Evidence map›Paper›PMID 39723006›Full record

ArticleJournal of family medicine and primary care2024

Analysis of the pattern of drug use using WHO core drug indicators among general OPD patients in rural Puducherry.

Sivagami Kanagasabapathy, Anandaraj Rajagopal, Vignesh Murugan, Maharani Balagurumoorthy, Kavita Vasudevan

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Article in Journal of family medicine and primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sivagami KanagasabapathyDepartment of Community Medicine, KMCH IHSR, Coimbatore, Tamil Nadu, India.
Anandaraj RajagopalDepartment of Community Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Vignesh MuruganDepartment of Community Medicine, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research, Melmaruvathur, Tamil Nadu, India.
Maharani BalagurumoorthyDepartment of Pharmacology, Indira Gandhi Medical College and Research Institute, Puducherry, India.
Kavita VasudevanDepartment of Community Medicine, Indira Gandhi Medical College and Research Institute, Puducherry, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prescription auditing is a crucial tool for evaluating a range of concerns, including injectable usage, polypharmacy, the use of generic names, and the quality of treatment given to patients in primary care facilities. The objective of the study was to assess, using WHO core drug use indicators, the drug use patterns of general outpatients (OPD) at a rural healthcare facility. Materials and Methods: A cross-sectional study was conducted in a rural peripheral health centre in Puducherry for a period of one year from September 2019 to August 2020. A total of 1200 prescriptions were analysed using the World Health Organization/International Network of Rational Use of Drugs (WHO/INRUD) monitoring tool to evaluate the prescription practices. Prescriptions of consenting patients attending OPD for general ailments were included in the study. Three to four prescriptions were chosen randomly on a daily basis. Patients who attended special clinics were excluded. The data was entered and analysed in MS Excel. Results: The average number of drugs per encounter was 3.10. The number of drugs prescribed by generic name was 65.7% and 39.8% of the encounters had antibiotics prescribed. Around 23.0% of the prescriptions contained injections. Of the prescribed drugs, 97.4% were available in the essential drug list. The average dispensing time observed was 20.80 sec. Out of the 3723 drugs prescribed 92.2% were actually dispensed and 77.5% were adequately labelled. Out of the 1200 patients interviewed regarding the dosage 72.0% had knowledge regarding the correct dosage. The health centre had a copy of the essential drug list and 83.0% of the drugs were available from the key drug list. Conclusion: Many indicators had shown sub-optimal values when compared to the recommended ones by WHO/INRUD. Timely interventions like continuing medical education for budding physicians, improving the doctor-population ratio, adequate number of pharmacists in public health facilities will improve prescription practices which in turn may contribute to mitigating antimicrobial resistance.

Indexed as

Polypharmacyprescription auditingprimary health carePuducherryWorld Health Organisation core drug use indicators

Identifiers

PMID39723006
PMCPMC11668387

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