Drug utilization study for GIT disorders as a teaching methodology for rational prescribing for second professional MBBS students in tertiary care teaching hospital

Abstract

Background: Drug utilization study is a teaching tool for teaching clinical pharmacology for MBBS students has been practised by various pharmacologist. (1)
Our objective was to introduce teaching pharmacology at bed side, which will impart changes in knowledge, attitude and practices among 2nd Prof MBBS students of a tertiary care teaching hospital.
Method: Total number of 205 patients suffering from GIT disorders were followed and their prescriptions were entered into a pre-structured proforma. This was done at SGRRIM&HS Medical College, Dehradun by IInd Prof MBBS students in the department of Pharmacology.
Prescriptions were analysed on various WHO drug use indicators like drug formulations, drugs per prescription, fixed drug combinations (FDC) Drugs prescribed from NLEM and prescribed by Generic names.
Results: Total number of 205 prescriptions were collected from IPD of Hospital by IInd Prof MBBS students. These prescription details were collected only those who were suffering from various GIT ailments. 38% were male, 62% were females. Maximum number of patients were suffering from viral hepatitis, 62 followed by Diarrhoea and cholecystitis and related disorders 21 each. Total 1105 number of drugs were utilised among 205 patients. Out of which Antibiotics were 343 followed by Antacids, Hepato-protective agents etc. Out of these medications oral route was the most commonly used for medication 54% followed by injectable 492 etc. Various antibiotics like piperacillin + Tazobactum, Metronidazole, Cefuroxime, Ofloxacin, Amikacin were commonly prescribed drug. It has been observed that 679 drugs were from NEML.
Conclusion: Majority of the drugs were prescribed from NEML. Majority were prescribed by their brand names. Polypharmacy was observed in this study.