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i am not sure whether nepal has done such research on it but you can have some idea from this study Published in Journal of Nepal Medical Association
Quote:
Poisoning : Pattern and Profile of Admitted Cases in a Hospital in Central Nepal
B P Poudyal Abstract
An analysis of all poisoning cases admitted inmedical and pediatric wards of PatanHospital for one year (1st Jan to 31st Dec 2004) was carried out. A total of 154 cases were admitted which was 0.8% of total hospital admissions. Females outnumbered males and almost two-thirds patients were young adults (15-34 years). Seasonal variation in poisoning was observed with more cases in the summer months. Organophosphorus compounds (42%), drugs (25%), and zinc phosphide (6.5%) were common poisonings in total and in adult populations, whereas kerosene was the most frequent poisoning in pediatric age group. Paracetamol, benzodiazepines, and tricyclic antidepressants were the most frequently used drugs. The circumstances of poisoning were intentional (75%) and accidental (20%);most of the childhood poisoningswere accidental in nature. The mean hospital stay for all type of poisoning was 7.5 days; whereas it was 10.2 days for organophosphorus, 2.5 days for paracetamol, and 1.5 days each for zinc phosphide and kerosene ingestion. Intensive care unit (ICU) service was required in 17% of patients; and almost 25% developed complications. Aspiration pneumonia and respiratory failure were themost frequently observed complications. Ninety four percent of admitted patients recovered completely; leaving a mortality rate of 5%.
Analgesic Utilization in Postoperative Care at a Tertiary Care Teaching Hospital in Nepal
G P Rauniar
M A Naga Rani
B P Das
C S Agrawal Abstract
A retrospective analysis of analgesics used in postoperative pain in abdominal surgery was done to develop base line data. Appendectomy and cholecystectomy each formed 38.63% while hernia repair constituted 22.74% of all the abdominal surgeries (422). NSAIDs were the most commonly prescribed group of analgesics both during the hospital stay (99.52%) and at the time of discharge (86.01%). Opioid analgesics (4.73%) was used in the immediate postoperative period mainly to supplement the NSAIDs. Diclofenac (88.86%) was the most commonly prescribed analgesic to in-patients and either diclofenac (47.63) or a fixed dose combination of ibuprofen and paracetamol (32.46%) was the most commonly prescribed at the time of discharge. The administered dose of diclofenac was higher than the recommended dose. Utilization of analgesics during postoperative period may be rationalised by pain assessment charts and regular feedback to the precribers. Full Text: PDF
Quote:
Utilization pattern of nonsteroidal anti inflammatory drugs (nsaids) in orthopaedic practice at a tertiary care hospital in eastern Nepal
N Adhikari
B P Das
M Garg
G P Rauniar
M A Naga Rani Abstract
Drug utilization pattern of NSAIDs in orthopedic practice was studied by using a customized Performa. The data was collected at random by an undergraduate medical student from the orthopaedic department from 4th May to June 1999 (1 month). A total of 160 prescriptions containing 213 NSAIDs were analyzed. The mean number of drugs per prescription was 1.33 (range 1-3). The maximum NSAIDs prescribing was in the age group of 15-45 years 79 (49.38%). Among the patients, the number of males 102 (64.75%) was more than the number of females 58 (36.25%). The most common indication for prescribing NSAIDs was fractures 84 (52.50%) and the rest was for integumental pain, osteoporosis, dislocation of joints etc. None of the drugs was prescribed by generic name. Of the 213 NSAIDs prescribed, 173 (81.20%) were given by oral route, 37 (17.4%) were by injection while 3 (1.42%) were by topical application. The duration of administration of NSAIDs was 5 days in 56 (35%), 7 days in 31 (19.38%) and 10-15 days in 17 (22.50%) while in 61 (38.13%) of the cases it was as per the requirement of the patient. Out of the 160 prescriptions, 116 (72.5%) had one NSAID, 44 (27.50%) had two NSAIDs. Diclofenac 59 (36.87%) was the most commonly prescribed NSAID followed by Ibuprofen 48 (30%) and Piroxicam 44 (27.50%). The fixed dose combination (FDC) of Ibuprofen and Paracetamol was prescribed to an extent of 58 (36.25%). The prescribing pattern of NSAIDs was found rational. This initial audit report is to give feedback to the prescribers and such periodical audit of drug prescribing is required to rationalize the prescribing practices.
Full Text: PDF
I'm a clear, colorless fluid, contain small quantities of glucose and protein.
I fill the ventricles of the brain and the central canal of the spinal cord.
You can get me through Lumbar Puncture.
If I have White blood Cells or bacteria - Meningitis result.
Last edited by CSF : 01-03-2006 at 09:12 AM.
The Following User Says Thank You to CSF For This Useful Post:
bishnurath, that is exhilarating actually Dr. Angel help me once through the same process I just followed the same, I am glad to know that it worked for you
see ya
I'm a clear, colorless fluid, contain small quantities of glucose and protein.
I fill the ventricles of the brain and the central canal of the spinal cord.
You can get me through Lumbar Puncture.
If I have White blood Cells or bacteria - Meningitis result.
The Following User Says Thank You to CSF For This Useful Post:
actually Dr. Angel help me once through the same process I just followed the same, I am glad to know that it worked for you
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