
Abstract
Irrational prescription of drugs is a common occurrence in clinical practice. The aim of the study is to assess the prescription pattern of drugs at the Outpatient Department of a tertiary
care SGM Hospital, Central India, Madhya Pradesh. 3587 prescriptions were randomly collected from OPDs departments and were analysed according to the WHO/INRUD indicators. Results
of this study show that the maximum patients - 43.57% attending OPD belonged to 33-42 age group, and maximum - 34.54% prescriptions were from the Department of Medicine. Nutritional
supplements (25.83%), NSAIDs (25.43%), antibiotics (22.19%) and GIT drugs (18.75%) were the most commonly prescribed groups. Maximum (96.88%) drugs were prescribed by generic
names. The average number of drugs per prescriptions was 3.11, most (36.71 %) of the prescriptions had 4 drugs, injectable drugs were used in 8.83% prescriptions, while fixed dose combinations
were used in 33.43% prescriptions. Prescription rationality in this study is poor in terms of polypharmacy, and excessive use of nutritional supplements.
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33. Chakrabarti A. Prescription of fixed dose combination drugs for diarrhoea. Indian J Med Ethics. 2007;4:165- 7.
therapeutics. 8th ed NewYork:Pergamon Press Inc. 1991:1640.
2. Hogerzeil HV. Promoting rational prescribing: an international perspective. Br J Clin Pharmacol. 1995;39:1-6.
3. Kshirsagar MJ, Langade D, S Patil, Patki PS. Prescribing patterns among medical practitioners in Pune, India : - Bulletin of WHO 1998; 76 (3): 271-275.
4. Shekhar C, Raina K, Pillai K. Some aspects of drug use in Ethiopia. Trop Doct. 1981;11:116-18.
5. Biswas NR, Rajat S. Patterns of prescription and drug use in two tertiary hospitals in Delhi. Indian J Physiol Pharmacol. 2000;44 (1):109-112.
6. Uppal R, Nayak P, Sharma PL. Prescribing trends in internal medicine. Int J Clin Pharm Ther Toxicol. 1984; 22: 373-376.
7. Pradhan SC, Shewade DG, Shashindran CH, Bapna JS. Drug utilisation studies. National Med J India. 1988; 185-189.
8. Maitai CK, Watkins WM. A survey of outpatient prescriptions prescribed in Kenya at a National Hospital. East Afr. Med. J. 1980 ; 57: 641-645.
9. Rehan AH, Inayat K, Fazli F. Prescribing practices: An Overview of three teaching hospitals in Pakistan. JPMA. 1998 ; 48: 73-77.
10. Kumari R, Idris MZ, Bhushan V, Khanna A, Agrawal M, Singh SK. Assessment of prescription pattern at the public health facilities of Lucknow district. Indian J Pharmacol. 2008; 40 (6): 243–247.
11. Hogerzeil HV, Bimo, Ross-Degnon D, Lang RO, Ofori-Adjei D, Santoso B. Field tests for regional drug use in twelve developing countries. Lancet. 1993; 342: 1408-10.
12. Kshirsagar MJ, Langade D, Patil S, Patki PS. Prescribing patterns among medical practitioners in Pune, India. Bull World Health Organ. 1998 ; 76: 271– 5.
13. Srishyla MV, Nagarani MA, Venkataraman BV, Andrade C, A comparative study of prescribing pattern at different levels of health care delivery system in Bangalore district. Indian J Physiol Pharmacol. 1995; 39 (3): 247-251.
14. Sharif SI, Alshaqra M, Hajjar H, Shamout A, Wess L . Patterns of drugs prescribing in a hospital in Dubai, United Arab Emirates. LJM, AOP 2007; 070928: 10-12.
15. Bapna JS, Tekur U, Gitanjali B, Shashindran CH, Pradhan SC, Thulasimani M, et al. Drug utilization at primary health care level in southern India. Eur J Clin Pharmacol.1992;43: 413-415.
16. Shankar R, Kumar P, Rana M, Dubey A, Shenoy N. A comparative study of drug utilization at different levels of the primary healthcare system in Kaski district of Western Nepal. N Z Med J. 2003; 116: 602.
17. Dineshkumar B, Raghuram TC, Radhaiah G, Krishnaswamy K. Profile of drug use in urban and rural India. Pharmacoeconomics. 1995; 7: 332–46.
18. Raj K, Kohli K, Kajal HL. A study of drug prescribing pattern, and cost analysis; among diabetic patients in a tertiary care teaching institute in North India. Journal of drug delivery and therapeutics. 2013; 3 (2): 56-61.
19. Pati R. prescribing pattern among medical interns at the rural health centre’s of medical college, Manipal, Karnataka. Indian Journal of Community Medicine. 2004; 29: 128-9.
20. Chareonkul C, Khun VL, Boonshuyar C. Ratinal drug use in Combodia: Study of three pilot health centres in Kampong Thom Province. Southest Asian J Trop Med Public Health. 2002; 33: 418-24.
21. Moghadamnia AA, Mirbolooki MR, Aghili MB. General practitioner prescribing patterns in Babol city, Islamic Republic of Iran. Eastern Mediterranean health journal. 2002; 8 (4): 550-555.
22. Karande S, Sankhe P, Kulkarni N. Pattern of prescription and drug dispensing. Indian J Pediatric. 2005; 72: 117-22.
23. Pereira JC, Baltan VT, Demello DL. National health innovation system: Relations between scientific fields are economic sectors. Rev Saude Publica. 2004: 38: 1-7.
24. Shankar PR, Pranab KS, Upadhyay DK, Dubey K. Drug utilization among surgical outpatient, TMJ. 2006; 56: 230-4.
25. Kafle KK Srestha N. Drug use indicators study in Surkhet district in Nepal. Health development project (HDP) 1992.
26. Ansari KU, Singh S, Pandey RC. Evaluation of prescribing pattern of doctors for rational drug therapy. Indian J Pharmacol. 1998 ; 30: 43-46.
27.Abidi A, Gupta S, Kansal S, Ramgopal. Prsecription auditing and drug utilization pattern in a tertiary care teaching hospital of Western UP. International Journal of basic & clinical pharmacology. 2012;1(3):184
28. Enwere OO, Falade CO, Salako BL. Drug prescribing pattern at the medical outpatient clinic of a tertiary hospital in southwestern Nigeria. Pharmacoepidemiology and drug safety. 2007; 16 (11): 1244– 9.
29. Hogerzeil HV, Walder GJA, Sellanic AO, Fernoado G. Impact of essential drug programme on availability and rational use of drugs. Lancet. 1989;1:141-142.
30. Nihar RB, Rajat SB, Prem SP, Jain SK, et al. Patterns of prescriptions and drug use in two tertiary hospitals in Delhi. Indian J Physiol Pharmacol. 2000;44(1):109-112.
31. Tomson G, Angunawela 1. Patients, doctors, and their drugs - A study at four levels of health care in an area of Sri Lanka. Eur J Clin Pharmacol. 1990; 39: 463-467.
32. Kastury N, Singh S, Ansari KU. An audit of prescription for rational use of fixed dose drug combinations. Indian J Pharmacol. 1999; 31: 367-9.
33. Chakrabarti A. Prescription of fixed dose combination drugs for diarrhoea. Indian J Med Ethics. 2007;4:165- 7.
Published
2019-09-05
How to Cite
Prabhakar Singh, Singh A, Abhishek A, Raj B, Singh K, Shrivastava R. (2019). Drugs prescribing pattern in a tertiary care hospital in Central India - Madhya Pradesh in years 2013- 14. The Indian Practitioner, 67(11), 674-680. Retrieved from https://articles.theindianpractitioner.com/index.php/tip/article/view/720
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Original Article
