Clinical profile and drug utilization pattern in an intensive care unit of a teaching hospital in Western Nepal
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Author(s)
Paudel, Raju
Palaian, Subish
Giri, Bishnurath
KC, Hom
Sah, Anil K.
Poudel, Arjun
Khanal, Saval
Shankar, PR
Griffith University Author(s)
Year published
2011
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Objective: To analyze the clinical profile of patients admitted
to the intensive care unit (ICU) of Manipal Teaching Hospital
(MTH) at Pokhara, Nepal, identify the commonly prescribed
drugs, drug categories, dosage forms, antimicrobials,
sensitivity pattern of antimicrobials and the treatment
outcomes.
Materials and Methods: A cross sectional, descriptive study in
which he case records of all the patients admitted in the ICU
during 1st August to 30th September, 2007 were collected and
the details were entered in the patient profile form. The filled
patient profile forms were retrospectively analyzed as per the
study ...
View more >Objective: To analyze the clinical profile of patients admitted to the intensive care unit (ICU) of Manipal Teaching Hospital (MTH) at Pokhara, Nepal, identify the commonly prescribed drugs, drug categories, dosage forms, antimicrobials, sensitivity pattern of antimicrobials and the treatment outcomes. Materials and Methods: A cross sectional, descriptive study in which he case records of all the patients admitted in the ICU during 1st August to 30th September, 2007 were collected and the details were entered in the patient profile form. The filled patient profile forms were retrospectively analyzed as per the study objectives. Results: Altogether, 201 patients [males 101 (50.25%)] were admitted. Most common diagnosis was ‘Myocardial Infarction /Ischemic heart disease’ [13.96 % (n=62)]. The median (interquartile range) of the ICU stay was 3 (2-4) days. Cardiovascular drugs [31.7% (n=761) were the most commonly prescribed. Among the antimicrobials, metronidazole was most commonly prescribed followed by ceftriaxone. The morality rate in the ICU was 17.41 % and the major causes of mortality were cardiovascular and respiratory diseases. Conclusion: Antimicrobials was the most common drug category used in the ICU and ‘pantoprazole’ was the most commonly prescribed individual drug. Cardiovascular and respiratory diseases were major causes of death in the ICU.
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View more >Objective: To analyze the clinical profile of patients admitted to the intensive care unit (ICU) of Manipal Teaching Hospital (MTH) at Pokhara, Nepal, identify the commonly prescribed drugs, drug categories, dosage forms, antimicrobials, sensitivity pattern of antimicrobials and the treatment outcomes. Materials and Methods: A cross sectional, descriptive study in which he case records of all the patients admitted in the ICU during 1st August to 30th September, 2007 were collected and the details were entered in the patient profile form. The filled patient profile forms were retrospectively analyzed as per the study objectives. Results: Altogether, 201 patients [males 101 (50.25%)] were admitted. Most common diagnosis was ‘Myocardial Infarction /Ischemic heart disease’ [13.96 % (n=62)]. The median (interquartile range) of the ICU stay was 3 (2-4) days. Cardiovascular drugs [31.7% (n=761) were the most commonly prescribed. Among the antimicrobials, metronidazole was most commonly prescribed followed by ceftriaxone. The morality rate in the ICU was 17.41 % and the major causes of mortality were cardiovascular and respiratory diseases. Conclusion: Antimicrobials was the most common drug category used in the ICU and ‘pantoprazole’ was the most commonly prescribed individual drug. Cardiovascular and respiratory diseases were major causes of death in the ICU.
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Journal Title
Archives of Pharmacy Practice
Volume
2
Issue
4
Publisher URI
Copyright Statement
© The Author(s) 2011. This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the original work is cited properly.
Subject
Intensive care
Clinical pharmacy and pharmacy practice