Drug Utilization Pattern by Using WHO Core Prescribing Indicators in Orthopedics and Obstetrics / Gynecology Departments of a Tertiary Care Hospital
DOI:
https://doi.org/10.22502/jlmc.v7i1.280Keywords:
Drug Utilisation, Essential Medicine List, Generic Drugs, PolypharmacyAbstract
Introduction: Drug utilization research is an important tool to facilitate rational use of drugs. In low income countries irrational use of drugs is a common problem like overuse of drugs and inappropriate use of antibiotics, leading to poor treatment outcome and increased burden of treatment. This study was conducted to provide understanding of drug utilization pattern by using WHO Core Prescribing Indicator. Methods: This study was conducted in Orthopedics and Obstetrics / Gynecology departments. Patients visiting these Out Patient Departments with at least one drug on prescription form were included in the study. Further, information related to WHO Core Prescribing Indicators were collected in pre-designed proforma. Results: Average number of drugs prescribed per prescription was 2.6. Means of number of drugs prescribed in Orthopedics and Obstetrics / Gynecology departments were 2.9 and 2.3 respectively (p < 0.001). Drugs prescribed in generic name and from essential drug list was 41.4% and 34.3% respectively. Prescription forms with generic name in Orthopedics department were significantly more compared to Obstetrics / Gynecology department (p = 0.00002). However, there was an increased tendency to prescribe drugs from essential drug list in Obstetrics / Gynecology department compared to Orthopedics department (p < 0.001). Conclusion: Drugs were prescribed by generic name and from essential drug list, but this was not sufficient to meet the ideal values of WHO Core Prescribing Indicator. Therefore, prioritization on prescribing drugs by generic name and from essential drug list by respective departments to achieve the standards of WHO needs to be encouraged.
Downloads
References
World Health Organization. Introduction to drug utilization research, Oslo: World Health Organization; 2003. Available from: http://apps.who.int/medicinedocs/pdf/s4876e/s4876e.pdf
World Health Organization. World Health Organization Promoting rational use of medicine: core component. WHO Policy and Perspectives on medicine no. 5 Document WHO/EDM/2002.3.Geneva: WHO; 2002. Available from: http://apps.who.int/medicinedocs/pdf/h3011e/h3011e.pdf
World Health Organization. How to Investigate Drug Use in Health Facilities: Selected Drug Use Indicators. WHO/DAP/93.1.World Health Organization, Geneva.1993:1-87. Available from: http://www.apps.who.int/medicinedocs/fr/d/Js2289e/
Demeke B, Molla F, Assen A, Melkam W, Abrha S, Masresha B, et al. Evaluation of drugs utilization pattern using WHO prescribing indicators in Ayder Referral Hospital, Northern Ethiopia. International Journal of Pharma Sciences and Research. 2015; 6(2):343-347. Available from: http://www.ijpsr.info/docs/IJPSR15-06-02-038.pdf
Banerjee I, Bhadury T, Agarwal M. Prescribing pattern in orthopedic outpatient department of a medical college in India. International Journal of Basic & clinical pharmacology. 2015;4(6):1175-1177. DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp2015353
Joychandra O, Oinam J, Debashree N, Losica. To study the prescribing pattern of analgesics in the orthopaedic inpatient department of Jawaharlal Nehru Institute of Medical Science (JNIMC) Hospital, Imphal, Manipur, India. International Journal of Pharmaceutical Sciences and Research. 2017;8(9):3923-3927. DOI: http://dx.doi.org/10.13040/IJPSR.0975-8232.8(9).3923-27
Ingle PK, Patil PH, Lathi V. Study of rational prescribing and dispensing of prescriptions with non-steroidal ant-inflammatory drugs in orthopedic outpatient department. Asian Journal of Pharmaceutical and Clinical Research. 2015;8(4):278-281. Available from: https://innovareacademics.in/journals/index.php/ajpcr/article/view/6669
Sarraf DP, Rauniyar GP, Misra A. Drug utilization pattern in four major wards of a tertiary hospital in eastern Nepal. Health Renaissance. 2015;13(2):50-65. DOI: https://doi.org/10.3126/hren.v13i2.17554
Saha A, Bhattacharjya H, Sengupta B, Debbarma R. Prescription audit in outpatient department of a teaching hospital of North East India. International Journal of Research in Medical Sciences. 2018;6(4):1241-1247. DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20181275
Parveen Z, Gupta S, Kumar D, Hussain S. Drug utilization pattern using WHO prescribing patient care and health facility indicators in a primary and secondary health care facility. National Journal of Physiology, Pharmacy and Pharmacology. 2016;6(3):182-186. DOI: http://dx.doi.org/10.5455/njppp.2016.6.23122015108
Desalegn AA. Assessment of drug use pattern using WHO prescribing indicators at Hawassa University teaching and referral hospital,south Ethiopia: across-sectional study. BMC Health Services Research. 2013;13:170. PMID: 23647871 DOI: http://doi.org/10.1186/1472-6963-13-170
Tamuno I, Fadare JO.Drug Prescription Pattern in a Nigerian Tertiary Hospital. Tropical Journal of Pharmaceutical Research. 2012;11(1):146-152. DOI: http://dx.doi.org/10.4314/tjpr.v11i1.19
Sunanda G, Ali AII, Suchitra J, Narayana G, Ramaiah D. Assessment of WHO Core Drug Use Indicators and Drug Utilization pattern in Obstetrics and Gynaecology Department of Secondary Care Referral Hospital. International Journal of pharmacy practice & Drug research. 2017;7(1):8-13. DOI: http://dx.doi.org/10.21276/ijppdr.2017.7.1.3
Yadav S, Evangeline GS. A study on prescribing pattern of drugs in pregnant women attending a teaching hospital. International journal of pharmacology and therapeutics. 2016;6(1):9-26. Available from: http://www.earthjournals.in/ijpt_308.pdf
Ghimire S, Nepal S, Bhandari S, Nepal P, Palaian S. A prospective surveillance of drug prescribing and dispensing in a teaching hospital in Western Nepal. Journal of Pakistan Medical Association. 2009;59(10):726-731. PMID: 19813695
Department of Drug Administrations. National List of Essential Medicines Nepal (Fifth Revision) 2016. Available from: www.dda.gov.np/download/FinalNLEM2016.pdf
Downloads
Published
Issue
Section
License
- The Journal of Lumbini Medical College (JLMC) publishes open access articles under the terms of the Creative Commons Attribution (CC BY) License which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- JLMC requires an exclusive licence to publish the article first in its journal in print and online.
- The corresponding author should read and agree to the following statement before submission of the manuscript for publication,
- License agreement
- In submitting an article to Journal of Lumbini Medical College (JLMC) I certify that:
- I am authorized by my co-authors to enter into these arrangements.
- I warrant, on behalf of myself and my co-authors, that:
- the article is original, has not been formally published in any other peer-reviewed journal, is not under consideration by any other journal and does not infringe any existing copyright or any other third party rights;
- I am/we are the sole author(s) of the article and have full authority to enter into this agreement and in granting rights to JLMC are not in breach of any other obligation;
- the article contains nothing that is unlawful, libellous, or which would, if published, constitute a breach of contract or of confidence or of commitment given to secrecy;
- I/we have taken due care to ensure the integrity of the article. To my/our - and currently accepted scientific - knowledge all statements contained in it purporting to be facts are true and any formula or instruction contained in the article will not, if followed accurately, cause any injury, illness or damage to the user.
- I, and all co-authors, agree that the article, if editorially accepted for publication, shall be licensed under the Creative Commons Attribution License 4.0. If the law requires that the article be published in the public domain, I/we will notify JLMC at the time of submission, and in such cases the article shall be released under the Creative Commons 1.0 Public Domain Dedication waiver. For the avoidance of doubt it is stated that sections 1 and 2 of this license agreement shall apply and prevail regardless of whether the article is published under Creative Commons Attribution License 4.0 or the Creative Commons 1.0 Public Domain Dedication waiver.
- I, and all co-authors, agree that, if the article is editorially accepted for publication in JLMC, data included in the article shall be made available under the Creative Commons 1.0 Public Domain Dedication waiver, unless otherwise stated. For the avoidance of doubt it is stated that sections 1, 2, and 3 of this license agreement shall apply and prevail.
Please visit Creative Commons web page for details of the terms.
