Study on Steroid Utilization Pattern in a Tertiary Care Teaching Hospital

Published on:August 2017
Indian Journal of Pharmacy Practice, 2017; 10(2):96-103
Research Article | doi:10.5530/ijopp.10.2.19


Study on Steroid Utilization Pattern in a Tertiary Care Teaching Hospital


Authors and affiliation (s):

Arjan Aryal1*, Keshav Kunwar1, Sepideh Shadvar1, Sanju Kharel1, Rajeswari Ramasamy2, Gopalakrishna Shashidhar3, Samayam Aneesh4, Teena Nazeem5

1Pharm.D Intern, Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bangalore, Karnataka, INDIA

2Associate Professor, Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bangalore, Karnataka, INDIA

3Department of General Medicine, MVJ Medical College and Research Hospital, Bangalore, Karnataka, INDIA

4Department of Dermatology, MVJ Medical College and Research Hospital, Bangalore, Karnataka, INDIA

5Department of Pharmacy Practice, Krupanidhi College of Pharmacy, Bangalore, Karnataka, INDIA

Abstract:

Background: Rational use of corticosteroids is very essential for improving patient safety on long term use. Aim: To study the prescribing pattern of steroids in teaching hospital. Method: A prospective observational study was conducted in the department of dermatology and general medicine in a tertiary care teaching hospital for the period of 6 months. All patients receiving any category of Steroid therapy were included and the prescribing and tapering pattern of steroids were reviewed. Result: Prescribing pattern was observed and analysed in 226 participants during the study period. Steroids were prescribed for various Respiratory illnesses (59.32 %) and Skin related conditions (33.18%). The steroid utilization was found to be more in elderly patients, particularly males. Inhaler administration was common in 44.5% of cases. Budesonide was the most commonly prescribed (43.45%) followed by Prednisolone (15.25%) and Hydrocortisone (14.91%). Budesonide + Hydrocortisone were the most common therapy given in combination (35.19%). In topical preparation, Ultra potent Steroid Clobetasol (45.93%) was commonly prescribed and in Systemic Preparation, Intermediate acting steroid Prednisolone (37.82%) was used. Most drugs were prescribed rationally although some factors like improper history, drug administration time and tapering were deviating away from rationality. Conclusion: Not much variation was found in the pattern of prescription amongst the healthcare professionals. Although most of the drugs were prescribed rationally, involvement of a Clinical pharmacist in patient care can help in more rational prescribing along with prevention and early detection of ADRs which can directly promote drug safety and better patient outcomes.

Key words: Prescribing pattern, Rationality, Tapering, Steroids, General Medicine, Dermatology.




 

The Official Journal of Association of Pharmaceutical Teachers of India (APTI)
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