Drug utilization pattern in outpatient department of Government Medical College and C.P.R. Hospital, Kolhapur

Rama R. Bhosale, Jaiprakash B. Ramanand, Sunita J. Ramanand, Ajitkumar M. Zende, Sudhir L. Padwal, Rakesh R. Jadhav

Abstract


Background: Drug utilization studies are used to analyze different aspects of the use of drugs and to implement methods of improving therapeutic quality. This study was conducted to study drug prescription pattern in outpatient department of Government Medical College and C.P.R. Hospital, Kolhapur which is one of the important medical college in western Maharashtra.

Methods: One thousand prescriptions were screened & analyzed as per the study parameters from OPD of Government Medical College & C.P.R. Hospital, Kolhapur. Study parameters like demographic profile of the patient like age, sex and diagnosis were recorded. Also groups of drugs commonly prescribed, number of drugs per patient, drug profile and drawbacks of prescription if any were recorded and analyzed.

Results: Most common group of drugs prescribed by physicians was Analgesics (32.83%), followed by Antimicrobials (22.82%), Multivitamins (16.42%) and Antacids (9.14%). The average number of drugs prescribed per patient was four; the average number of analgesic was one. The incidence of polypharmacy was common occurrence and some prescriptions had small drawbacks like absence of diagnosis, absence of doctor’s signature, etc.

Conclusions: We conclude that most of the prescriptions which were analyzed at R.C.S.M. Government Medical College and C.P.R. Hospital, Kolhapur, were according to the standard norms of WHO prescriptions and also most of the drugs prescribed were from the list of essential drug list. But still there is scope for improvement in prescription pattern.


Keywords


Drug utilization, Outpatient department, Prescription analysis

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References


Tiwari H, Kumar A, Kulkarni SK. Prescription monitoring of antihypertensive drug utilisation at the Panjab University Health Centre in India. Singapore Med J 2004;45:117-20.

WHO Expert Committee. The Selection of Essential Drugs, technical Report Series no.615. Geneva: World Health Organization, 1977.

Sacristán, JA, Soto J. Drug Utilisation Studies as Tools in Health Economics. Pharmacoeconomics 1994;5:299-312.

Kulkarni MD, Baig MS, Hussaini SA, Doifode SM. Drug utilization pattern in OPD of government dental college and hospital, Aurangabad. Int J Basic Clin Pharmacol 2013;2:69-70.

Abidi A, Gupta S, Kansal S, Ramgopal. Prescription auditing and drug utilization pattern in a tertiary care teaching hospital of western UP. Int J Basic Clin Pharm 2012;1:184-90.

WHO. How to investigate drug use in health facilities. Geneva: World Health Organisation; 1993. WHO/DAP 1993;1:87.

Provencio RM. Drug utilization studies. Revista de Neurologia 1996;24(128):397-9.

Gama H. Drug Utilization Studies. Arq Med 2008;22:69-74.

JR Laporte, M Porta, D Capella. Drug utilization studies: a tool for determining the effectiveness of drug use. British Journal of Clinical Pharmacology1983;16:301-4.

Goodman Gilman. The Pharmacological Basis of Therapeutics. McGraw-Hill publication. 12th edition 2011, 1022-25.

H. P. Rang, M.M. Dale, J.M. Ritter, R. J. Flower, G Henderson. Rang and Dale’s Pharmacology. Elsevier Churchill Livingstone publication. 7th edition 2012, 519-20.

Gupta M, Malhotra S, Jain S, Aggarwal A, Pandhi P. Pattern of prescription of non-steroidal anti-inflammatory drugs in orthopaedic outpatient clinic of a north Indian tertiary care hospital. Indian J Pharmacol 2005;37:404-5.