DRUGS USED IN THE EMERGENCY AND CASUALTY DEPARTMENT OF TERTIARY CARE TEACHING HOSPITAL, MANDYA: A RECORD BASED STUDY
Dr. Suresha B.S.*, Jayashree B.C. and Keziah Jacob
The emergency department represents a crucial platform for conducting drug utilization studies as patients present with a wide spectrum of diseases in acute form. Emergencies such as poisoning cases, acute myocardial infarction (AMI) and cerebrovascular accident (CVA) are the most common causes of death and disability in India. Pantoprazole and ceftriaxone are the most commonly prescribed drugs during the admission in the emergency department. Instituting appropriate therapy is necessary for safety of the patients and to decrease mortality and morbidity. Objective: To describe the prescribing pattern of drugs and to determine the most commonly prescribed drugs in the emergency and casualty department of tertiary care teaching hospital, in Mandya. Methodology: A record-based study was carried out in the emergency department of Mandya Institute of Medical Science, Mandya for about 6 months, after getting the approval from Institutional Ethics Committee. Case records of all the patients who were admitted to emergency department in the duration of 3 months were collected. The patients case records was analysed for drug prescribing pattern in emergency department. Result: The collected data was analysed by using WHO prescribing indicator. A total of 200 patients who were admitted in this department were enrolled in this study based on study criteria. Out of this, the majority of patients admitted in the emergency department were of age group less than 20 years (19.5%), 31-40 years (17.5%),61-70 years (16%) etc. The most common diagnosis was found to be cardiovascular disease 36 (18%), respiratory disease 32 (16%), fever 30 (15%) & consumption of poison 23 (11.5%). Conclusion: The most commonly prescribed class of drugs was found to be cardiovascular drugs 18.1%, antibiotics 17%, gastrointestinal drugs 16.1%. Cephalosporins and pantoprazole are found to be the most commonly prescribed drugs.
Keywords: Drugs, Emergency department, Casualty.
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