A prospective study of drug utilization in patients undergoing cataract surgery
Journal Title: Medpulse International Journal of Pharmacology - Year 2019, Vol 9, Issue 1
Abstract
Background: Drug utilization studies are an important part of rational use of drugs. Assessment of drug use pattern especially in developing countries is becoming increasingly necessary to promote the rational use of drugs. This study was planned to prospectively assess the drug utilization pattern in patients undergoing cataract operation at KBN teaching and General hospital. Methods: This was a prospective observational study done at Department of Ophthalmology, KBN Institute of Medical Sciences, Gulbarga. It commenced after the approval from ‘Institutional Ethics Committee’ and after obtaining informed consent from the patient; prescriptions of 100 patients were analyzed using a predesigned form to record information from the eligible patients satisfying the inclusion and exclusion criteria. WHO drug use indicators and additional indices were analyzed. Results: A total of 513 drugs were prescribed for 100 patients (average 5.13) who underwent cataract surgery. Maximum were from ‘age group of 45-65’ and most of them were suffering from ‘immature senile cataract’. Females had higher incidence and most of them presenting with ‘blurring of vision’. ‘Topical eye drops’ are most commonly used route of drug administration. Drugs which were prescribed by ‘brand names’were 80%. ‘Fixed drug combination’ includes 22% of prescribed drugs and drugs from essential drug list were 92%. Overall antimicrobials were the most commonly prescribed group followed by anti-inflammatory, steroid etc. Conclusions: Study reflects on lack of awareness so as to avoid polypharmacy. The prescription writing errors were less, however, there was very low generic prescribing and inadequate information about the duration of therapy in many prescriptions. It is essential that appropriate guidelines on the use of topical antimicrobials are required to ensure rational prescribing
Authors and Affiliations
Md Mohsin Ahmed, Sana Nizami, Amogh Harsoor
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