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Assessment of Prescribing Patterns Using WHO Core Drug Use Indicators at Hospitals in Sindh, Pakistan.

  • At: PPR SIG 2021 (2021)
  • Type: Digital
  • By: SAHITO, Razia Sultana (Peoples University of Medical and Health Sciences for Women Nawab shah SBA, Pakistan)
  • Co-author(s): Razia Sultana Shaib Muhammad
  • Abstract:


    Drug use pattern is a complex subject that involves the prescriber, the dispenser, the facility, and the patient. It is affected by elements including availability of the drug, experience of the prescriber, knowledge of the pharmacist dispensing the drug, health economics, cultural factors and others. Rational use of medication not only saves life, limit toxicity and minimize adverse events but also reduce health care costs. Inappropriate use of medications is a dilemma everywhere, but is greater in emergent nations like Pakistan.


    To evaluate prescribing pattern using WHO/INRUD core drug use indicators at two government hospitals in Sindh, Pakistan.


    Retrospective and prospective cross-sectional observational study was carried out at two hospitals; data were collected using pretested questionnaire (adapted from WHO) from 600 prescriptions present in pharmacies and from 200 patients. Data was recorded and evaluated using SPSS V 24 (Statistical Package for Social Sciences).


    In current study 200 patients were recruited from two hospitals among them majority 122(61.00%) were male. Most affected 85(42.5%) patients were from age group of 45-55 years with mean age 51.96 STD. ±10.22. Patients were prescribed average 2.722 ±0.9610 drugs per consultation in PUMHSW and 2.931±0.7700 in LUMHS. Prescriptions with antibiotic encounter were 283 (47.17%) and 352 (58.677%) respectively. The average consultation time was 4.82 minutes and 5.66 minutes and the mean pharmacy dispensing time was 105 seconds and 119 seconds respectively. Prescribing by generic and from EDL was 100%. From both hospitals knowledge on drug dispensed was 33(33.00%) and 57(57.00%) respectively. Observations of prescribing practices revealed that Captopril, Omeprazole and Paracetamol were the most prescribed agents.


    In our study we found that average drugs prescribed were more than the acceptable limit. Consultation time was shorter which could influence knowledge of patient regarding drug use. Moreover, need to design strategies for upgradation of drug and therapeutics committee.

Last update 4 October 2019

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