Jul-Sep, 2012 - Indian Journal of Pharmacy Practice
Jul-Sep, 2012 - Indian Journal of Pharmacy Practice Jul-Sep, 2012 - Indian Journal of Pharmacy Practice
Mohammed Saleem TK - Assessment of Drug Prescribing Patterns in Dermatology Outpatient Department in a Tertiary Care Hospital, Malabar, KeralaFig. 12: Figure showing pattern of miscellaneous drug prescribedFig. 13: Figure showing WHO prescribing indicatorsFig. 14: Figure showing disease distribution among thestudy groupmainly consult the physician. None of the patients presentedwith Hansen's disease in this study is due to the fact that suchpatients mainly attend leprosy and TB centers where themedicines (MDT) are given free of cost. Our study had fewlimitations. The pharmacotherapeutic aspect of theprescription in relation to health problem or diagnosis of thepatients was not assessed. The study was carried out over asix-month period and seasonal variations in disease patternsmay not have been taken in to account. The study was carriedout during autumn-winter season. A similar study over alonger period of time which can nullify the effect of seasonalvariations should be explored further in future studies.CONCLUSIONThis study is mainly focused on the dermatological diseasepattern, prescribing pattern of drugs in Dermatologyoutpatient department. The study suggests that there isimmense scope of improvement in prescribing in thisdepartment. This study reveals that generic prescription isvery low and suggests that effort must be made to encourageprescribers for generic prescribing which may have amultitude of benefits including cost effectiveness. Thepercentage of encounters with an injection and systemicsteroids was low. This is a welcome sign and has to beencouraged. Having a steroid and antibiotic prescribingpolicy will go a long way to minimizing inappropriateprescriptions. Also, standard treatment guidelines for thetreatment of common disease should be formulated.REFERENCES1. World Health Organization. Bulletin of the World HealthOrganization vol.83: November 12, December 2005;881-968.2. Bijayanti D, Zamzachin G. Pattern of skin diseases in Imphal.Indian Journal Dermatology 2006, 51:149-50.3. Bhartiy SS, Shinde M, Nandeshwar S, Tiwari SC. Pattern ofprescribing practices in the Madhy Pradesh, India. Kathmanduuniversity medical journal 2008; 6(1)21:55-9.4. World Health Organization. The World Health Report: Fightingdisease fostering development. Geneva, World HealthOrganization 1996.5. World Health Organization. The World Medicines Situation.Geneva, World Health Organization 2004.6. Manoj KS, Ashish KY, Pankaj G, Ashish S. Comparative studyof prescribing behaviors of government doctors of teachinghospital and private practitioners in Jhalawar City (Rajasthan).J. Pharm. Sci. & Res. 2010; 2(4):208-15.7. Shankar PR, Pai R, Dubey AK, Upadhyay DK. Prescribingpatterns in the orthopaedics outpatient department in a teachinghospital in Pokhara, western Nepal. Kathmandu UniversityMedical Journal 2007; 5(1):16-21.8. World Health Organisation. Promoting rational use ofmedicines: core components. World health organization,Geneva 2002.9. World Health Organisation. How to investigate drug use inhealth facilities: selected drug indicator. Geneva, World HealthOrganisation 1993. WHO /DAP/93.1.10. Alam K, Mishra , Prabhu M, Shankar PR, Palaian S, BhandariRB, Bista D. A study on rational drug prescribing and dispensingin outpatients in a tertiary care teaching hospital of WesternNepal. Kathmandu University Medical Journal 2006; 4(4):436-443.Indian Journal of Pharmacy Practice Volume 5 Issue 3 Jul - Sep, 2012 67
Mohammed Saleem TK - Assessment of Drug Prescribing Patterns in Dermatology Outpatient Department in a Tertiary Care Hospital, Malabar, Kerala11. Thawani V.R., Motghare V.M., Dani A.D, Shelgaonkar S.D.Therapeutic audit of Dermatological prescription. Indian Journalof Dermatology 1995:40(1).12. Sarkar C, Das B, Sripathi H. Drug prescribing pattern inDermatology in a teaching hospital in western Nepal. Journal ofNepal Medical Association 2001:41:241-613. Nazima Y. Mirza, Sagun Desai and Barna Ganguly. Prescribingpattern in a pediatric out-patient department in Gujarat.Bangladesh J Pharmacology 2009; 4:39-42.14. Sarkar C, Das B, Sripathi H. Drug prescribing pattern inDermatology in a teaching hospital in western Nepal. Journal ofNepal Medical Association 2001:41:241-4615. Muhammad J, Chandar J. Pediatric dermatology: an audit atHamdard University Hospital, Karachi. Journal of PakistanAssociation of Dermatologists 2006; 16:93-616. Margaret R K, Therese A S, Virginia U. Reported Use ofPhotosensitizing Medications and Basal Cell and SquamousCell Carcinoma of the Skin. Journal of InvestigativeDermatology 2007; 127, 2901–2903; doi:10.1038/ sj.jid.5700934.17. Maria K, Sridhar KS, Pramod K, Gat R. Pattern of skin diseasesin Bantwal Taluq, Dakshina Kannada. Indian J DermatolVenereol Leprology 2000; 66:247-248.18. GS Rao, Kumar SS, Sandhya. Pattern of skin diseases in anIndian village. Indian Journal of medicinal science 2003;57:108-110.Indian Journal of Pharmacy Practice Volume 5 Issue 3 Jul - Sep, 2012 68
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Mohammed Saleem TK - Assessment <strong>of</strong> Drug Prescribing Patterns in Dermatology Outpatient Department in a Tertiary Care Hospital, Malabar, Kerala11. Thawani V.R., Motghare V.M., Dani A.D, Shelgaonkar S.D.Therapeutic audit <strong>of</strong> Dermatological prescription. <strong>Indian</strong> <strong>Journal</strong><strong>of</strong> Dermatology 1995:40(1).12. Sarkar C, Das B, Sripathi H. Drug prescribing pattern inDermatology in a teaching hospital in western Nepal. <strong>Journal</strong> <strong>of</strong>Nepal Medical Association 2001:41:241-613. Nazima Y. Mirza, Sagun Desai and Barna Ganguly. Prescribingpattern in a pediatric out-patient department in Gujarat.Bangladesh J Pharmacology 2009; 4:39-42.14. Sarkar C, Das B, Sripathi H. Drug prescribing pattern inDermatology in a teaching hospital in western Nepal. <strong>Journal</strong> <strong>of</strong>Nepal Medical Association 2001:41:241-4615. Muhammad J, Chandar J. Pediatric dermatology: an audit atHamdard University Hospital, Karachi. <strong>Journal</strong> <strong>of</strong> PakistanAssociation <strong>of</strong> Dermatologists 2006; 16:93-616. Margaret R K, Therese A S, Virginia U. Reported Use <strong>of</strong>Photosensitizing Medications and Basal Cell and SquamousCell Carcinoma <strong>of</strong> the Skin. <strong>Journal</strong> <strong>of</strong> InvestigativeDermatology 2007; 127, 2901–2903; doi:10.1038/ sj.jid.5700934.17. Maria K, Sridhar KS, Pramod K, Gat R. Pattern <strong>of</strong> skin diseasesin Bantwal Taluq, Dakshina Kannada. <strong>Indian</strong> J DermatolVenereol Leprology 2000; 66:247-248.18. GS Rao, Kumar SS, Sandhya. Pattern <strong>of</strong> skin diseases in an<strong>Indian</strong> village. <strong>Indian</strong> <strong>Journal</strong> <strong>of</strong> medicinal science 2003;57:108-110.<strong>Indian</strong> <strong>Journal</strong> <strong>of</strong> <strong>Pharmacy</strong> <strong>Practice</strong> Volume 5 Issue 3 <strong>Jul</strong> - <strong>Sep</strong>, <strong>2012</strong> 68
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