Prescribing Practices in the Outpatient Department in a Tertiary Care Teaching Hospital in Bangladesh

Authors

  • Mohammad Afsan Associate Professor & Head, Department of Pharmacology, East-West Medical College, Dhaka
  • Muhammad Mahbubul Alam Assistant Professor, Department of Pharmacology, Popular Medical College, Dhaka
  • Nushrat Noor Assistant Professor, Department of Physiology, Dhaka Central International Medical College, Dhaka
  • AH Hamid Ahmed Associate Professor, dept. of Nephrology, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/updcj.v2i2.15483

Keywords:

Prescribing pattern, Essential drug, Rational use of drug

Abstract

A cross-sectional descriptive study was carried out among individuals attending the Out Patient Department (OPD) of Medicine, Paediatrics, Dermatology & Venerology, ENT, Orthopaedics and Gynaecology & Obstetrics from December 2011 to March 2012 in East-West Medical College Hospital, Dhaka, Bangladesh, to see the patterns of prescriptions using World Health Organization (WHO) core prescribing indicators and some additional indices. A total of 300 prescriptions were collected and analyzed by the 3rd year MBBS students in this study. The average number of drugs per encounter was 3.22 and 5.33% drugs were prescribed by generic name. Use of antibiotic (48.67% of encounters) was frequent, but injection use (6.67% of encounters) was within the recommendation of WHO. Only 26.09% drugs were prescribed from national essential drug list. Percentage of encounters with a NSAID, an anti-ulcerant, an antihistamine, a calcium preparation and a multivitamin & multimineral prescribed were 44.33%, 43.33%, 22.33%, 19.33% and 15.67% respectively. So, the findings from current study showed a trend towards inappropriate prescribing, particularly the over-prescribing of antibiotics and under-prescribing of generic drugs and also most of the drugs were prescribed out of national essential drug list. Hence, there would be needed for effective intervention program to encourage the physicians and healthcare providers in promoting more appropriate drug use.

DOI: http://dx.doi.org/10.3329/updcj.v2i2.15483

Update Dent. Coll. j: 2012; 2 (2): 13-17

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Published

2013-06-28

How to Cite

Afsan, M., Alam, M. M., Noor, N., & Ahmed, A. H. (2013). Prescribing Practices in the Outpatient Department in a Tertiary Care Teaching Hospital in Bangladesh. Update Dental College Journal, 2(2), 13–17. https://doi.org/10.3329/updcj.v2i2.15483

Issue

Vol. 2 No. 2 (2012)

Section

Original Articles

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