A study of drug utilization pattern using WHO prescribing indicators in pediatric patients
DOI:
https://doi.org/10.18203/2320-6012.ijrms20231353Keywords:
Antibiotics, Core indicators, Pediatrics, Respiratory tract infections, Utilization patternAbstract
Background: The study aimed to get drug utilization pattern using WHO prescribing indicators in pediatric patients.
Methods: It was an observational prospective study carried out in pediatric in-patients with a sample size of 280 patients based on inclusion, and exclusion criteria for a period of 6 months. The study data were collected using patient case record and analysis was done.
Results: Out of 280 patients data collected, majority of patients were in the gender male category 168 (60%) and many were from the age group of early childhood (1-5 years) 126 (45%). Respiratory tract infections were the major diagnosis made among the sample size. The drug class commonly prescribed were oral antibiotics 261 (28.38%). The average number of drugs per prescription were 3.28%. Among the total number of prescription percentage of drugs prescribed by generic name and antibiotics were 2.7%, 76.07%. Percentage of patients prescribed with injection were 79.28%.
Conclusions: This study highlights WHO prescribing core indicators in evaluating the usage of rational prescription. It helps in reinforcing rational prescribing practices and increases awareness among physicians and medical students. Irrational prescriptions may result in harmful events. A rational prescription should follow the standard treatment guidelines of WHO. The assessment of these indicators can also help us to decrease the cost burden on the patient. Continuous education with focus on rational drug usage and evidence-based medicine can further increase the understanding and improves health care policies.
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References
Drug utilization. Review. Available at: https://www.amcp.org/about/managed-care-pharmacy-101/concepts-managed. Accessed on 18th July 2019.
World Health Organization (WHO). Introduction to drug utilization research. 2003.Geneva: WHO; 2003. Available from: https://apps.who.int/iris/handle/10665/42627. Accessed on 2 December 2022.
World Health Organization. How to Investigate Drug use in Health Facilities: Selected Drug use Indicators. WHO/DAP. Vol. 1. Geneva: World Health Organization; 1993:1‑87.
Neeta CS, Shailender S. Study of drug utilization in intensive care management of neoantes at tertiary care hospital. Int J Basic Clin Pharmacol. 2017;6(6):1530-4.
Hussain S, Yadav SS, Sawlani KK, Khattri S. Assessment of drug prescribing pattern using world health organization indicators in a tertiary care teaching hospital. Indian J Public Health. 2018;62:156-8.
Kalsi S, Rehman SU, Dar MA. Drug utilization review: an overview. ResearchGate. 2022.
Maqbool M, Tariq S, Amjad S. Prescribing practices in pediatrics and drug utilization studies promoting pediatric health. Indo Am J Pharm Sci. 2018;5:8070-6.
Truter I. A review of drug utilization studies and methodologies. Jordan J Pharm Sci. 2008;1:91-103.
Bergman U, Popa C, Tomson Y, Wettermark B, Einarson T, Åberg H, et al. Drug utilization 90%- a simple method for assessing the quality of drug prescribing. Eur J Clin Pharmacol. 1998;54:113-8.
Venkateswaramurthy N, Faisal ME, Sambathkumar R. Assessment of drug prescription pattern in paediatric patients. J Pharm Sci Res. 2017;9(2):81.
Sharma A, Shweta O. Assessment of drugprescription pattern in children: A descriptive study. Nat J Physiol Pharm Pharmacol 2016;6:74-80.
Rahul S, Sravya D, Doddayya H, Study of drug prescribing in oediatric outpatient department at a tertiary care teaching hospital, J Drug Deliv Therap. 2021;11(5):23-6.
Chandelkar UK, Rataboli PV. A study of drug Prescribing pattern using WHO prescribing Indicators in the state of Goa, India. Int J Basic Clin Pharmacol. 2014;3:1057-61.
Arthi S, Vanithasamuel, Ramesh S, Nirmala P. An observational study of drug utilization pattern and pharmacovigilance of infective wheeze associated disorders in children. 12019;65(07):7823.