DRUG USE AT ORTHOPAEDIC OUT-PATIENT DEPARTMENT
Aarohi Vyas*, Aanal Patel, Aarya Nair, Abigail Abraham, Sandipkumar Bhatt and Bimal Modi
ABSTRACT
Objective: The objective of this study is to assess and evaluate the drug use and prescription pattern in Orthopaedic OPD in relationship with patient demographics variables and drug used. Material and Methods: This study was conducted in the Orthopaedic OPD of tertiary care hospital from Nov18 to Mar19. Out of 18,000 patients who visited OPD, only data of 1003 prescriptions were randomly collected based on the selection criteria. The details like subjects’ demographics and prescribed drugs were recorded in the pre-designed data collection form. The prescribed drugs were assessed based on WHO core prescribing indicators with respect to the formulary and non-formulary medication. Result: Total of 1003 prescriptions was collected and analyzed. Pain in hands, legs, hip and back was most commonly encountered and was generally treated using various NSAIDs with or without specific therapies like antibiotics and gastro-protectants. In comparison with WHO core prescribing indicators, average of 4-5 drugs was encountered per each prescription, drugs prescribed by generic name were 99.48%, and prescriptions encountered with antibiotics and injectable were 5.68% and 1.09 %. Drugs prescribed from the hospital formulary were 92.57%, of which Tab. Diclofenac was the commonly prescribed and from nonformulary were 7.4%. Prescriptions containing drugs prescribed with fixed dose combination were 235 in number. Conclusion: NSAIDs are the most commonly prescribed drug followed by gastro-protectants. The drugs prescribed from formulary by generic name were high and rational.
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