Vol. 9 No. 11 (2020): November 2020 /
Pattern of drug utilization in pediatric out patient department of a tertiary care teaching hospital
Rekha M. B. Department of Pharmacology, RRMCH, Bangalore, Karnataka, India
Hemamalini M. B. Department of Pharmacology, RRMCH, Bangalore, Karnataka, India
Basavaraj Bhandare Department of Pharmacology, RRMCH, Bangalore, Karnataka, India
Prescribing, Pediatric, Outpatient, Tertiary care
Background: Drug utilization studies have special significance among paediatric age groups as infant and children represent about 42% of the population in developing countries. This is the vital period of rapid growth and development. Therefore, drugs should be used very cautiously and rationally among these sub groups. The present study is conducted to analyse the prescribing pattern of drugs in paediatric age group for various illnesses.
Methods: It was a prospective observational study, conducted in paediatric outpatient department of Raja Rajeswari medical college and research hospital for a period of 6 months after obtaining approval from institutional ethical committee. Descriptive statistical was used to determine the frequency, percentages, mean and standard deviation.
Results: In the present study, fever (30.8%) followed by respiratory diseases were most common diseases seen. The commonly used drugs include antipyretics (66%), antimicrobials (53.6%), cough syrups (34.4%), antihistaminic (31.2%) and nasal decongestants (23.2%). Prescribing indicator shows existence of polypharmacy. Prescribing drugs by generic name was seen only in 8.1% and 47.82% of the drugs were prescribed from EDL. The frequency of use of injectables in our study was 5.8%.
Conclusions: Irrational use of antibiotics and polypharmacy needs to be curbed. Prescribing drugs in their generic name and prescribing drugs from EDL need to be promoted. The present prescribing pattern can be improved by advocating rational drug prescribing, patient education and improving hospitals.
Rekha M. B., Department of Pharmacology, RRMCH, Bangalore, Karnataka, India
Dept of pharmacology
RRMCH
Gupta M, Safhi MM, Sumail JMY, Agarwal M. Prescribing pattern in children registered in the department of paediatrics of Jizan general hospital of Jizan, KSA. Int J Pharm Pharm Sci. 2013;5(4):397-9.
Akhtar MS, Vohora D, Pillai KK, Dubey K, Roy MS, Najmi AK, et al. Drug prescribing practices in paediatric department of a north Indian university teaching hospital. Asian J Pharm Clin Res. 2012;5 (1):146-9.
Antonio C, Maurizio B. Drug prescriptions to outpatient children: a review of the literature. Eur J Clin Pharmacol. 2009;6(5):749-55.
Suman RK, Mohanty NC, Mohanty IR, Deshmukh YA. The study of drug usage patterns in pediatric patients at MGM hospital, Navi Mumbai. World J of Pharm Res.2014;3(4):734-43.
Cazzato T, Pandolfini C, Campi R, Bonati M. Drug prescribing in out-patient children in Southern Italy. Eur J Clin. Pharmacol. 2001;57:611-6.
Kumar AM, Thulasi KR, Ramasamy C. Cross sectional prospective study on drug utilization in an outpatients pediatrics department of tertiary care teaching hospital. Global J Pharmacol. 2013;7(2):99-102.
Ghai OP, Paul VK. Rational drug therapy in pediatric practice. Ind Pediatr. 1988;25:1095-109.
Sanz E, Boada J. Drug utilization in pediatric outpatients in Tenerife Island. Eur J Clin Pharmacol.1988;34:495-9.
Straand J, Rokstad K, Heggedal U. Drug prescribing for children in general practice: a report from the more and romsdal prescription study. Acta Pediatrica.1998;87:218-4.
Mirza NY, Desai S, Ganguly B. Prescribing pattern in a pediatric out-patient department in Gujarat. Bangladesh J Pharmacol. 2009;4:39-42.
Pandey AA, Thakre SB, Bhatkule PR. Prescription analysis of pediatric outpatient practice in nagpur city. Indian J Community Med. 2010;35(1):70-3.
WHO model list of essential medicines for children. Available at: https://www.who.int/medicines/ publications/essentialmedicines/en/. Accessed on 20 January 2020.
B., R. M., B., H. M., & Bhandare, B. (2020). Pattern of drug utilization in pediatric out patient department of a tertiary care teaching hospital. International Journal of Basic & Clinical Pharmacology, 9(11), 1661–1664. https://doi.org/10.18203/2319-2003.ijbcp20204490
Vol. 9 No. 11 (2020): November 2020