DRUG UTILIZATION PATTERN FOR SKIN DISEASES IN DERMATOLOGY OPD AT TERTIARY CARE HOSPITAL OF WESTERN MAHARASHTRA
AbstractBackground: Periodic auditing of prescriptions in terms of drug utilization study is an important tool to enhance theÂ efficacy of the treatment, to decrease the risk of the adverse effects, to give cost-effective treatment and to provideÂ useful feedback to the clinician. Prevalence of dermatological diseases is very high throughout the world, and in day toÂ day practice, a quarter of the cases are related to dermatological manifestations. In studies conducted in the Out PatientÂ Department (OPD) of dermatology in North Palestine and Western Nepal, irrationalities in the prescriptions haveÂ been reported. Aim: To study the drug utilization pattern for skin diseases in dermatology OPD at tertiary care hospital of Western Maharashtra. Methodology: The retrospective analysis of dermatology OPD records of 6 months (1stÂ March 2018- 31st August 2018) was carried out during the study period (1st September 2018 to 30th November 2018).Â The proforma for collecting data was designed. Demographic details, diagnosis and treatment are given for each patientÂ were recorded. The data collected was condensed, and the master chart was prepared for data analysis. Result: DuringÂ the study period, a total of 3869 patientâ€™s case records were studied and analysed. A maximum number of patientsÂ (26.5%) found in the age group 31-40 years, followed by 23.5% of patients in the age group 21- 30 years. Fungal infection was found in 39.6 % of patients followed by acne in 14.2% patients and eczema in 9.1% of patients. DrugsÂ most commonly prescribed were antihistaminics (45.02%) followed by antifungal (39.6%) and steroids (27.8%).Â Levocetirizine (74.07%) and hydroxyzine (16.5%) were the most commonly prescribed antihistaminics. ItraconazoleÂ (58.17%) and Griseofulvin (24.67%) were the most commonly used oral antifungal drugs. Miconazole (73.73%) wasÂ the most commonly used topical antifungal drug, followed by ketoconazole (12.45%). Among steroids, prednisoneÂ (52%) and betamethasone (38.05%) were the most commonly used steroids by oral route while clobetasol (68.09%)Â and mometasone (19.5%) were the most commonly used steroids by topical route. Our study revealed that the percentage of drugs prescribed by the WHO essential drug list was only 23.87%. Drugs which prescribed by the generic names were less than <1%. Conclusion: Treatment protocols used in the management of skin disorders were near toÂ the standard guidelines.Â
Copyright (c) 2019 Kiran P Vakade, Vishal A Indurkar, Aayush H Chordia
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