Prescribing Pattern Analysis in Ureteric Calculus at a Tertiary Care Hospital, Erode, Tamil Nadu
Abstract
Urolithiasis is one of the most common medical condition of genito-urinary tract which affecting almost 5-15% of the world population and nearly 12 % in India. Nearly 50% of affected patients will have recurrence within 5 years, making it a lifetime disease. Since it is a recurrent condition, the treatment options are not satisfactory for the cure or prevention of ureteric calculus. The present study is mainly evaluating the prescribing pattern of ureteric calculus in a tertiary care center. A retrospective observational study was conducted with 105 prescriptions in the in-patient department of urology in a tertiary care center. The data collected were analyzed by MS Excel sheet & descriptive analysis. It was found that, 72.38% of patients were undergone surgery whereas 21.61% were treated with only drugs. Febuxostat and Hydrochlorothiazide were found to be the mainstay treatment options for the non-surgery patients. Acetaminophen + Diclofenac (375mg) was the most commonly used analgesic (65.71%) in all types of patients. Inj.Amikacin (1g) was the highly prescribed (24.04%) antibiotic during hospitalization and it switched over to T.Trimethoprim+ Sulfamethoxazole (960mg) (26.33%) during discharge. Out of 28 prescribed medicines, 17 were prescribed as per NLEM 2021. The study concluded that, the patients were treated rationally, but there should be a proper intervention on the drugs which are not in the list of NLEM for their use. The use of parentral antibiotics was high, so knowledge among the physicians should be improved by following the updated guidelines and continuous education on urology cases.
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