DRUG UTILIZATION AND PRESCRIBING PATTERN ANALYSIS IN ORTHOPAEDIC OUTPATIENT DEPARTMENT OF TERTIARY CARE HOSPITAL

  • DHIVYA K Department of Pharmacy Practice, K.K. College of Pharmacy, Chennai.
  • SHIVA SHANKARI R Department of Pharmacy Practice, K.K. College of Pharmacy, Chennai.
  • MOHAMMED ZULKARNANE A Department of Pharmacy Practice, K.K. College of Pharmacy, Chennai.
  • GAUTAM R Department of Pharmacy Practice, K.K. College of Pharmacy, Chennai.

Abstract

Objective: The objective of conducting prescribing pattern study is to monitor, evaluate, and if necessary, recommend modifications in the prescribing behavior of medical practitioners. Hence, this study was conducted to analyze the drug utilization and prescribing pattern of drugs in orthopedic outpatient department (OPD).


Methods: This prospective observational study was conducted in the orthopedic OPD of tertiary care hospital for a period of 3 months. Data were obtained from the prescriptions through one-to-one interviews and recorded in a separately designed case report form.


Results: Out of the 260 patients enrolled in the study, 181 were female and 79 were male. The patients between the ages of 50 and 60 years constituted the higher number with a mean age of 52.2 years. The total number of drugs prescribed in the analyzed prescriptions was 1012 which includes orthopedic drugs as well as drugs prescribed to treat various comorbidities. The World Health organization drug prescribing indicators were used to assess the appropriate use of drugs.


Conclusion: Our study concludes that drug utilization and prescribing quality should be improved by promoting medical education on current updates. The periodic audit should be conducted by a clinical pharmacist to reduce an error in the prescription as well as to check the compliance of prescription with standard treatment guidelines for rationalizing the therapy.

Keywords: Orthopedics, Drug utilization, Prescribing pattern, Indicators

References

1. Sharma L. Osteoarthritis year in review 2015: Clinical. Osteoarthritis Cartilage 2016;24:36-48.
2. Indranil B, Tania B, Mukesh A. Prescribing pattern in orthopedics outpatient department of a medical college in India. Int J Basic Clin Pharmacol 2015;4:1175-7.
3. Kaur S, Rajgopalan S, Kaur N, Shafiq N, Bhalla A, Pandhi P, et al. Drug utilization study in medical emergency unit of a tertiary care hospital in North India. Emerg Med Int 2014;97:578.
4. Kazi AR, Mostafa K, Sanjida A, Tahmina A. Prescribing pattern of NSAIDs in orthopedic department of Dhaka Medical College Hospital. J Dhaka Med Coll 2016;25:58-60.
5. Mohanraj RM, Sreelakshmi N, Padmanabha RY, Anand M. Prescribing patterns of non-steroidal anti-inflammatory drugs (NSAIDS) in outpatient department of an orthopedic specialty hospital. J Glob Trends Pharm Sci 2016;7:3296-301.
6. Seheli SB, Minhazur R, Ahsan U. Drug utilization study in orthopaedic units: Antibiotics prescribed in hospital out-patients in Dhaka, Bangladesh. Int Curr Pharm J 2014;3:318-21.
7. Chaturvedi VP, Maj G, Mathur AG, Anand AC. Rational drug use-as common as common sense? Med J Armed Forces India 2012;68:206-8.
8. Ross-Degnan D, Laing R, Quick J, Ali HM, Ofori-Adjei D, Salako L, et al. A strategy for promoting improved pharmaceutical use: The international network for rational use of drugs. Soc Sci Med 1992;35:1329-41.
9. Ubedulla S, Sekhar NC, Jayasree T, Shankar J, Rohit K. Prescription trends in department of orthopedics at tertiary care teaching hospital. J Chem Pharm Res 2013;5:512-7.
10. Richard O, Petra B, Allyson MP. Prescribing indicators at primary health care centers within the WHO African region: A systematic analysis (1995-2015). BMC Public Health 2016;16:724.
11. Kishore P, Prathyusha K, Ramesh K. Prevalence and prescribing pattern in orthopaedic department at a rural hospital set up-a prospective observational study. Eur J Pharm Med Res 2017;4:355-61.
12. Syed IS, Mohamed A, Jayadevan S, Kishore GS. Prescribing patterns in the Orthopedics outpatient department in GMC Hospital, Ajman, United Arab Emirates. Gulf Med Univ Proc 2014;1:120.
13. Srividya BP, Shashikumar NS, Amardeep G. Retrospective audit of prescription of drugs among inpatients of orthopedic wards at Medical CollegeTeaching Hospital, Mandya. Natl J Physiol Pharm Pharmacol 2016;6:282-5.
14. Shankar PR, Pai R, Dubey AK, Upadhyay DK. Prescribing patterns in the orthopaedics outpatient department in a teaching hospital in Pokhara, Western Nepal. Kathmandu Univ Med J (KUMJ) 2007;5:16-21.
15. Dilnasheen S, Venkat M, Shamaprakash K. Assessment of medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital. Future J Pharm Sci 2017;3:60-4.
16. Siddaruda MB, Neeraja N, Pathi I, Manjunatha RG, Vijaykumar W, Navanath VK, et al. Prescribing pattern, drug utilization and clinical pharmacy services in orthopaedic patients. Am J Drug Discov Dev 2017;7:63-9.
17. Rajeev D, Prashant W, Hareshwar K, Swati R. Prescription pattern and rationality of drugs study of patients of OPD (outpatient) of orthopedics department of RKDF medical college hospital and Research Centre, Bhopal, MP, India. Int J Basic Clin Pharmacol 2017;6:117-22.
18. Nagla A, Wadagbalkar P, Raipurkar S, Patel P. Prescription pattern study of drugs in orthopedics outpatient department (OPD) of a Rural Medical College Hospital and Research Centre in MP. Int J Orthop Surg 2016;2:367-71.
19. Mekonnen S, Getnet M, Bereket M, Firehiwot A, Tesfaye G. Evaluation of rational drug use based on World Health Organization core drug use indicators in selected public hospitals of eastern Ethiopia: A cross sectional study. BMC Ser 2017;17:161.
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K, D., S. SHANKARI R, M. ZULKARNANE A, and G. R. “DRUG UTILIZATION AND PRESCRIBING PATTERN ANALYSIS IN ORTHOPAEDIC OUTPATIENT DEPARTMENT OF TERTIARY CARE HOSPITAL”. Asian Journal of Pharmaceutical and Clinical Research, Vol. 14, no. 6, May 2021, pp. 121-4, doi:10.22159/ajpcr.2021.v14i6.41474.
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