Join us   Log in  

PHARMASPIRE - Volume 10, Issue 2, April - June, 2018

Pages: 95-97

Date of Publication: 14-Jun-2022

Print Article   Download XML  Download PDF

Drug utilization study in patients attending emergency department at a tertiary care hospital in Punjab: A prospective observational study

Author: Neha Joshi, Amit Sharma, Ashish Baldi , Dinesh Kumar Sharma

Category: Pharmaceutics


Drug utilization study is to make possible the intelligent use of medicines in populations. Trend of drug usage is studied to determine the incidence and prevalence of usage of drugs, to analyze whether the recommended guidelines for prescription are being followed or not. This is a prospective observational study of (N = 260) patients who were admitted in the Emergency Department of Guru Gobind Singh Medical College and Hospital, Faridkot and Garg Hospital, Moga, Punjab. A total of 260 prescriptions were analyzed and sum of drugs prescribed was 1449. The mean of drugs prescribed per prescription (World Health Organization indicator of standard prescription) was 5.70 ± 0.212. Of sum of drugs encountered, i.e., 1449, 71.35% (1034) of the drugs were administered through injectable form. The most common disease or condition which was responsible for emergency admission was metabolic disorder (N = 47) followed by cardiovascular disease (N = 44). It was also estimated that polypharmacy was commonly prevalent in most of the prescription analyzed. Of 260 patients, 63.5% (N = 165) of patients were on polypharmacy. Our study concluded that polypharmacy was more often practiced; hence, there is a need to restrict polypharmacy as it is a matter of concern to decrease incidence of drug interactions and adverse drug reactions too. The antibiotics were the most commonly prescribed drugs; hence, there should be rational use of antibiotics. Even overuse of proton-pump inhibitors and overdosing antibiotics are areas of concern.

Keywords: Drugs, drug utilization evaluation, emergency department, polypharmacy


1. Jimoh AO, Etuk EU, Sani Z, Shuaibu HA. The pattern of antibiotic use in a family medicine department of a tertiary hospital in Sokoto, north western Nigeria. J Clin Diag Res 2011;5:566-9.

2. Teferra A, Zeruesenay D, Asfawossen GY. Prescribing pattern of drugs in medical wards of three hospitals in north-west Ethiopia. J Ethiopia Med Pract 2002;4:8-1.

3. Rehana HS, Nagarani MA, Rehan MA. Study on the drug prescribing pattern and use of antimicrobial agents at tertiary care teaching hospital in eastern Nepal. Indian J Pharmacol 1998;30:175-80.

4. Akhtar MS, Divya V, Pillai K, Kiran D, Roy MS, Najmi AK, et al. Drug prescribing practices in pediatric department of a north Indian university teaching hospital. Asian J Pharm Clin Res 2012;5:146-9.

5. David S. Textbook of Emergency Medicine. 1st ed. India: Lippincott Williams and Wilkins; 2011. p. 1155-6.

6. Cheekavolu C, Pathapati RM, Babasaheb Laxmansingh K, Saginela SK, Makineedi VP, Siddalingappa, et al. Evaluation of drug utilization patterns during initial treatment in the emergency room: A Retroprospective pharmacoepidemiological study. ISRN Pharmacol 2011;2011:261585.

7. Barot PA, Malhotra SD, Rana DA, Patel VJ, Patel KP. Drug utilization in emergency medicine department at a tertiary care teaching hospital: A prospective study. J Basic Clin Pharm 2013;4:78-81.

8. Kaur S, Rajagopalan S, Kaur N, Shafiq N, Bhalla A, Pandhi P, et al. Drug utilization study in medical emergency unit of a tertiary care hospital in north India. Emerg Med Int 2014;2014:973578.

9. Sharif SI, Al-Shaqra M, Hajjar H, Shamout A, Wess L. Patterns of drug prescribing in a hospital in Dubai, United Arab emirates. Libyan J Med 2007;3:10-2.

10. Jung R, MacLaren R. Proton-pump inhibitors for stress ulcer prophylaxis in critically III patients. Ann Pharmacother 2002;36:1929-37.