ANALYSIS OF PRESCRIBING PRACTICES FOR ANTIBIOTICS AND ANALGESICS IN A TERTIARY CARE ORTHOPAEDICS DEPARTMENT

SWETHA K.; NOOTHAN P. T.

doi:10.22159/ijcpr.2024v16i5.5022

Authors

SWETHA K. Department of Pharmacology, Karwar Institute of Medical Sciences, Karwar-581301, Uttara Kannada, India https://orcid.org/0000-0003-2124-359X
NOOTHAN P. T. Department of Orthopaedics, Sanjay Gandhi Institute of Trauma and Orthopaedics, Byrasandra, Jayanagar, Bangalore-560011, India

DOI:

https://doi.org/10.22159/ijcpr.2024v16i5.5022

Keywords:

Prescribing patterns, Drug utilization, Antimicrobial agents, Analgesics, Rationality, Phadke’s criteria

Abstract

Objective: Prescription pattern studies aim to give precise data for the creation of local recommendations for responsible drug use by analysing prescriptions against established benchmarks. In light of these details, we undertook this study intending to determine the prescription pattern for antibiotics and analgesics in an orthopaedic speciality teaching hospital.

Methods: Observational research was conducted retrospectively over a month from the Medical Record department. Using a pre-made proforma, information was gathered on the patient's demographics, diagnosis, whole prescription, and any adverse drug reactions. The research comprised all the patients admitted to orthopaedic wards who fulfilled the inclusion criteria.

Results: Out of the 807 patients, 573(721%) were male and 234 (29%) were female. The majority of them are between the ages of 26-35 y and 404 suffered from fractures. There were 2022 analgesics prescribed in total and 623 patients received prescriptions of fixed-dose combinations (FDCs). There were 1864 AMAs in all that was prescribed; of these, beta-lactam antibiotics made up 43.3%, and aminoglycosides 36%. The average number of drugs per contact in this study was 7 and the resultant average rationality score per prescription was 26.5±4.7 as per Phadke's criterion.

Conclusion: To improve clinical outcomes in medical practice, improvements must be made at all levels, including public awareness, physician sensitisation and clinical drug policy reform. Frequent instructional initiatives at various stages might encourage judicious prescription practices.

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