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A study of prescription pattern in the drug therapy of chronic kidney disease

机译:慢性肾脏病药物治疗中的处方模式研究

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Objectives : a) To analyze the pattern of drug prescription for chronic kidney disease and its co-morbid conditions, if exist. b) To study the rationality of drug therapy. Methodology : Over a period of 1 year, the discharge-summary records of 188 patients with CKD, admitted to nephrology wards of Justice K. S. Hegde Charitable Hospital, Mangaluru, were scrutinized and the data collected in a specially designed proforma. Descriptive analysis of the data was done. Results : Of the total 188 patients, 101(53.7%) were males and 87 (46.3%) females. Highest numbers of patients were in the age group of 58-67 years (29.3%). Hypertension was the most common co-morbidity (82%) observed, followed by anaemia (54.8%) and type 2 diabetes (43%). A total of 1436 drugs were prescribed to 188 CKD patients. Each patient received an average of 7.6 drugs. Polypharmacy was seen in all patients. Drugs acting on the cardiovascular system constituted the bulk of the prescriptions (31%) followed by nutritional Supplements (15.3%), haematinics (10.7%) and the drugs acting on gastrointestinal system (10.3%). Other important categories of drugs prescribed included antimicrobials (5.8%), antiplatelets and hypolipidaemic agents (5%), antidiabetic drugs (4.7%) and phosphate binders (4%). Conclusion : This study shows that the management of chronic kidney disease in the nephrology department of Justice K. S. Hegde Charitable Hospital, is in congruity with the rational utilization of medicines which is based on the clinical knowledge, expertise and the guidelines accessible in the field of nephrology practice.
机译:目的:a)分析慢性肾脏病的药物处方模式及其共病情况(如果存在)。 b)研究药物治疗的合理性。方法:在1年的时间里,对进入曼加罗尔大法官K. S. Hegde慈善医院肾病房的188例CKD患者的出院摘要记录进行了检查,并以专门设计的形式收集了数据。对数据进行描述性分析。结果:在188例患者中,男性101例(53.7%),女性87例(46.3%)。最高的患者年龄在58-67岁之间(29.3%)。高血压是最常见的合并症(82%),其次是贫血(54.8%)和2型糖尿病(43%)。 188名CKD患者总共开出1436种药物。每位患者平均接受7.6种药物。在所有患者中均发现了多药房。作用于心血管系统的药物占处方的大部分(31%),其次是营养补品(15.3%),止血药(10.7%)和作用于胃肠系统的药物(10.3%)。其他重要的处方药包括抗微生物药(5.8%),抗血小板和降血脂药(5%),抗糖尿病药(4.7%)和磷酸盐结合剂(4%)。结论:这项研究表明,根据KS的临床知识,专业知识和指南,合理的药物合理使用与在KSKS Hegde慈善医院的肾脏科的慢性肾脏疾病的管理相吻合。实践。

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