Wednesday , 18 July 2018

A Prospective Observational Study on Prescribing Patterns of Drugs in Orthopaedic Outpatient Department in a Tertiary Care Teaching Hospital, Nellore

B. Kumar1*, D. Sujana1, B. Soyal Rao2, C. Rajeswari1, K. Sucharitha1, K. Chandan KumarA. Vijitha1
1Ratnam Institute of Pharmacy, Pidathapolur, Muthukur, SPSR Nellore, Andhra Pradesh, India

2Doddla Subba Reddy (DSR) Government Hospital, Nellore, Andhra Pradesh, India

ABSTRACT
To conduct the prospective observational study on prescribing patterns of drugs in Orthopedic Outpatients Department in a tertiary health care hospital. To describe the demographic characteristics of the patient. To determine the patterns of drug prescribing in diagnosis, drug dosage, dose, route of administration, frequency, concomitant medications. To calculate the average number of drugs prescribed per prescription. To monitor the prescription pattern. To evaluate the prescription, whether it is rational or irrational. A prospective observational hospital-based study was carried out for the period of six months from August to January in the outpatient department of orthopedics at DSR Government hospital. Permission was obtained from the institutional ethical committee. A Prospective Observational Study Orthopaedics and Doddla Subba Reddy (DSR) Government Hospital, Nellore, Andhra Pradesh, India. Out of 237 patients we observed 102 patients were in age group of 41-61 (42.03%), 65 patients were in age group of 21-40 (27.8%), 54 patients were in age group of 61-80 (22.8%), 13 patients were in age group of 1-20 (5.50%), 3 patients were from above 80 years of age (1.5%). Out of 237 patients, we observed the highest number of patients with orthopedic problems are in the age group of 41-60 (42.03%), followed by age group of 21-40 (27.8%), 61-80 (22.8%), 1-20 (5.50 %) and above 80 years (1.5%). This study reveals that peoples of age group 41-60 years are more prone to orthopaedic problems. In patients of age ranging from 41-60 years are suffering more from orthopedic problems. An osteoarthritis and Low backache are the most common problems in the patients visiting the Orthopedic Outpatient Department, followed by Fractures. Diclofenac is the most commonly prescribed drug in the Orthopaedic Department than other Analgesics like Paracetamol, Tramadol. Along with Analgesics H2 blockers like Ranitidine and Proton pump inhibitors like Pantoprazole are also commonly prescribed. The average number of drugs per prescription is 4.6. Non-pharmacological therapy also plays a major role in the Orthopedic Department, among them Physiotherapy and Ice therapy are most commonly recommended. Prescription patterns were found to be sometimes irrational.

Keywords: Orthopedic, Rational or Irrational

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