A PROSPECTIVE OBSERVATIONAL STUDY ON PRESCRIPTION PATTERN DRUG UTILIZATION AND AUDIT FOR THE TREATMENT OF WOMEN DISORDERS IN A TERTIARY CARE HOSPITAL IN RAJAHMUNDRY

Introduction: Women and men share many similar health problems but, women also have their own health issues which deserves special considerations. Many diseases affect both men and women alike but some diseases occur in women at high frequency.Objective: The objective of the study is to evaluate prescription pattern, drug utilization & audit for the treatment of women disorders in a tertiary care hospital in Rajahmundry.Methodology: The study design is a prospective observational study. A total of 86 cases related to women disorders were investigated in a tertiary care hospital in Rajahmundry, Andhra Pradesh. Inclusion and Exclusion Criteria include Patients who were hospitalized due to women disorders were enrolled in the study, Women patients of all age groups are included, Patients who are unconscious/mentally retarded and who were suffering with psychiatric diseases are excluded from the study. Results and Conclusions:Women disorders are more prevalent in the age groups 21-30 years and 31-40 years .PCOD and Ovarian cyst are the most prevalent diseases among women of 21-40 years of age. Diabetes, hypertension, thyroid, appendicitis, and CVS problems are most commonly observed co-morbid diseases associated with women disorders. Pain , irregular menstruation , bleeding with clots and heavy bleeding are commonly observed clinical manifestations . 5. For all women disorders hormones , antimicrobials, vitamin and mineral supplements are prescribed. Among the hormones Human chorionic gonadotropin (HCG) 5000units , Allylsternol 5mg , Medroxy progesterone 5mg are prescribed to a large extent. Among the anti-microbials metronidazole 100mg , ceftriaxone 250mg are prescribed widely. Only 3 out of 12 hormones and 8 out of 16 anti-microbials were as suggested by WHO. Drugs other than those suggested by WHO are also used to a large extent in the hospital. Hence,it is suggested that the WHO suggested Essential drugs be prescribed in the hospital for better patient care ,safety and efficacy. Key words: Prospective observational study, Prescription patters, Drug utilization, Prescription audit, Women disorder.