Main Article Content

Abstract

Objective


To evaluate the drug related problems in which it occurs mostly in both IP and OP. To examine the nature, frequency and to estimate the risks associated with drug related problems in a General Medicine Department.


Methodology


A prospective observational study was carried out at a 750 bedded teaching hospital for a period of 6 months. Patients were enrolled on the basis of inclusion and exclusion criteria. The inclusion criterion involves patients in multiple drug therapy with a minimum of two drugs and patients of both sexes.


Results


A total of 508 cases were collected during the study period. Among them 165 cases due to the infectious diseases. The most common DRP is possible drug-drug interaction in part of patients i.e.219.Based on severity level, moderate drug-drug interactions were found to be maximum (48.8%) followed by minor (28.4%) and major 22.8%. Adverse drug reactions (ADRs) are the second major DRP found in 34 cases. Poly pharmacy is found to be the most important cause of DRPs followed by in appropriate drug choices, poor medication adherence risk. Statistical analysis was performed using spearman’s correlation test and it was found a significant difference (P=0.0001) between the drug related problems of inpatient and outpatient department.


Conclusion


Clinical pharmacist as a member of the health care team can contribute significantly to the improved patient outcomes by monitoring drug therapy and can also promote rational use of drugs.

Keywords

Drug related problems (DRP) adverse drug reactions (ADR) possible drug-drug interactions (pDDI) Polypharmacy

Article Details

How to Cite
A.Sireesha, R.N.S Vasuki, & S.Nithila. (2021). Clinical pharmacists’ role in identification of drug related problems in a teritiary care teaching hospital . International Journal of Research in Pharmacology & Pharmacotherapeutics, 5(4), 311-317. https://doi.org/10.61096/ijrpp.v5.iss4.2016.311-317

References

  1. [1]. Introduction to route of administration, Tripathi, “Essentials of Medical Pharmacotherapy”, Jayee brothers medical publishers (P) ltd, 6, 2010, 4.
  2. [2]. PMLA Van den Bemt & Professor ACG Egberts, EJHP Practice (www.ejhp.eu), and Drug Related Problems: definitions and classification, 13.2007/1, 63-64.
  3. [3]. PCNE Classification for Drug related problems, 5.01, 1-3.
  4. [4]. G. Parthasarathi, “A textbook of clinical pharmacy practice-Essential concepts & skills”, Orient Longman Private Limited Publishers; 2005, 193-196.
  5. [5]. Fita Rahmawati, Dewa Putu Pramantara, Wasilah Rohmah & Syed Azhar Syed Sulaiman, Polypharmacy and unnecessary drug therapy on geriatric hospitalized patients in Yogyakarta Hospitals, Indonesia. IJPPS, 1(1), 2009, 6-11.
  6. [6]. Patrick N.Catania, Risk factors for Drug Related Problems in elderly ambulatory patients, Home Care Provider, February 3(1), 1998, 20-24.
  7. [7]. Samjeevakumar, S.Kannan & T.Sankaravadivu Drug Related Problem Occurring to the Patients in a Suburban Area Current Pharma Research 1(1), 2010, 1-3.
  8. [8]. Sonal Sekhar C., Adheena Mary B, P.G. Anju B & Nishana Ameer Hamsa Study on drug related hospital admissions in a tertiary care hospital in South India, Saudhi Pharmaceutical journal 19, 2011, 273-278.
  9. [9]. Shankar PR Bajracharya O, Gurung SB, Singh KK & Jha.N Adverse drug reaction reporting in a pharmacovigilance centre of Nepal, Australasian Medical Journal [AMJ] 5, 2012, 268-271.
  10. [10]. Singhal Rohit, Ahmed Khaleel, Santhani DD Reporting and monitoring of adverse drug reactions with cardiac drugs, International research journal of pharmacy, 7, 2011, 116-119.
  11. [11]. Nimmy N. John, R.H. Udupi and K.M. Binu, incidence of polypharmacy induced drug interaction in a tertiary care hospital: international journal of pharmaceutical sciences and research, 3(7), 2012, 2119-2121.
  12. [12]. Virendra K Patel, Leelavathin D Acharya, Thiyagu Rajakannan, Mallayasamy Surulivelrajan, Vasudeva Guddattu & Ramachandran Padmakumar, Potential drug interactions inpatients admitted to cardiology wards of a south Indian teaching hospital, Australasian Medical Journal AMJ 4, 2011, 19-14.
  13. [13]. Harminder Singh, Bithika Nel kumar, Tiku sinha & Navin Dulhani, The incidence and nature of drug-related hospital admission, Journal of Pharmacology and Pharmacotherapeutics, 2, 2011, 17-20.