Evidence map›Paper›PMID 23833368›Full record

ArticleIndian journal of pharmacology

Assessment of prescribing practices among urban and rural general practitioners in Tamil Nadu.

Sekharan Gopalakrishnan, Parasuraman Ganeshkumar, Ajitha Katta

Abstract read
In one paragraph

Article in Indian journal of pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Antibiotics Use Patterns in Low- and Middle-Income Countries: A Systematic Review Analysis.Inquiry : a journal of medical care organization, provision and financing
    Pooled it
  2. Prescribing pattern of antibiotics by family physicians in primary health care.Journal of pharmaceutical policy and practice · 2023
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  16. Standard treatment guidelines in primary healthcare practice.Journal of family medicine and primary care
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sekharan GopalakrishnanDepartment of Community Medicine, SRM Medical College Hospital and Research Center, Kattankulathur, Tamil Nadu, India.
Parasuraman Ganeshkumar
Ajitha Katta

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudying drug use pattern among medical practitioners is of vital importance in the present scenario where irrational drug use and development of drug resistance is becoming rampant.

objectiveTo assess, the pattern of prescribing practices among the general practitioners in a defined rural and urban area of Tamil Nadu. MATERIALS AND

methodsA community based descriptive study was conducted to collect 600 prescriptions from the catchment areas of rural and urban health training centers of a medical college using prescribing indicators as per the WHO "How to investigate drug use in health facilities" tool.

resultsThis prescription study revealed that multivitamins (19.5%), antibiotics (19.3%), drugs for gastro-intestinal tract (GIT) (18%), analgesic non-steroidal anti-inflammatory drugs/ (NSAID's) (15.1%), and antihistaminic (12.5%) were prescribed frequently. Among the antibiotics, amoxicillin (49.2%) was the most commonly prescribed followed by gentamicin (31.7%). Percentage of prescriptions with an antibiotic was 55% and nearly 62% of the practitioners prescribed drugs by their generic names. As a practice of poly-pharmacy, it was observed that the average number of drugs prescribed in urban and rural area was nearly 5 and 4, respectively. Nearly 80% of the urban and rural practitioners were prescribing at least one injection. Study of the quality of prescriptions revealed that there was poor legibility, high usage of abbreviations, inadequate details of the drugs, and absence of signature by practitioners in the prescriptions.

conclusionThis study clearly highlights the practice of poly-pharmacy, low usage of generic drugs, injudicious usage of antibiotics and injections and low usage of drugs prescribed from essential drugs list.

Indexed as

Anti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalDrug PrescriptionsDrug UtilizationGastrointestinal AgentsGeneral PractitionersHistamine AntagonistsHumansIndiaPractice Patterns, Physicians'Rural PopulationUrban PopulationVitaminsAnti-Bacterial AgentsAnti-Inflammatory Agents, Non-SteroidalGastrointestinal AgentsHistamine AntagonistsVitaminsDrug prescriptionsessential drugsgeneral practitionersinappropriate prescribingprimary care physicians

Identifiers

PMID23833368
PMCPMC3696296

What Socratic holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.