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Abstract

ASSESSMENT OF DRUG RELATED PROBLEMS IN OBSTETRICS AND GYNAECOLOGY IN A TERTIARY CARE HOSPITAL

Roshiny Thankam James*, R. Yogananda and Anjaly Aravind

ABSTRACT

In current research, assessment of drug related problems (DRPs) in OBG was done. The objective behind the research was to identify the drug related problems like adverse drug reactions (ADRs), drug interactions (DI), over dose (OD), under dose (UD), treatment without indication (TWI), untreated indication (UTI). DRP admissions have been significantly increased over the past few decades. DRP is defined as an event or circumstance that involves a patient‟s drug treatment that acutually or potentially, interfers with the achievement of an optimal outcome. From current research, 200 cases are collected. Out of 200 patients, 130 patients are identified with atleast one drug related problems.258 DRPs are identified. In that 128 drug interactions,7 treatment without indication, 25 untreated indication, 5 lower dose, 9 under dose, 33 ADRs, 5 drug duplication. Therefore, drug related problems are prevalent in hospital in-patients. Pharmacists can play important role to identify and resolving DRPs. Thus, it can be concluded this study can be beneficial for the assessment of drug related problems in Obstetrics and Gynaecology. Objectives: To study the drug related problems in OBG patients. Materials and Methods: It is a prospective observational study conducted in Basaveshwara Medical College, Hospital and Research Centre for a period of six months. Patients admitted in obstetrics and gynaecology are selected. The data was collected from medical records of the patients and documented in suitable designed form. Results: In the present study a total of 1500 drugs were prescribed in 200 patients. Out of 200 patients, 128 patients having DI, 53 are mild, 40 are moderate and 35 are major. 51 patients are over dosed. Hence drug duplication is 5. 9 patients are under dosed. 33 patients are having ADR. Based on Naranjo Scale 8 are unlikely, 10 are possible, 15 are probable.7 patients are having drug use without indication. 25 patients are having untreated indication. Conclusion: It has been concluded that the role of a pharmacist in a hospital is a very crucial one. Regular monitoring of the prescribed by the physicians will sure support in the reduction of drug related problems.

Keywords: DRP.


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