International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 2, Issue 1 (2016)

A study of rationality of prescriptions & analysis of drugs prescribed among patients in a tertiary care teaching hospital of Kerla, India


Reshma V, Dr. P.P Venugopal

Objective: Irrational prescribing is a common problem in drug use. Rational prescribing can prevent & avoid this. The present study was undertaken to evaluate the rationality of prescriptions according to WHO core drug use indicators. Materials & Methods: 1070 prescriptions from in-patient departments were randomly analysed for rational prescribing retrospectively for 5 months (from July to November 2014) based on WHO drug use indicators. Results: Prescribing of brand name (54.11%) was more common than generic name (45.89%). An average of 5.3 drugs were prescribed per person. 6.63% of prescriptions were partially legible or no treatment was recorded in treatment chart.90.18% of total drugs prescribed were from EDL & 7.85% of prescriptions had fixed dose combinations. Cephalosporins were the most commonly prescribed antibiotics. 3.36% of prescriptions have nil/incomplete diagnosis. Injectables were prescribed in 74.50% admissions. Conclusions: Prescribing by generic name is to be promoted to avoid confusion in understanding prescriptions; this also adheres to WHO standards of rational prescribing. Also emphasis should be given to promote use of drugs from EDL & to avoid incomplete/illegible prescriptions & to properly diagnose all the cases treated at the hospital.
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