Senthilselvi, R.
DRUG UTILIZATION PATTERN IN PAEDIATRIC PATIENTS IN A SECONDARY CARE HOSPITAL - Vol.11(4) - M P Innovare Academic Sciences Pvt Ltd 2019 - 69-74p.
Objective:
The study was carried out to generate research on d
rug utilization pattern in paediatric patients in g
overnment headquarters hospital,
Tiruppur, Tamilnadu, India using world health organ
ization (WHO) and international network for rationa
l use of drugs (INRUD) core indicator.
Methods:
The core prescribing indicators of the world health
organization was used to assess the appropriate us
e of drugs. Index of rational drug
prescribing (IRDP) developed by Zhang and Zhi was a
lso used to find out the performance of a health ca
re system in terms of drug utilization.
Results:
Out of 859 drugs in 200 cases the highest prescribe
d drug class is antibiotics 304(35.39%) and the maj
ority of drugs were administered in
injectable form 412(47.94%). It was analysed that a
majority of prescriptions 117(58.5%) were discharg
ed in between 4-7 d. 161(80.5%) patients
were dismissed after completion of treatment. On an
alysing world health organization (WHO) prescribing
core indicators, the average number of
drugs per prescription was 4.29 which is higher tha
n double the average number (i.e., 2). This indicat
es poly-pharmacy practice. 97.78% of drugs
were prescribed were the generic name and percentag
e of encounters with antibiotic prescribed was 90.5
% which is thrice greater than world
health organization (WHO) standard<30%. Prescribing
of injections is not within the world health organi
zation (WHO) recommended range<20%
and it was far higher showing 97.5% which is essent
ial for paediatric inpatients. The prescribing prac
tice in paediatric ward is in complete
adherence to national essential drug list (EDL) or
formulary. The mean value of the index of rational
drug prescribing (IRDP) obtained was 3.09
which is very similar to that of optimal value worl
d health organization (WHO).
Conclusion:
Prescription by generic name, prescribing drugs fro
m essential drug list (EDL) and free government sup
ply are encouraging findings in
this hospital. The result shows poly-pharmacy and o
veruse of antibiotics are the areas to be concerned
. The better clinical outcome shows rational
prescribing is practised well.
PHARMACEUTICS
DRUG UTILIZATION PATTERN IN PAEDIATRIC PATIENTS IN A SECONDARY CARE HOSPITAL - Vol.11(4) - M P Innovare Academic Sciences Pvt Ltd 2019 - 69-74p.
Objective:
The study was carried out to generate research on d
rug utilization pattern in paediatric patients in g
overnment headquarters hospital,
Tiruppur, Tamilnadu, India using world health organ
ization (WHO) and international network for rationa
l use of drugs (INRUD) core indicator.
Methods:
The core prescribing indicators of the world health
organization was used to assess the appropriate us
e of drugs. Index of rational drug
prescribing (IRDP) developed by Zhang and Zhi was a
lso used to find out the performance of a health ca
re system in terms of drug utilization.
Results:
Out of 859 drugs in 200 cases the highest prescribe
d drug class is antibiotics 304(35.39%) and the maj
ority of drugs were administered in
injectable form 412(47.94%). It was analysed that a
majority of prescriptions 117(58.5%) were discharg
ed in between 4-7 d. 161(80.5%) patients
were dismissed after completion of treatment. On an
alysing world health organization (WHO) prescribing
core indicators, the average number of
drugs per prescription was 4.29 which is higher tha
n double the average number (i.e., 2). This indicat
es poly-pharmacy practice. 97.78% of drugs
were prescribed were the generic name and percentag
e of encounters with antibiotic prescribed was 90.5
% which is thrice greater than world
health organization (WHO) standard<30%. Prescribing
of injections is not within the world health organi
zation (WHO) recommended range<20%
and it was far higher showing 97.5% which is essent
ial for paediatric inpatients. The prescribing prac
tice in paediatric ward is in complete
adherence to national essential drug list (EDL) or
formulary. The mean value of the index of rational
drug prescribing (IRDP) obtained was 3.09
which is very similar to that of optimal value worl
d health organization (WHO).
Conclusion:
Prescription by generic name, prescribing drugs fro
m essential drug list (EDL) and free government sup
ply are encouraging findings in
this hospital. The result shows poly-pharmacy and o
veruse of antibiotics are the areas to be concerned
. The better clinical outcome shows rational
prescribing is practised well.
PHARMACEUTICS