Shaktibala Dutta, and Mirza
Abstract
To impart clinical pharmacology knowledge to the MBBS 2nd professional students and to improve the quality of students by giving adequate knowledge in rational prescribing. A total no of 150 cases were followed up by the undergraduate students during 2nd professional MBBS in the department of pharmacology at SGRRIM &HS, Dehradun from June 2012 to November 2012. Patients were analyzed on various parameters using WHO drug used indicators and National List of Essential Medicines. A total of 150 cases were evaluated .115(76.66%) were males and 35(23.34%) were females, majority patients 124(82.66%) were 16-45 years of age. Morbidity pattern was observed as infectious diseases 100 (66.66%) and non- infectious 50 (33.34%) respectively. Amongst infectious diseases, fever 40 (40%), acute gastroenteritis 27 (27%), tuberculosis 11(11%) and urinary tract infection 9 (9%) were most frequently observed, and non-infectious diseases were epilepsy 11(22%), hypertension 7(14%) and gastro-esophageal reflux disease 7(14%) respectively. A total of 491 drugs were prescribed, 433 (88.18%) were oral, 58(11.82%) injectable formulations were used.145 (96.66%) patients were prescribed more than one drug.29 FDCs were used. 3.45 drugs and 3.00 drugs per prescription were prescribed for infectious and non-infectious disease respectively. Antibiotics 189 (38.49%), NSAIDs 78 (15.88%), antiepileptics 19(3.86%) and antihypertensive 18(3.66%) were most commonly prescribed. Clinical case follow up study can be introduced as a tool for imparting knowledge of clinical pharmacology to undergraduate MBBS students.