Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study

Authors

  • Sonal M. Parekar Department of Pharmacology, Vilasrao Deshmukh Government Institute of Medical Sciences, Latur, Maharashtra, India
  • Girish K. Maindarkar Department of Pediatrics, Maindarkar Pediatric Hospital, Latur, Maharashtra, India
  • Vishal V. Maindarkar Department of Pediatrics, Maindarkar Pediatric Hospital, Latur, Maharashtra, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20204502

Keywords:

Drug utilization, Pediatric, Cross sectional study

Abstract

Background: Drug utilization study is essential, as safe and effective therapeutic regimen in paediatric population is challenging. Pattern of use of drugs in pediatrics vary as compared to adults, also there is limited data available. The objective of this study was to study drug utilization pattern in pediatric patients attending pediatric outpatient department of Maindarkar pediatric hospital, Latur.

Methods: A cross sectional study was carried out for a period of six months from September 2019 to February 2020, by analysing a total 1000 prescriptions of patients who had visited the OPD of Maindarkar pediatric hospital. Prescriptions were selected by simple random sampling method.

Results: In our study, out of the total of 1000 prescriptions, 244 (24.4%) were of neonates, 556 (55.6%) were of infants (1 month to 1 year) and 200 (20%) were of children above 1 year. 547 (54.7%) prescriptions were of male patients and 453 (45.3%) were of female patients. The most frequent classes of drugs prescribed were nonsteroidal anti-inflammatory drugs 704 (70.4%), followed by drugs used for respiratory disorders 655 (65.5%) and supplements (60%). Antimicrobials were prescribed in 498 (49.8%) prescriptions. The average number of drugs per prescription was 2.45. About two third of all the prescribed drugs (74.41%) were from national essential medicine list. Most of the prescriptions had oral drug formulation 825 (82.5%) followed by inhalational 208 (20.8%) followed by injectables 150 (15%). All the drugs were prescribed by brand names.

Conclusions: Our study helps health-care system to understand, interpret and improve prescribing, administration, to minimize adverse events and promote rational use of medicines.

References

World health organization, the selection of essential drugs, technical report series no. 615. Available at: https://apps.who.int/iris/handle/10665/41272. Accessed on 25 August 2020.

World health organisation, rational use of medicines. Available at: http://www.who.int/medicines/areas/ rational_ use/en/index.html; 2010. Accessed on 25 August 2020.

Bhatt JH, Verma S, Bagde S, Sane RM, Shahani S. Drug utilization study in ophthalmology in OPD patients at a tertiary care teaching hospital. Int J Basic Clin Pharmacol. 2018;7:315-8.

Chandra S, Khan IN, Mateenudin M, Chandrakapure A, Maaz S, Mubin F. Drug utilization study in OPD of a tertiary care hospital in a rural area of Jalna, Maharashtra, India by using WHO prescribing indicators. Int J Basic Clin Pharmacol. 2018;7:55-8.

Bharathiraja R, Sridharan S, Chelliah LR, Suresh S, Senguttuvan M. Factors affecting antibiotic prescribing pattern in paediatric practice. Indian J Paediatric. 2005;72:877-80.

Gupta A, Maheshwari P, Dokania KK, Tambe JJ. Drug utilization pattern in sick paediatric patients: analysis for rationality and other aspects. Int J Basic Clin Pharmacol. 2017;6:2815-21.

Chavda DA, Mistry RA, Solanki KC, Suthar SD, Desai BL, Mistry SD. Drug utilization study in the inpatients of paediatric department of a tertiary care hospital. Int J Basic Clin Pharmacol. 2015;4:729-33.

WHO, how to investigate drug use in health facilities EMD Research. Available at: https://www.who.int/ medicines/publications/how-to-investigate_drug-use/en/. Accessed on 25 August 2020.

Shimpi RD, Salunkhe PS, Bavaskar SR, Laddha GP, Kalam A, Patel KA. Drug utilization evaluation and prescription monitoring in asthmatic patients. Int J Pharm Bio Sci. 2012;2(1):117-22.

Avula N, Sravani MR. Study of drug utilization trends in respiratory tract infections in a tertiary care teaching hospital: a retrospective study. Int J Basic Clin Pharmacol. 2017;6:2583-6.

Nazmi A, Verma A, Aiman U. Drug utilization study in the outpatient pediatric department of a tertiary care teaching hospital of district Lucknow. Asian J pharm Clin Res. 2015;8(3):327-30.

Bukhari S, Gaash B, Ahmad M, Farheen A. Household survey of childhood morbidity and

parental practices in Budgam district. Indian J Pract Dr. 2008;4(6):1-5.

Dimri S, Tiwari P, Basu S, Parmar VR. Drug use pattern in children at a teaching hospital. Indian Pediatr. 2009;46:165-7.

Vishwanath M, Reddy NS, Devadas S. Assessment of drug utilization in hospitalized children at a tertiary care teaching hospital. J Chem Pharm Res. 2014;6(2):592-8.

Nazima YM, Sagun D, Barna G. Prescribing pattern in a pediatric out-patient department in Gujarat. Bangladesh J Pharmacol. 2009;4:39-42.

Akhtar MS, Vohara D, Pillai KK. Drug prescribing practices in pediatric department of a North Indian University Teaching Hospital. Asian J Pharm Clin Res. 2012;5(1):146-9.

Suman RK, Mohanty NC, Mohanty IR. The study of drug usage patterns in pediatric patients at MGM Hospital, Navi Mumbai. World J Pharm Res. 2014;3 (4):734-43.

Sachdeo G, Keche Y, Yegnanarayan R. Prescription analysis of drugs prescribed for children in some town of Maharashtra. Asian J Biomed Pharm Sci. 2013;3(21):17-9.

Thiruthopu NS, Mateti UV, Bairi R, Sivva D, Martha S. Drug utilization pattern in South Indian pediatric population: A prospective study. Perspect Clin Res. 2014;5:178-83.

Sankhla S, Gaur S. A retrospective study of drug utilization pattern in the outpatient department of pediatrics in a tertiary care teaching hospital of Rajasthan, India. Int J Basic Clin Pharmacol. 2016; 5:2025-31.

Al-Balushi KA, Al-Sawafi F, Al-Ghafri F, Al-Zakwani I. Drug utilization pattern in an Omani pediatric population. J Basic Clin Pharma. 2013;4: 68-72.

Downloads

Published

2020-10-21

How to Cite

Parekar, S. M., Maindarkar, G. K., & Maindarkar, V. V. (2020). Drug utilization pattern in outdoor patients of pediatric tertiary care hospital: a cross sectional study. International Journal of Basic & Clinical Pharmacology, 9(11), 1725–1729. https://doi.org/10.18203/2319-2003.ijbcp20204502

Issue

Section

Original Research Articles