Drug prescribing pattern in surgical wards of a teaching hospital in North India

Salman, Mohd Tariq; Akram, Md Faiz; Rahman, Syed Ziaur; Khan, Farhan A.; Haseen, Mohd Azam and Khan, Sartaj Wali (2007) Drug prescribing pattern in surgical wards of a teaching hospital in North India. Indian Journal for the Practising Doctor, 5, (2008-05 - 2008-06) (2). ISSN 0973-516X

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Abstract

Irrational use of medicines is widespread throughout the world. The main problems include the unnecessary prescription of drugs, particularly antimicrobials and injections. To investigate the situation in surgery wards, the present study was undertaken. Ninety six prescriptions were collected prospectively from post-operative patients admitted in surgery wards of the JN Medical College Hospital, AMU, Aligarh, and subjected for analysis according to the WHO/INRUD Indicators. VEN method was also applied to ascertain quality of drug procurement. It was revealed that the proportion of drugs from Essential Medicines List (EML) was 61.4%, while no drug was prescribed by generic name. Groups of drugs most commonly prescribed by general surgeons were antibiotics (93%), analgesics (60%), antacids (43%) and antiemetics (10%). The most extensively prescribed drugs from each of the above groups were injections Ceftriaxone and Amikacin, tablets Voveron, Pantoprazole and Metoclopromide, respectively. The average number of drugs prescribed per patient and cost per day per prescription was 4.8 and 246.1 INR, respectively. Average number of antibiotics prescribed per prescription was 2.2 and the average number of injections per prescriptions was 2.3. The results showed that the pattern of drug prescribing is not based on WHO criteria for rational use of drugs. The system is not at all evidence-based. It is thus necessary to make surgeons aware about good prescribing habit by following 5 steps of the WHO Program on Rational use of Drugs (RUD).

EPrint Type:Article
Uncontrolled Keywords:Rational use of Medicines, Prescription analysis, Prescribing pattern, Postoperative Care, Drugs, Surgical Procedures, WHO
Subjects:Therapeutics > Clinical Protocols
Therapeutics > Drug Therapy
Health Occupations > Medicine > Specialties, Surgical > Surgery
Pharmaceutical Preparations > Drug Combinations
Surgical Procedures, Operative > Postoperative Care
Therapeutics > Patient Care
Surgical Procedures, Operative > Postoperative Period
Health Services Administration > Quality of Health Care
Investigative Techniques > Drug Administration Schedule
Persons > Patients
Health Services Administration > Patient Care Management
Health Care Economics and Organizations > Economics
ID Code:3205
Deposited By:Dr Mohd Tariq Salman
Deposited On:29 January 2009

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