A STUDY ON ROLE OF DOCTOR OF PHARMACY IN DRUG UTILIZATION EVALUATION PATTERN ANALYSIS IN INPATIENT UNITS AND REPORTING ITS COMORBIDITIES IN A TERTIARY CARE TEACHING HOSPITAL

Pharma Admission

pharma admission

 

AIM:
The study aims to assess the role of Doctor Of Pharmacy in drug utilization pattern analysis in inpatient units and reporting its comorbidities in a tertiary care teaching  hospital.
OBJECTIVES:
The Main Objective Of The Present Study Is To Prevent The Following During Medication Therapy:
• Drug-disease contraindications.
• Therapeutic interchange.
• Generic substitution.
• Incorrect drug dosage.
• Inappropriate duration of drug treatment.
• Drug-allergy interactions.
• Clinical abuse/misuse
• Therapeutic appropriateness.
• Over and underutilization.
• Appropriate generic use.
• Therapeutic duplication.
• Drug-drug interactions .
METHODOLOGY:
Study Design: It is a observational and interventional study.
Study Period: The Present study was conducted for a period of 12 months from june 2016 to june 2017.
Study site : The Present study was conducted in  GENERAL MEDICINE, PEDIATRICS, ,OPHTHALMIC, SURGERY, ORTHOPEDICS, ENT, ART, STD  Departments at Rajiv Gandhi Institute of  Medical Sciences ( RIMS), Kadapa.
Sample size: The Patients admitted in hospital with multiple diseases with poly pharmacy during the study period of 12 months and a total of 700 prescriptions were collected for this study
Source of Data: All the patients satisfying the inclusion criteria were selected from GENERAL MEDICINE, PEDIATRICS, OPHTHALMIC, SURGERY, ORTHOPEDICS, ENT, ART, STD department in Rajiv Gandhi institute of medical sciences (RIMS) Government Hospital, Kadapa. All the required data was collected from patients through Patient representative interview and case sheets and treatment charts.
Inclusion criteria:
• Prescriptions of Patients with aging above 18 years with multiple diseases with poly pharmacy, in GENERAL MEDICINE, PEDIATRICS, OPHTHALMIC, SURGERY, ORTHOPEDICS, ENT, ART,STD  inpatient wards.
• Prescriptions of Patients having previous history of medical, medication problems
• The Patients who are willing to participate in the study.
Exclusion criteria:
• Prescriptions of Patients who are not willing to Participate in the study.
• Prescriptions of Patients below 18 years of age group.
• Prescriptions Other than GENERAL MEDICINE, PEDIATRICS, OPHTHALMIC, SURGERY, ORTHOPEDICS, ENT, ART, STD all the remaining wards are excluded.

RESULTS:

Table1.1DISTRIBUTION OF MALE AND FEMALE PATIENTS IN DIFFERENT WARDS:

NAME OF THE INPATIENT UNIT.

NUMBER OF FEMALE POPULATION

NUMBER OF MALE POPULATION

TOTAL

GENERAL MEDICINE

 

70

 

 

70

 

 

140

 

PAEDIATRICS

 

24

32

56

OPHTHALMIC

 

31

28

59

SURGERY

45

 

61

106

ORTHOPAEDICS

 

25

 

31

56

ENT

 

43

 

62

105

ART

 

37

 

60

97

 STD

54

 

27

81

TOTAL

329

371

700

Fig 1.1DIAGRAMMATIC DISTRIBUTION OF MALE AND FEMALE PATIENTS IN DIFFERENT WARDS:


Table 1.2: DISTRIBUTION OF PRESCRIPTIONS WITH MUTILPLE DISEASES AND WITH POLYPHARMACY IN DIFFERENT WARDS:

NAME OF INPATIENT UNIT

NUMBER OF PRESCRIPTIONS

GENERAL MEDICINE

140

 

 

 

PAEDIATRICS

 

56

OPHTHALMIC

 

59

 

SURGERY

106

 

ORTHOPAEDICS

56

 

ENT

105

 

ART

97

 

STD

81

TOTAL

700

Fig.1.2:  DIAGRAMMATIC DISTRIBUTION OF PRESCRIPTIONS WITH MUTILPLE DISEASES AND WITH POLYPHARMACY IN DIFFERENT WARDS:


Table.1.3 DISTRIBUTION OF MEDICATION THERAPY RELATED PROBLEMS THAT ARE OVERCOMED BT DOCTOR OF PHARMACY DURING DUE STUDY/PATTERN ANALYSIS:

 

Types of Medication Therapy Related Problems that are Overcomed During DUE Analysis.

 

Total number of Medication Therapy RelatedProblems that are Overcomed During DUE Analysis.

 

Drug-disease contraindications.

 

NUMBER

PERCENTAGE

24

245.28

Generic substitution.

 

27

275.94

Incorrect drug dosage.

 

90

919.8

Inappropriate duration of drug treatment.

 

86

878.92

Drug-allergy interactions.

 

102

1042.44

Clinical abuse/misuse.

68

694.96

Therapeutic inappropriateness.

 

79

807.38

Over and underutilization.

 

141

1441.02

In Appropriate generic use.

 

56

572.32

Therapeutic duplication.

 

89

909.58

Drug-drug interactions

184

1880.48

 

Total=1022

Total percentage=

12706.3216

FIG.1.3 DIAGRAMATIC PERCENTAGE DISTRIBUTION OF MEDICATION THERAPY RELATED PROBLEMS THAT ARE OVERCOMED BT DOCTOR OF PHARMACY DURING DUE STUDY/PATTERN ANALYSIS:

 

FIG.1.4 DIAGRAMATIC DISTRIBUTION OF MEDICATION THERAPY RELATED PROBLEMS THAT ARE OVERCOMED BT DOCTOR OF PHARMACY DURING DUE STUDY/PATTERN ANALYSIS:

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