DRUG UTILIZATION PATTERN AMONG GERIATRIC PATIENTS ADMITTED IN MEDICAL INTENSIVE CARE UNIT IN A TERTIARY CARE TEACHING HOSPITAL
Objective: This study aims to evaluate the drug utilization pattern in terms of defined daily dose (DDD) among geriatric patients admitted in medical
intensive care unit (MICU) of a tertiary care hospital.
Methods: Retrospective medical record analysis was performed for the geriatric patients (age â‰¥65 years) admitted in MICU from 1st January 2012 to
30th June 2012. The relevant data were collected in a proforma. The drugs were categorized by anatomical therapeutic classification and their DDD
Results: Diabetes mellitus was the most common cause for admission. Parenteral preparations (51.12%) constituted the largest share among all
the drugs prescribed. Pantoprazole - A02BC02 with DDD 25.3 was the most commonly prescribed parenteral drug (23.5%). Amlodipine - C08CA01
with DDD 29.0 was the most commonly prescribed oral drug (27.6%). Average number of drugs per patient was 9.37Â±0.27. Average number of
antimicrobials prescribed per patient was 1.26Â±0.09. Ceftriaxone was the commonly prescribed antimicrobial drug.
Conclusion: This study shows the most common causes of admission among geriatric patients in MICU setup and the pattern of drugs used. Drug
utilization studies of this type may ultimately help in improving the quality of healthcare given to the geriatric patients.
Keywords: Anatomical therapeutic chemical classification, Defined daily dose system, Drug utilization pattern, Geriatric patients.
Shah RB, Desai SV, Gajjar BM. Drug utilization pattern among geriatric patients assessed with anatomical therapeutic chemical classification/defined daily dose system in a rural tertiary care teaching hospital. Int J Nutr Pharmacol Neurol Dis 2012;2(3):258-65.
McLachlan AJ, Pont LG. Drug metabolism in older people â€“ A key consideration in achieving optimal outcomes with medicines. J Gerontol A Biol Sci Med Sci 2012;67(2):175-80.
WHO. Collaborating Centre for Drug Statistics Methodology. ATC index with DDDs Oslo: Collaborating Centre for Drug Statistics Methodology; 2002.
National List of Essential Medicines of India, 2011. Available from: http://www.cdsco.nic.in. [Last accessed on 2015 Jan 1].
WHO Model List of Essential Medicines, 2011. Available from: http://www.wholibdoc.who.int. [Last accessed on 2015 Jan 1].
Jhaveri BN, Patel TK, Barvaliya MJ, Tripathi CB. Drug utilization pattern and pharmacoeconomic analysis in geriatric medical in-patients of a tertiary care hospital of India. J Pharmacol Pharmacother 2014;5(1):15-20.
Singh JP, Saoji AV, Kasturwar NB, Pitale SP, Deoke AR, Nayse JG. Epidemiological study of diabetes amongst geriatric population in an urban slum, Nagpur. Nat J Community Med 2011;2(2):204-8.
Sharma HL, Sharma KK. Principles of Pharmacology. 2nd ed. New Delhi: Paras Medical Publisher; 2013. p. 55.
Paudel R, Palaian S, Giri B, Hom KC, Sah AK, Poudel A, et al. Clinical profile and drug utilization pattern in an intensive care unit of a teaching hospital in Western Nepal. Arch Pharm Pract 2011;2(4):163-9.
John LJ, Devi P, Guido S. Utilization of antihypertensive medications among the critically ill patients. Res J Pharm Biol Chem Sci 2012;3(3):650-4.
Pandiamunian J, Somasundaram G. A study on prescribing pattern of anti microbial agents in the medical intensive care unit of a tertiary care teaching hospital in Puducherry union territory, South India. Int J Pharm Pharm Sci 2014;6(3):235-8.
Tripathi KD. Essentials of Medical Pharmacology. 7th ed. New Delhi: Jaypee Brothers; 2013. p. 727.
John LJ, Devi P, John J, Guido S, Drug utilization study of antimicrobial agents in medical intensive care unit of a tertiary care hospital. Asian J Pharm Clin Res 2011;4(2):81-4.
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