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- Title
Drug utilization pattern in critical care unit in a tertiary care teaching hospital in India.
- Authors
Patel, Mahendra K.; Barvaliya, Manish J.; Patel, Tejas K.; Tripathi, C. B.
- Abstract
Aims: The aim of this study is to evaluate the drug utilization pattern and pharmacoeconomic analysis in critical care unit (CCU). Materials and Methods: Indoor case papers of patients admitted in CCU between January 2008 and December 2010 were analyzed for demographic variables; indications; duration of CCU stay; proportion of common drugs used. Use of antimicrobials was evaluated based on the culture report and empirical regimen used. Defined daily dose (DDD)/100 bed-days were calculated. Various World Health Organization prescribing indicators were evaluated. Cost of drugs was calculated from Indian Drug Review (2010). Results: A total of 397 cases were evaluated with a mean age of 44.62 years (95% confidence interval [CI]: 42.56-46.69). Average duration of CCU stay was 4.15 days (95% CI: 3.79-4.51). The average number of drugs prescribed per patient was 13.54 (95% CI: 13.05-14.04). Total drug utilization in terms of DDD/100 bed-days was 226.27. Metronidazole, cefotaxime, atropine, adrenaline, dopamine, dobutamine, deriphyllin, ranitidine, metoclopramide and furosemide were prescribed in more than 30% cases. Number of antimicrobials prescribed per patient was 2.50 (95% CI: 2.37-2.66). Cefotaxime + metronidazole (26.70%) were the most common empirical regimen used. Average cost of treatment per patient was Rs 3225.70 (95% CI: 2749.8-3701.6). Higher economic burden was noted among expired patients and admitted due to medical + surgical indication (P < 0.05). Conclusion: Poly-pharmacy and use of antimicrobials without culture report is a common problem in CCU.
- Subjects
ANTI-infective agents; INTENSIVE care units; DRUG utilization; DRUG therapy; MEDICAL care use; DRUG prescribing; PUBLIC health
- Publication
International Journal of Critical Illness & Injury Science, 2013, Vol 3, Issue 4, p250
- ISSN
2229-5151
- Publication type
Article
- DOI
10.4103/2229-5151.124128