EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

PRESCRIPTION PATTERN STUDY OF DRUGS GIVEN TO PATIENTS ADMITTED IN ORTHOPEDIC WARDS OF A RURAL MEDICAL COLLEGE, A TERTIARY CARE HOSPITAL.

Nagla A. and Wadagbalkar P.*

ABSTRACT

Introduction: Rational drug therapy is an important aspect of drug treatment which if properly implemented will save the resources of India and unnecessary adverse reaction to patients. Prescription pattern study or audit in an important way to know & implement Rational drug therapy. Aims and objectives: To assess and evaluate the prescription pattern of drugs given to patients admitted in orthopedic department and to know rationality of drugs prescribed. Materials and methods: A retrospective cross-sectional study was planned on approximately 221 patients admitted in indoor wards of the orthopedic department. Patient’s records were obtained from medical record section with the help of undergraduate students for 3 months starting from1st october till december 2012 and analyzed for different drugs given in doses, duration etc. The data was analysed considering WHO drug prescription parameters and results were analyzed statistically. Results: Of the 224 patients, 135(60.2%) were male and 89(39%) were female. Most common cause of admission to orthopedic ward was fractures of long bones(75%). The most common age group was 20-40 years of age (61%). Patients had 5.1 drugs given per prescription. Most common drug to be prescribed was Analgesics (30.8%) followed by antibiotics (26.3%). Most common Analgesic were Nonopiod (NSAID)(82.3%) followed by opiod Tramodol (17.6%). Most common NSAID was diclofenac sodium(71%) followed by paracetomol(34.6%). Of the total Patients 17.3% received gastric ulcer preventive omeprazole (81.3%) followed by ranitidine, h2 blocker (18.6%). Most common parenteral antibiotic was Ceftrioxone plus sulbactum (83.3%). Amikacin was give additionally in 10%. Most common oral antibiotic was cefuroxime 80.7% followed by amoxicillin plus clavvulonic acid (19.2%). Muscle relaxants were given in 3.6%, Thiocolchide (64.2%), Pregbalin (35.7%). Use of drugs by generic name was only (12%). Most of the drugs were from essential drug list (78%). Most common route for was injections (48.6%) followed by oral (42%). Percentage of drugs prescribed by FDC 25%. Conclusion: Most commonly patients admitted in orthopedic ward receive non steroidal anti-inflammatory drugs and antibiotics by trade names. Genreic use of the drugs should be promoted. Polypharmacy should be reduced. Injection route should be less than 10%. Pharmacology department Faculties and residents should have frequent talks on daily basis, should organize frequently CME/workshop on rational use of drugs for orthopedic residents so as to serve the best interest of the patients

Keywords: rational, irrational, antibiotics, analgesics, anti-inflammatory, NSAIDS, proton pump inhibitors, antacids, arthritis, fractures, WHO prescription indicators.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI )