Saumya Kankanala, Krishna Prakash Joshi, Mohammad Nezamuddin Khan, Rohit Dixit, Rohini Gunasekaran, Tarun Gupta, Yogendra Kumar Gupta
{"title":"处方分析和抗生素监测的数字平台在门诊设置。","authors":"Saumya Kankanala, Krishna Prakash Joshi, Mohammad Nezamuddin Khan, Rohit Dixit, Rohini Gunasekaran, Tarun Gupta, Yogendra Kumar Gupta","doi":"10.4103/ijp.ijp_201_25","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The analysis of prescriptions plays a crucial role in promoting rational drug use, minimizing medication errors, and enabling effective antimicrobial surveillance. Manual analyzing is time-consuming, expensive, and error-prone. This study aimed to evaluate prescribing patterns and antimicrobial surveillance using a novel digital analytical platform in a tertiary care hospital.</p><p><strong>Methodology: </strong>A descriptive observational study was conducted in a tertiary care hospital, in India, between June and August 2024. Prescription data were collected from outpatient departments (general medicine, surgery, pediatrics, pulmonology, and orthopedics) and analyzed using the VaidyaRx digital analytic platform. World Health Organization Core Prescribing Indicators were applied to assess prescribing trends, generic drug usage, antibiotic prescribing patterns, fixed-dose combination (FDC), and adherence to the National List of Essential Medicines (NLEM). Data were analyzed using MS Excel and VaidyaRx.</p><p><strong>Results: </strong>Mean patient age was 35.8 ± 19.2 years, with pediatrics (21.8%), adult (73.3%), and geriatric (4.9%). The average drugs per prescription were 3.2, and generic prescriptions were 37.5%. Antibiotics were prescribed in 24.9% of prescriptions, highest in surgery (46.9%), with ofloxacin + ornidazole and amoxicillin + potassium clavulanate being the most common. NLEM drug use was 36.7%, with more FDCs from non-NLEM (40.9%) than NLEM (8.3%) drugs. Only 64.5% of prescriptions mentioned dosage, raising concerns about completeness.</p><p><strong>Conclusions: </strong>Using the VaidyaRx digital platform, real-time prescription analysis was possible which helped in enhancing medication safety and antimicrobial stewardship. Suitable interventions are needed to reduce polypharmacy, increase generic prescribing, ensure rational antibiotic use, and improve prescribing practices.</p>","PeriodicalId":13490,"journal":{"name":"Indian Journal of Pharmacology","volume":"57 1","pages":"27-32"},"PeriodicalIF":1.4000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Digital platform for prescription analytics and antibiotic surveillance in an outpatient department setup.\",\"authors\":\"Saumya Kankanala, Krishna Prakash Joshi, Mohammad Nezamuddin Khan, Rohit Dixit, Rohini Gunasekaran, Tarun Gupta, Yogendra Kumar Gupta\",\"doi\":\"10.4103/ijp.ijp_201_25\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>The analysis of prescriptions plays a crucial role in promoting rational drug use, minimizing medication errors, and enabling effective antimicrobial surveillance. Manual analyzing is time-consuming, expensive, and error-prone. This study aimed to evaluate prescribing patterns and antimicrobial surveillance using a novel digital analytical platform in a tertiary care hospital.</p><p><strong>Methodology: </strong>A descriptive observational study was conducted in a tertiary care hospital, in India, between June and August 2024. Prescription data were collected from outpatient departments (general medicine, surgery, pediatrics, pulmonology, and orthopedics) and analyzed using the VaidyaRx digital analytic platform. World Health Organization Core Prescribing Indicators were applied to assess prescribing trends, generic drug usage, antibiotic prescribing patterns, fixed-dose combination (FDC), and adherence to the National List of Essential Medicines (NLEM). Data were analyzed using MS Excel and VaidyaRx.</p><p><strong>Results: </strong>Mean patient age was 35.8 ± 19.2 years, with pediatrics (21.8%), adult (73.3%), and geriatric (4.9%). The average drugs per prescription were 3.2, and generic prescriptions were 37.5%. Antibiotics were prescribed in 24.9% of prescriptions, highest in surgery (46.9%), with ofloxacin + ornidazole and amoxicillin + potassium clavulanate being the most common. NLEM drug use was 36.7%, with more FDCs from non-NLEM (40.9%) than NLEM (8.3%) drugs. Only 64.5% of prescriptions mentioned dosage, raising concerns about completeness.</p><p><strong>Conclusions: </strong>Using the VaidyaRx digital platform, real-time prescription analysis was possible which helped in enhancing medication safety and antimicrobial stewardship. Suitable interventions are needed to reduce polypharmacy, increase generic prescribing, ensure rational antibiotic use, and improve prescribing practices.</p>\",\"PeriodicalId\":13490,\"journal\":{\"name\":\"Indian Journal of Pharmacology\",\"volume\":\"57 1\",\"pages\":\"27-32\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Pharmacology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4103/ijp.ijp_201_25\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/5/6 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"PHARMACOLOGY & PHARMACY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Pharmacology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/ijp.ijp_201_25","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/5/6 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PHARMACOLOGY & PHARMACY","Score":null,"Total":0}
Digital platform for prescription analytics and antibiotic surveillance in an outpatient department setup.
Objectives: The analysis of prescriptions plays a crucial role in promoting rational drug use, minimizing medication errors, and enabling effective antimicrobial surveillance. Manual analyzing is time-consuming, expensive, and error-prone. This study aimed to evaluate prescribing patterns and antimicrobial surveillance using a novel digital analytical platform in a tertiary care hospital.
Methodology: A descriptive observational study was conducted in a tertiary care hospital, in India, between June and August 2024. Prescription data were collected from outpatient departments (general medicine, surgery, pediatrics, pulmonology, and orthopedics) and analyzed using the VaidyaRx digital analytic platform. World Health Organization Core Prescribing Indicators were applied to assess prescribing trends, generic drug usage, antibiotic prescribing patterns, fixed-dose combination (FDC), and adherence to the National List of Essential Medicines (NLEM). Data were analyzed using MS Excel and VaidyaRx.
Results: Mean patient age was 35.8 ± 19.2 years, with pediatrics (21.8%), adult (73.3%), and geriatric (4.9%). The average drugs per prescription were 3.2, and generic prescriptions were 37.5%. Antibiotics were prescribed in 24.9% of prescriptions, highest in surgery (46.9%), with ofloxacin + ornidazole and amoxicillin + potassium clavulanate being the most common. NLEM drug use was 36.7%, with more FDCs from non-NLEM (40.9%) than NLEM (8.3%) drugs. Only 64.5% of prescriptions mentioned dosage, raising concerns about completeness.
Conclusions: Using the VaidyaRx digital platform, real-time prescription analysis was possible which helped in enhancing medication safety and antimicrobial stewardship. Suitable interventions are needed to reduce polypharmacy, increase generic prescribing, ensure rational antibiotic use, and improve prescribing practices.
期刊介绍:
Indian Journal of Pharmacology accepts, in English, review articles, articles for educational forum, original research articles (full length and short communications), letter to editor, case reports and interesting fillers. Articles concerning all aspects of pharmacology will be considered. Articles of general interest (e.g. methods, therapeutics, medical education, interesting websites, new drug information and commentary on a recent topic) are also welcome.