Ppt

1. PRESCRIPTION PATTERN AND MEDICATION
ADHERENCE IN ASTHMA PATIENTS AT TERTIARY
CARE HOSPITAL.
Under the guidance of:
Mrs MERIN SUSAAN ABRAHAM,
Assistant professor
Department of pharmacy practice
The oxford college of pharmacy, Hongasandra
Bangalore 560068
Under the co-guidance of:
Dr JYOTHI
DEPARTMENT OF PULMONOLOGY
The Oxford Medical College Hospital and research Centre.
Attibele, Bangalore
Name of participants
1. MANOHARA.YM
2. ABHISHEK J
3. AMEEN KHAN
4. ANAND KRISHNA.C

2. AIMS AND OBJECTIVES
AIM: To study the prescribing pattern and patient medication adherence
in asthma patients.
PRIMARY OBJECTIVE
•To assess the prescribing pattern of drugs in asthma patients.
SECONDARY OBJECTIVE
•To assess the medication adherence of patients.

3. METHODOLOGY
• STUDY SITE: The Oxford Medical College Hospital and Research Centre,
Attibele
• STUDY DESIGN: PROSPECTIVE CROSS-SECTIONAL STUDY
• STUDY PERIOD: 6 months
• ETHICAL APPROVAL FOR THE STUDY: Ethical approval will be obtained
from the institutional ethics committee of The Oxford Medical College Hospital
and Research Centre, Attibele

4. SAMPLE SIZE DETERMINATION
•
Z= confidence interval 95% =
1.96
P = Expected prevalence = 0.131
N= Desired sample = 150
Q= (1-p)
n = required sample size
e = error of margin

5. METHODOLOGY
Cases admitted during the period of 2022
After getting approval from the ethical committee
STEP 1: We obtained consent from 47 patients in both English and Kannada
language
STEP 2: We Collected demographics of the patient (Name, Age, Weight, etc),
prescribed drugs, indication, their route of administration, frequency, dose of drugs,
number of days of stay in case of inpatients through case files and patient interview .
STEP 3:We Obtained data through MARS questionnaires from patient at the time
of visit and follow up through telephone contact.
STEP 4: Assessment and analysis of data collected from MARS questionnaires.
STEP 5: To study the prescribing pattern and medication adherence of drugs in
asthma patient. The obtained data will be subjected to suitable statistical method like
z test .

6. STUDY CRITERIA
6.6.1 INCULSION CRITERIA:
•Both inpatients and outpatients with asthmatic condition.
•Patients above the age of 12 years.
6.6.2 EXCULSION CRITERIA
• Patient who are not willing to enrol in study.

7. RESULTS
Distribution of patients based on there age group
AGE GROUP NUMBER OF PATIENTS
22-31 6
32-41 4
42-51 6
52-61 5
62-71 14
72-81 3
82-91 8
0
2
4
6
8
10
12
14
16
AGE GROUP
AGE GROUP NUMBER OF PATIENTS

8. GENEDER COUNT
MALE 27
FEMALE 19
59%
41%
GENDER
MALE
FEMALE
Distribution based on gender

9. OCCUPATION COUNT
BAR SERVER 1
BOUTIQUE OWNER 1
CAB DRIVER 1
CARPENTER 1
CLEANER 1
DAILY WORKER 1
DRIVER 2
FARMER 5
GARMENTS 1
HOUSE KEEPING 2
HOUSE WIFE 9
IT EMPLOYEE 2
SELF-EMPLOYED 6
SERVER IN HOTEL 1
STUDENT 3
STUDYING 1
TAXI DRIVER 1
UNEMPLOYED 4
VEGETABLE VENDOR 1
VEHICLE DEALER 1
WELDER 1
OCCUPATION
COUNT+N125:N145
BOUTIQUE OWNER
CAB DRIVER
CARPENTER
CLEANER
DAILY WORKER
DRIVER
FARMER
GARMENTS
HOUSE KEEPING
HOUSE WIFE
IT EMPLOYEE
SELF-EMPLOYED
SERVER IN HOTEL
STUDENT
STUDYING
Distribution based on occupation of patients

10. EDUCATION COUNT
10TH GRADE 1
12TH 1
12TH GRADE 2
12TH PASS 1
3RD GRAD 1
4TH GRADE 1
5TH GRADE 2
6TH GRADE 4
6TH GREADE 2
8TH GRADE 1
9THGRADE 1
DEGREE 4
DEGREEE 1
ILLETERATE 24
UNEMPLOYED 4
2%
2%4%
2%
2%
2%
4%
8%
4%
2%
2%
8%
2%
48%
8%
EDUCATION
10TH GRADE
12TH
12TH GRADE
12TH PASS
3RD GRAD
4TH GRADE
5TH GRADE
6TH GRADE
6TH GREADE
8TH GRADE
9THGRADE
DEGREE
DEGREEE
ILLETERATE
UNEMPLOYED
Distribution based on educational qualification

11. YES/NO ALLERGIES SMOKER ALCOHOLIC
YES 3 13 7
NO 43 33 39
0 5 10 15 20 25 30 35 40 45 50
ALLERGIES
SMOKER
ALCOHOLIC
COUNT
SOCIAL HABBITS
NO YES
Distribution of patients based on social habits

12. 3.6
8.266
0 1 2 3 4 5 6 7 8 9
BEFORE COUSELLING
AFTER COUNSELLING
MEDICATION ADHERENCE
SCORE
MEDICATION ADHERENCE SCORE
BEFORE COUSELLING 3.6
AFTER COUNSELLING 8.266
Distribution based on Medication adherence pre and post interview
Higher the score greater the adherence

13. Drugs No. of patients prescribed
Percentage of
patients prescribed
Salbutamol +
iporatropium bromide 22 47.826087
budesonide 23 50
ipratropium bromide +
levosalbutamol 17 36.956522
pantoprazole 20 43.478261
amoxicillin + clavulanate 27 58.695652
paracteamol 14 30.434783
ondasetron 5 10.869565
montelukast + levo
cetrizine 12 26.086957
azithromycin 10 21.73913
etophylline + theophylline 19 41.304348
ceftriaxone 14 30.434783
furosemide 9 19.565217
ambroxol
+levosalbutamol
+guaifenesin 11 23.913043
other drugs 35 76.086957
HYDROCORTISONE 7 15.217391
FORMONIDE 2 4.3478261
Distribution based on no. of various drugs prescribed and their percentage

15. CONCLUSION
47 cases are collected up to date , the collected cases revealed that the
most commonly prescribed drugs are Nebulizer combimist and
Nebulizer derinide , Nebulizer duolin , which is followed by
montelukast , levocetrizine
After the patient counselling the medication adherence was found to
be improved on follow up conducted

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