2019

Drug Utilization Study in Geriatric Patients Visiting the Outpatient Department in Tertiary Care Rural Hospital

Thu, 01 Aug 2019 00:00:00 GMT

Drug Utilization Study in Geriatric Patients Visiting the Outpatient Department in Tertiary Care Rural Hospital Desai, Haresh A; Sattigeri, Bhagya Manoj Aim & Objective: The study aimed to evaluate the disease pattern, drugs used & the prescribing patterns to the geriatric patients at rural hospital. Materials and Methods: A total of 300 patients were enrolled in the prospective, cross sectional study. The demographic details, drugs used condition for which the drugs were prescribed and other related factors; names by which they were prescribed, use of fixed dose combinations were recorded and subjected to analysis. Observation and Results: Enrolled patients belonged to the age between 65 to 74 years, who presented with cardiovascular (21.22%) followed by musculoskeletal conditions (17.44%). Medicines were mostly prescribed by brand names 72.11%, Ranitidine was most frequently prescribed followed by Aceclofenac. About 20.35% were prescribes as FDCs for ex; Aceclofenac + Paracetamol was most commonly prescribed FDC followed by Amoxicillin + Clavulanic Acid. Conclusion: Cautious use of medicines in geriatric patients is essential which can be provided by rational prescribing

Drug Utilization Study in Geriatric Patients Visiting the Outpatient Department in Tertiary Care Rural Hospital

Thu, 01 Aug 2019 00:00:00 GMT

Drug Utilization Study in Geriatric Patients Visiting the Outpatient Department in Tertiary Care Rural Hospital Desai, Haresh A; Sattigeri, Bhagya Manoj Aim & Objective: The study aimed to evaluate the disease pattern, drugs used & the prescribing patterns to the geriatric patients at rural hospital. Materials and Methods: A total of 300 patients were enrolled in the prospective, cross sectional study. The demographic details, drugs used condition for which the drugs were prescribed and other related factors; names by which they were prescribed, use of xed dose combinations were recorded and subjected to analysis. Observation and Results: Enrolled patients belonged to the age between 65 to 74 years, who presented with cardiovascular (21.22%) followed by musculoskeletal conditions (17.44%). Medicines were mostly prescribed by brand names 72.11%, Ranitidine was most frequently prescribed followed by Aceclofenac. About 20.35% were prescribes as FDCs for ex; Aceclofenac + Paracetamol was most commonly prescribed FDC followed by Amoxicillin + Clavulanic Acid. Conclusion: Cautious use of medicines in geriatric patients is essential which can be provided by rational prescribing.

Problems with Drug Prescription; Impact of Educational Intervention

Thu, 01 Aug 2019 00:00:00 GMT

Problems with Drug Prescription; Impact of Educational Intervention Desai, Haresh A; Sattigeri, Bhagya Manoj AIM & OBJECTIVE: To study the prescribing patterns and impact of educational intervention on the prescribers MATERIAL &METHODS: On approval of the Institutional Ethics Committee, Prescribing doctors (Assistant professors, Associate Professors & Professors) were included in the study as participants. They were subjected to the study in two phases that included a pre-test evaluation, followed by educational intervention and post- test evaluation in both phases of the study. In the rst phase the participants were educated on essential medicines, rational use of medicines, appropriateness and Pharmacoepidemiology, while the second educational session emphasized on use of Branded Vs Generic Medicines, Fixed Dose Combinations and Adverse Drug Reactions. Further the data obtained was subjected to statistical analysis. OBSERVATIONS & RESULTS: In phase – I of the study, on pre lecture evaluation, the mean score of participants (30), was 6.07±1.86, which was found to be signicantly (p < 0.0001), increased by 40% (8.47±1.17). Similarly in phase –II the signicant (p< 0.0001) rise was found by 86% with post-test evaluation. CONCLUSION: The study indicates that a regular training program is essential to periodically update the prescribers, dispensers, public and the patients on meticulous use of medicines to prevent the drug related problems

Ethical climate and its effect in teaching hospital: A vision from 3rd eye

Fri, 01 Mar 2019 00:00:00 GMT

Ethical climate and its effect in teaching hospital: A vision from 3rd eye Bansal, Anupam Kumar; Parmar, Pragnesh B.; Bansal, Prerna; Patel, Reekee; Barai, Pankaj H.; Thomas, Ebbie Ethics are the basic things to be followed everywhere and more importantly at work place. In the same way, ethical climate plays a key role in deciding the working environment of a teaching hospital and medical college. The present study aimed to investigate the correlation between ethical climate and its effects in teaching hospital on the basis of perception of the nurses employed in a teaching hospital regarding the ethical climate in their work environment. It was a descriptive, cross-sectional study, which was conducted on 200 nurses working at Parul Sevashram Hospital and Medical College, Vadodara, Gujarat, India. For data analysis, descriptive and inferential statistics were used. Olson's Hospital Ethical Climate Survey (HECS), a self-administered standard questionnaire, was used to assess the nurses' perceptions of the hospital ethical climate. Mean ethical climate scores of nurses for colleagues, patients, managers, hospital and physicians' factors were 4.49±0.491, 4.25±0.489, 4.70±0.353, 4.38±0.402, and 4.53±0.454, respectively. The total mean score of ethical climate was 4.49±0.288. The comparison among the mentioned factors indicated that managers (P=0.000) factor acquired the highest score. In addition, organizational ethical climate did not show any significant association with age, sex, marital status, education status and work experience. The highest score of ethical climate belonged to managers' factor, while the minimum score was related to patients. Regarding the role of ethical climate in the improvement of nurses' performance, planning for enhancing the ethical climate seems to be mandatory.