Objectives: To analyze the rationality status of prescriptions and drug utilization pattern in indoor patients of pediatrics department.
Method: The present observational prospective study was undertaken in pediatrics indoor patient department for a period of six months during which data of 100 patients was collected. The prescriptions were analyzed for rationality score and rationality status (rational, semi-rational, irrational) using Phadke’s criteria; a 30 point score system in which choice of drugs and their dose, unnecessary drugs, irrational drugs/combinations and use of hazardous drugs were taken into consideration. Data was also analyzed for drug utilization pattern using WHO- prescribing indicators.
Result: Data of total 100 patients was analyzed, of which 69 were male and 31 were female. Rationality scores of 100 prescriptions were in range of 30 to 19, with mean rationality score of 28.4%. Of 100 prescriptions, 91 were rational and 9 were semi-rational. Main reason for getting less score were improper dose and use of second choice drug or wrong selection of drug. Average number of drugs used was 6.01 per patient. 54.76% drugs were prescribed by generic name, 33.33% by brand name and 11.90% by both. Drugs prescribed from WHO-EML for children were 48.81%. Antimicrobials were prescribed for 93 patients, of which most common were amoxicillin+ clavulanic acid, ceftriaxone and cefotaxime.
Conclusion: Though the results reflect rational prescribing in pediatrics department of our set up, there is still scope of improvement in areas of dosage calculation, proper documentation, prescribing drugs by generic name and from WHO-EML for children as far as possible
Prescription audit, Drug utilization pattern, Rational drug utilization