ASSESSMENT OF PRESCRIBING RATIONALITY IN PAEDIATRICS PATIENTS USING POPI CRITERIA IN A TERTIARY CARE HOSPITAL
*Athar Hasan Siddiqui, Apoorva A. Reddy, Laxmi S. Havaladar, K. D. Lalthiamsama, Dr. Syed Zia Inamdar and Dr. Raghavendra H. Gobbur
Objectives: To evaluate prescribing efficiency in paediatric inpatients using POPI. To identify drug related issues and contributing factors. To assess the utility of POPI criteria for paediatric prescribing efficiency and rationality. To assess the role of pharmacists in the deliverance of pharmaceutical care using POPI. Methodology: Selection of diseases was based on POPI propositions; the relevant data was extracted and documented on a specific designed data collection form. In-patients with inappropriate prescription and omission were identified through Medication Chart review using POPI propositions. Rationality was divided into rational, part-rational and irrational based on the number of inappropriateness and omissions in a prescription. Validated information was retrieved from standard references to utilize for improving prescribing rationality in pediatrics. Result: Out of 135 patients, male (58.51%) were dominant over female and most of the patients (32.59%) were infants. Study analyzed inappropriate and omission of prescription using POPI criteria. Out of 135 prescriptions, 30 had one inappropriateness, 14 had one omission and 1 had two omissions individually. The most common DRP was choice of drugs (31.11%) in Pain & Fever. Hence, numbers of rational prescriptions were 97 having neither inappropriateness nor omission followed by 26 part-rational prescriptions having either 1 inappropriateness or omission and 12 irrational prescription having both inappropriateness and omission. Conclusion: The study concludes that the prescribing efficiency was found to be adequate for majority of the cases, but the POPI tool is limited to selected disease. This can contribute to promote appropriate prescribing among the paediatric population.
Keywords: Inappropriate, Omission, Pediatrics.
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