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

  • Mohammad Arshad RAICHUR INSTITUTE OF MEDICAL SCIENCES -RAICHUR ,KARNATAKA
  • MOHD FAYAZUDDIN
  • RAGHUNANDAN MUDIUM
  • VASANT R CHAVAN

Abstract

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 & analyse 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 (RIMS) teaching hospital, Raichur from June 2015 to May 2016. They were analyzed for demographics, indications for admission, various systems involved, duration of hospital stay, various drugs prescribed. Analysis of drugs used was done using the world health organization (WHO) prescribing indicators.


Results:The majority of patients were found to be in the age group of 65 to 70 years (70.25%).It was noticed that females (51.75%) were more compared to males (48.25 %). The drugs prescribed were analysed. Ranitidine, ceftriaxone, theophylline, 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 (NLEM). This study revealed the chronic nature of diseases affecting the geriatric population with an increased incidence of cardiovascular diseases (32.5%) & respiratory diseases (32.25%). The pattern of drug prescription also showed a trend towards polypharmacy (7.42), which has to be viewed with caution given the pharmacokinetic changes in the elderly. These studies can help to promote rational usage of drugs.


 


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


 


Keywords: Geriatrics, drug utilization, WHO prescribing indicators, polypharmacy.

Keywords: Geriatrics, drug utilization, WHO prescribing indicators, polypharmacy.

Author Biographies

Mohammad Arshad, RAICHUR INSTITUTE OF MEDICAL SCIENCES -RAICHUR ,KARNATAKA

Associate professor,

Department of pharmacology,

Raichur institute of medical sciences ,

Raichur -karnataka,584101


MOHD FAYAZUDDIN

Assistant professor (MBBS MD)

Department of pharmacology

Raichur institute of medical sciences

RIMS-Raichur,karnataka-584101

RAGHUNANDAN MUDIUM

Assistant professor 

Department of pharmacology 

Raichur institute of medical sciences 

RIMS-RAICHUR,karnataka,584101

 

VASANT R CHAVAN

Professor 

Department of pharmacology 

Raichur institute of medical sciences 

RIMS-Raichur,584101

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Arshad, M., MOHD FAYAZUDDIN, RAGHUNANDAN MUDIUM, and VASANT 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, https://innovareacademics.in/journals/index.php/ajpcr/article/view/35161.
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