DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20184856

The use of ATC/DDD WHO 2016 and Prescription audit study in the Dermatology OPD of a tertiary care hospital in Jharkhand

Priyanki Mishra, Shruti Suman, Umashanker Kesri, Pranay Kumar Mishra, Kusum Kumari

Abstract


Background: To study the prescribing patterns, rationale of drug usage and use of anatomical, therapeutic, chemical (ATC) and defined daily dosage (DDD) classification for the monitoring of drug utilization in the dermatology department of a tertiary care hospital.

Methods: A retrospective, observational study was conducted in out-patients department of dermatology at RIMS, Ranchi over a period of two months. Rationale of drug usage was assessed by analysing the prescriptions. Defined daily dosage/1000 patients/day of the commonly used medications was compared to the defined daily dosage by World Health Organization in 2016. Data was analysed by statistical tools. Most of the results were expressed in percentages.

Results: The prescriptions were rational in most of the cases. Emphasis was more towards the branded drugs. Polypharmacy was evident in many of the prescriptions. The number of DDD/1000 patients/day in cases of antifungals was more than the WHO DDD and less than the WHO DDD in case of antihistaminics.

Conclusions: The number of drugs per prescription must be rationalized so as to avoid polypharmacy. The drugs should be prescribed by their generic names also along with the brand names. Generic medicines should be available in the hospital pharmacy so that a more cost-effective treatment can be assured. CMEs and stewardship programs for health care professionals regarding rational drug usage should be organized.

 


Keywords


ATC/DDD, Drug usage, Dermatology, Prescription, Rationale

Full Text:

PDF

References


Tegegne A, Bialfew F. Prescribing Pattern for Skin Diseases in Dermatology OPD at Boru Meda Hospital. Advance Pharmaceutical J. 2017;2(5):174-8.

Jaiswal MK, Chakrawarty R, Sharma S, Sachdev D, Sharma R, Ali S. Prescription audit of Corticosteroids in Dermatology OPD of a tertiary care teaching hospital of tribal region of central-south India. Int J Biomed Res. 2017;8(01):20-5.

Mirshad PV, AK AK, Fasalu RO, TK MM. Prescription audit of corticosteroid usage in the department of dermatology at a tertiary care teaching hospital. Int J Basic Clin Pharmacol. 2017 Jan 31;2(4):411-3

Narwane SP, Patel TC, Shetty YC, Chikhalkar SB. Drug utilization and cost analysis for common skin diseases in dermatology OPD of an Indian tertiary care hospital-A prescription survey. Br J Pharmaceut Res. 2011 Jan 1;1(1):9.

Pendhari SR, Chaudhari DR, Burute SR, Bite BM. A study on the drug utilization trends in the cardiovascular emergencies in a tertiary care hospital. J Clin Diagnostic Res. 2013 Apr;7(4):666.

Kumar S, Dutta S, Beg MA, Mehta AK, Anjoom M, Sindhu S. Drug utilization pattern in acne vulgaris in skin outpatients department of a tertiary care teaching hospital at Dehradun, Uttarakhand. Int J Med Sci Public Health. 2014 Jul 1;3:855-8.

Noor N, Uddin MJ, Afsan M, Akhter H, Kabir F. Evaluation of Drug use patterns of outpatient attendees in a tertiary care teaching hospital in dermatology and venereology department as a tool to promote rational prescribing. Update Dental Coll J. 2014;4(1):4-9.

Hannes K, Leys M, Vermeire E, Aertgeerts B, Buntinx F, Depoorter AM. Implementing evidence-based medicine in general practice: a focus group based study. BMC family practice. 2005 Dec;6(1):37.

Gupta AK, Mishra S. Prescription audit study in a tertiary care hospital using the anatomical therapeutic chemical and defined daily dose classification concept. Int J Basic Clin Pharmacol. 2017 Jan 27;3(5):889-901.

Kumar J, Chandra S, Sinha KH. Utilization pattern of drugs among dermatological outpatients in a tertiary care hospital of eastern India IJPR. 2016;6(9):297-392.

Deenadayalan K, Chinnam P, Kumar G. Prescription pattern of corticosteroids in dermatology cases in a tertiary care teaching hospital. J Cont Med A Dent. 2017;5(3):44-8.

Motgahre VM, Bajait CS, Turankar A, Pimpalkhute SA, Dholpure M. Prescription pattern and adverse drug reaction profile of drugs prescribed with focus on NSAIDs for orthopedic indications at a tertiary care hospital. Indian J Pharmacy Pharmacol. 2016;3(4):178-81.

Kalavala M, Mills CM, Long CC, Finlay AY. The fingertip unit: a practical guide to topical therapy in children. J Dermatol Treatment. 2007 Jan 1;18(5):319-20.

Polk RE1, Fox C, Mahoney A, Letcavage J, MacDougall C. Measurement of adult antibacterial drug use in 130 US hospitals: comparison of defined daily dose and days of therapy. Clin Infect Dis. 2007 Mar 1;44(5):664-70.

Vineeta D, Sharad P, Ganachari MS, Geetanjali S, Santosh S. Assessment of drug prescribing pattern and cost analysis for skin disease in dermatological department of tertiary care hospital: an interventional study. J Pharmacovigilance. 2016 Jun 8.