Evidence map›Paper›PMID 38074258›Full record

ArticleJournal of family medicine and primary care2023

Assessment of prescription pattern of under-five diarrhea cases in Western Odisha.

Manasee Panda, Sushree Priyadarsini Satapathy, Pradip Kumar Bhue, Anil Kumar Agrawal, Tushar Kanti Meher

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Article in Journal of family medicine and primary care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Manasee PandaDepartment of Community Medicine, Bhima Bhoi Medical College and Hospital, Balangir, Odisha, India.
Sushree Priyadarsini SatapathyDepartment of Community Medicine, Bhima Bhoi Medical College and Hospital, Balangir, Odisha, India.
Pradip Kumar BhueDepartment of Community Medicine, Bhima Bhoi Medical College and Hospital, Balangir, Odisha, India.
Anil Kumar AgrawalDepartment of Community Medicine, Bhima Bhoi Medical College and Hospital, Balangir, Odisha, India.
Tushar Kanti MeherDepartment of Community Medicine, Bhima Bhoi Medical College and Hospital, Balangir, Odisha, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Diarrhea is the second leading cause of death among under-five children. Prescription review by the authorities of the health facilities every month for the improvement of the quality of prescription writing of Medical practitioners is very essentials. With this background, the present study was conducted to assess the prescription patterns of healthcare providers for under-five diarrhea cases and to study the factors responsible for nonadherence to protocol of prescription patterns. Methodology: This cross-sectional study was conducted in the health facilities of two aspirational districts of Odisha. All secondary- and tertiary-level health institutions with 2-3 randomly selected PHCs of that blocks of the two districts were the study units. Mixed methods were used for data collection. Primary data were collected by in-depth interview of doctor and pharmacist. Secondary data were collected by review of records such as OPD ticket, IPD ticket, OPD register, dispensing register, and stock registers. Results: Of the 64 health facilities visited, a total of 516 prescriptions [217 (42%)] scanned/carbon copy of OPD ticket, 238 (46%) data from register on drug prescription, and 61 (11.8%) IPD record data were collected. Duration of diarrhea illness was not mentioned in any of the prescriptions which is important criteria for classifying the type of diarrhea and treatment. Signs of dehydration and degree of dehydration were mentioned in very few prescriptions of both the district. For the treatment of diarrhea cases, 2 to 4 medicines were prescribed in majority of 146 (67.3%), followed by more than four medicines in 38 (17.5%) prescriptions, and less than two medicines were prescribed in 33 (15.2%) cases. All prescriptions from MCH and SDH had ORS and zinc. Though all of them knew about the management protocol as per IMNCI, to be on the safe onside they used to prescribe more medicines to under-five diarrhea cases. None had the knowledge on five types of management plan. Conclusion: For under-five diarrhea cases, care should be taken to write the detail examination finding, weight of the child, associated comorbid condition, and advice on feeding in the prescription.

Indexed as

AuditdiarrheaORSprescriptionunder-five

Identifiers

PMID38074258
PMCPMC10706508

What Socratic holds

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LicenceCC BY-NC-SA
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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.