Assessment of Medication usage in Geriatric Wards in a Teaching Hospital

Published on:September 2019
Indian Journal of Pharmacy Practice, 2019; 12(4):239-243
Original Article | doi:10.5530/ijopp.12.4.51

Assessment of Medication usage in Geriatric Wards in a Teaching Hospital

Authors and affiliation (s):

Zakir Khan1,2,*, Junaid Khan3, Shaista Zafar4, Asghar Khan1,5, Faiz Ullah Khan6, Sohail Kamran1, Muhammad Kamran1, Muhammad Nasir Jamal1, Bazgha Khan7

1Department of Pharmacy Quaid-i-Azam University Islamabad, PAKISTAN.

2Institute of Health Sciences, Department of Pharmacology (Pharmacovigilance), Çukurova University, Adana, Turkey.

3Department of Medicine, Dow Medical College, Karachi, PAKISTAN.

4Department of Surgery, Pakistan institute of Medical sciences, Islamabad, PAKISTAN.

5Department of Medicine, Khyber Teaching Hospital, Peshawar, PAKISTAN.

6Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Health Science Centre, Xi’an Jiao tong University, CHINA.

7Department of Pharmacy, Lahore College for Women University, Lahore, PAKISTAN.


Introduction: Evaluation of medication usage pattern is crucial for the better patient care, particularly for the geriatric who often have experience with multiple therapy and problems. This study was conducted to investigate the medication usage in elderly patients through a validated World Health Organization (WHO) indicators. Methods: A retrospective crossectional and non-interventional study was conducted in the geriatric outpatient departments in a teaching hospital (Islamabad, Pakistan). The patients aged ≥60 years visiting the geriatric medical outpatient and emergency department from September 2018 to April 2019 were selected through random systematic sampling technique. The collected information was evaluated according to the WHO recommendations. Results: A total of 3,792 drugs were prescribed (average drug per prescription= 5.2 (Range 4-8) in 720 elderly patients. Out of these, antimicrobials were prescribed in 76.4% (n=550), at least one injectable medication in 63.9% (n=460), generic prescribing in 30% (n=1141) and prescribing from National essential list/hospital formulary in 95.8% (n=3634) of the prescription. A statistically significant difference was observed between prescribing practices and WHO optimal values (P<0.001). The most frequently prescribed class of antimicrobials was cephalosporins (65.3%) and ceftriaxone (41%), ciprofloxacin (13.6%) and cefuroxime (10.7%) were the most commonly used antibiotics. Conclusion: The major problems identified in this study were polypharmacy, low generic prescribing, higher usage of antimicrobials and injectable. A special attention is required by the healthcare authorities for the better care of the geriatric patients.

Key words: Geriatrics, Antimicrobials, Audit, Health care, Outpatient, Pakistan.


The Official Journal of Association of Pharmaceutical Teachers of India (APTI)
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Indian Journal of Pharmacy Practice (IJOPP) [ISSN-0974-8326] is the official journal of Association of Pharmaceutical Teachers of India (APTI) and is being published since 2008.


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