DRUG UTILIZATION STUDY AMONG GERIATRIC PATIENTS IN A TERTIARY CARE TEACHING HOSPITAL IN SOUTH INDIA

  • MOHAMMAD ARSHAD Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India
  • MOHD FAYAZUDDIN Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India
  • RAGHUNANDAN MUDIUM Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India
  • VASANT R CHAVAN Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India

Abstract

Objectives: The objective of our study is to evaluate the drug utilization pattern among geriatric patients in a tertiary care teaching hospital in South India and analyze the prescription pattern.


Methods:  Retrospective medical record analysis was performed for indoor cases of the geriatric patients (aged ≥65 years) admitted in medicine


wards of Raichur Institute of Medical Sciences teaching hospital, Raichur, from June 2015 to May 2016. They were analyzed for demo graphics, disease pattern  by  system  involved,  disease  diagnosed,  comorbidity  pattern,  most  commonly  prescribed  drugs,  distribution  of  drugs  according  to  their  therapeutic class, evaluation of polypharmacy, route of administration, fixed-dose combinations, and the World Health Organization core prescribing indicators.


Results: A total of 400 prescriptions of geriatrics patients admitted in inpatient medicine department were randomly selected and all the required data for the study were collected and evaluated. The majority of patients were found to be in the age group of 65–70 years (70.25%). It was noticed that females (51.75%) were more compared to males (48.25%). The drugs prescribed were analyzed. Ranitidine, ceftriaxone, theophylline, and salbutamol were prescribed to majority of the patients in this study group. The average number of drugs per prescription was 7.42; drugs prescribed by generic name were 33.62%. Among the drugs prescribed, 88.69% were from the National List of Essential Medicines. Total encounters having


inject table  preparations were 100% and total encounters having antibiotic prescribed were 91%. The prevalence of cardiovascular disorders (32.5%) was high followed by respiratory disorders (32.25%).


Conclusion: This study provides insight into the patterns of drug use in our tertiary care hospital on geriatric patients as well as various diseases prevalent  among  geriatric  patients.  Widespread  polypharmacy,  high  use  of  antibiotics  and  injections,  and  lack  of  generic  prescribing  are  some  concerns that need to be addressed to promote rational usage of drugs.

Keywords: Geriatrics, Drug utilization, World Health Organization prescribing indicators, Polypharmacy

Author Biographies

MOHAMMAD ARSHAD, Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India

Associate professor,

Department of pharmacology,

Raichur institute of medical sciences ,

Raichur -karnataka,584101

 
MOHD FAYAZUDDIN, Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India

Assistant professor (MBBS MD)

Department of pharmacology

Raichur institute of medical sciences

RIMS-Raichur,karnataka-584101

RAGHUNANDAN MUDIUM, Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India

Assistant professor 

Department of pharmacology 

Raichur institute of medical sciences 

RIMS-RAICHUR,karnataka,584101

 

VASANT R CHAVAN, Department of Pharmacology, Raichur Institute of Medical Sciences, Raichur, Karnataka, India

Professor 

Department of pharmacology 

Raichur institute of medical sciences 

RIMS-Raichur,584101

References

1. Jafrin AL, Kumar PV, Udhayalakshmi T, Jayapriya B, Maruti S. Drug utilization patterns of geriatric patients admitted in the medicine department of a tertiary care hospital. Int J Pharm Life Sci 2013;4:3087-92.
2. Jhaveri BN, Patel TK, Barvaliya MJ, Tripathi CB. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother
2014;5:15-20.
3. Battula P, Thandlam MR, Thammisetty DP, Ranganayakulu D. A prospective study on inappropriate drug utilization in geriatric patients at a tertiary care teaching hospital. Indian J Pharm Pract 2016;9:178-84.
4. Singh GN. To assess the drug utilization pattern and to analyze pharmacoeconomics for geriatrics in-patient in medicine department of tertiary care teaching hospital. Int J Pharm Pharm Sci 2017;9:276-82.
5. Nayaka SR, Rajeshwari B, Venkatadri TV. Drug utilization pattern in geriatric inpatients of medicine department in a tertiary care teaching hospital. Int J Basic Clin Pharmacol 2015;4:568-73.
6. Ramanath K, Nedumballi S. Assessment of medication-related problems in geriatric patients of a rural tertiary care hospital. J Young Pharm 2012;4:273-8.
7. Pradhan S, Panda A, Mohanty M, Behera JP, Ramani YR, Pradhan PK. A study of the prevalence of potentially inappropriate medication in elderly in a tertiary care teaching hospital in the state of
Odisha. Int J Med Public Health 2015;5:344-8.
8. Burla S. Pattern of medication use among elderly patients attending medicine department in a tertiary care hospital in India. Asian J Pharm Clin Res 2016;9:266-9.
9. John NN, Kumar A. A study on polypharmacy in senior Indian population. Int J Pharm Chem Biol Sci 2013;3:168-71.
10. Goudanavar P, Keerthi Y, John SE, Jacob J, Krishna MS. A prospective study on medication prescribing pattern for geriatric patients in a tertiary care teaching hospital. Asian J Biomed Pharm Sci 2016;6:23-7.
11. Abraham F, Varughese G, Mathew JC, John PM, Sam GK. Drug utilization pattern among geriatric patients in a tertiary care teaching hospital. Asian J Pharm Clin Res 2015;8:191-4.
12. Sharma N, Advani U, Kulshreshtha S, Parakh R, Bansal A, Sinha RR. Screening of prescriptions in geriatric population in a tertiary care teaching hospital in North India. J Phytopharmacol 2013;2:38-45.
13. Binod R, Sushil K, Kripa T, Kumar KA. Drug utilization pattern in geriatric patients admitted in the medicine department at tertiary care hospital. Indian J Basic Appl Med Res 2017;7:36-44.
14. Borah L, Devi D, Debnath PK, Deka D. A study of drug utilization pattern of the geriatric patients in the department of geriatric medicine in a tertiary care hospital in Assam, India. Asian J Pharm Clin Res
2017;10:122-6.
15. Jadhav RR, Jadhav AD, Padwal SL, Kale AS, Pise HN. Drug utilization pattern in geriatric out patient in tertiary care hospital. Int J Basic Clin Pharmacol 2017;6:2078-81.
16. Datta SK, Paul TR, Monwar M, Khatun A, Islam MR, Ali MA, et al. Patterns of prescription and antibiotic use among outpatients in a tertiary care teaching hospital of Bangladesh. Int J Pharm Pharm Sci 2016;8:60-3.
17. Balaji V, Aithal S, Geetha S, Swetha ES. Drug utilization pattern among geriatric patients admitted in medical intensive care unit in a tertiary care teaching hospital. Asian J Pharm Clin Res 2015;8:281-3.
18. Daniel RT, Sylvia A, Chidambaranathan S, Nirmala P. A prospective study of drug utilization pattern of anti-epileptic drugs and their adverse effects in a tertiary care hospital. Int J Curr Pharm Res 2017;9:42-5.
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ARSHAD, M., M. FAYAZUDDIN, R. MUDIUM, and V. R. CHAVAN. “DRUG UTILIZATION STUDY AMONG GERIATRIC PATIENTS IN A TERTIARY CARE TEACHING HOSPITAL IN SOUTH INDIA”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 12, no. 10, Sept. 2019, pp. 245-8, doi:10.22159/jpcr.2019.v12i10.35161.
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