Clinical profile and drug utilization pattern in an intensive care unit of a teaching hospital in Western Nepal

Abstract

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.