Department of Community Medicine, SRM Medical College Hospital and Research Center, Kattankulathur, Tamil Nadu, India.
Indian J Pharmacol. 2013 May-Jun;45(3):252-7. doi: 10.4103/0253-7613.111931.
Studying drug use pattern among medical practitioners is of vital importance in the present scenario where irrational drug use and development of drug resistance is becoming rampant.
To assess, the pattern of prescribing practices among the general practitioners in a defined rural and urban area of Tamil Nadu.
A community based descriptive study was conducted to collect 600 prescriptions from the catchment areas of rural and urban health training centers of a medical college using prescribing indicators as per the WHO "How to investigate drug use in health facilities" tool.
This prescription study revealed that multivitamins (19.5%), antibiotics (19.3%), drugs for gastro-intestinal tract (GIT) (18%), analgesic non-steroidal anti-inflammatory drugs/ (NSAID's) (15.1%), and antihistaminic (12.5%) were prescribed frequently. Among the antibiotics, amoxicillin (49.2%) was the most commonly prescribed followed by gentamicin (31.7%). Percentage of prescriptions with an antibiotic was 55% and nearly 62% of the practitioners prescribed drugs by their generic names. As a practice of poly-pharmacy, it was observed that the average number of drugs prescribed in urban and rural area was nearly 5 and 4, respectively. Nearly 80% of the urban and rural practitioners were prescribing at least one injection. Study of the quality of prescriptions revealed that there was poor legibility, high usage of abbreviations, inadequate details of the drugs, and absence of signature by practitioners in the prescriptions.
This study clearly highlights the practice of poly-pharmacy, low usage of generic drugs, injudicious usage of antibiotics and injections and low usage of drugs prescribed from essential drugs list.
在当前不合理用药和耐药性发展猖獗的情况下，研究医务人员的用药模式至关重要。
评估泰米尔纳德邦一个既定农村和城市地区的全科医生的处方模式。
采用基于社区的描述性研究，使用世界卫生组织“如何调查卫生保健机构的药物使用情况”工具中的处方指标，从一所医学院的农村和城市卫生培训中心的集水区收集 600 张处方。
这项处方研究表明，经常开的药物有多种维生素（19.5%）、抗生素（19.3%）、胃肠药物（18%）、镇痛药非甾体抗炎药/（NSAID's）（15.1%）和抗组胺药（12.5%）。在抗生素中，阿莫西林（49.2%）是最常开的处方，其次是庆大霉素（31.7%）。开抗生素的处方比例为 55%，近 62%的医生以通用名开处方。作为多药并用的一种做法，观察到城市和农村地区的平均处方数分别接近 5 种和 4 种。近 80%的城市和农村医生至少开一种注射剂。对处方质量的研究表明，处方的清晰度较差，缩写使用较多，药物详细信息不足，医生未在处方上签名。
这项研究清楚地强调了多药并用、通用名药物使用率低、抗生素和注射剂使用不当以及基本药物清单中规定药物使用率低的情况。
