Jain Amit Kumar, Naimi Shahzar, Jain Seema
Department of Ophthalmology, Santosh Medical College and Hospital, Ghaziabad, India.
Nepal J Ophthalmol. 2018 Jul;10(20):130-138. doi: 10.3126/nepjoph.v10i2.23014.
Assessment of prescribing pattern at regular interval is essential to avoid inappropriate use of drugs, especially of antimicrobial drugs.
The present study was performed to evaluate the prescribing pattern of antimicrobial drugs in the Ophthalmology Out-Patient Department (OPD) of Santosh Medical College and Hospital, Ghaziabad, India.
The present study included a total 600 prescriptions of patients attending OPD. A structured proforma was used to record all necessary information of each patient including demographic profi le of patient, diagnosis, total number of drugs and antimicrobials prescribed, group of antimicrobial prescribed, the percentage of antimicrobials prescribed by generic name etc. Results: Total 600 prescriptions were evaluated. Mean age of the study subjects was 28.4 ± 15.05 years. Total 720 antimicrobials were prescribed and the average number of antimicrobial drugs per prescription was 1.2. Fluoroquinolones were most commonly prescribed antimicrobial drugs followed by aminoglycosides and macrolides. 85% of drugs were prescribed in the form of eye drops while 15% were in the form of an ointment. 1.2% of antimicrobial drugs were prescribed by generic names. Out of total antimicrobials drugs, 420 drugs were in the form of fi xed dose combination. Only 1.6% of drugs were prescribed from National Essential Medicines List (NEML) 2015, India.
Most of the antimicrobials were prescribed by brand names which require important consideration to promote rational use of antimicrobial drugs. In addition, the number of drugs prescribed from NEML was very less, indicating the need of sensitization among prescribers for the promotion of rational use of drugs.
定期评估处方模式对于避免药物尤其是抗菌药物的不当使用至关重要。
本研究旨在评估印度加济阿巴德市桑托什医学院和医院眼科门诊抗菌药物的处方模式。
本研究纳入了该门诊600例患者的处方。使用结构化表格记录每位患者的所有必要信息,包括患者的人口统计学资料、诊断、所开药物和抗菌药物的总数、所开抗菌药物的类别、通用名开具抗菌药物的百分比等。结果:共评估了600份处方。研究对象的平均年龄为28.4±15.05岁。共开具了720种抗菌药物,每张处方抗菌药物的平均数量为1.2种。氟喹诺酮类是最常开具的抗菌药物,其次是氨基糖苷类和大环内酯类。85%的药物以滴眼液形式开具,15%以眼膏形式开具。1.2%的抗菌药物以通用名开具。在所有抗菌药物中,420种药物为固定剂量复方制剂。仅1.6%的药物来自2015年印度国家基本药物清单(NEML)。
大多数抗菌药物以商品名开具,这对于促进抗菌药物的合理使用需要给予重要考虑。此外,从NEML开具的药物数量非常少,这表明需要提高开处方者的认识以促进药物的合理使用。