OBSERVATIONAL STUDY OF PRESCRIPTION PATTERN ACCORDING TO WHO GUIDELINES IN CHRONIC KIDNEY DISEASE PATIENTS IN MEDICINE OUT PATIENT DEPARTMENT AT A TERTIARY CARE HOSPITAL

Pratiksha*, Rekha Shaurya, Anusuya Gehlot and Monika Sharma

ABSTRACT

Background- It is very hard to understand and improve the rational use of drug without knowledge of appropriate on how drugs are being prescribed. Prescription audit is a part of the integrated clinical audit and is a quality improvement process which aims to improve patient care and outcomes through systematic review of care against clear-cut criteria and the implementation of change. Chronic Kidney Disease is a disorder which affects the morphology and functioning of the kidney. It is a type of kidney disease where is slow loss of kidney function over a course of months or years. Method - An observational study was conducted in Department of Pharmacology Dr SNMC and Department of Medicine MDM hospital, Jodhpur. The prescriptions of patients with chronic kidney disease attending medicine OPD was collected and analysed using WHO prescribing indicators. Result- This study showed a general overview about overall use of drugs in Chronic kidney disease patient in medicine OPD. The average number of drug per encounter was 4.57. Use of generic drugs was 100% and all the drugs were from EDL (100%). Percentage of single drug was 91.42% and FDCs were 13.40% only. Conclusion- All the drugs were prescribed by generic name and from EDL which was a favourable finding. This shows that the treatment was cost effective and successful implementation of EDL in our government hospital.

Keywords: Chronic Kidney Disease, Prescription audit, Drug utilization pattern.