Comparative Study of Prescribing Trends of Analgesics in Post Operative Pain Management in Surgery Units Between Government And Private Medical College Hospital

Abstract

The study was done to compare the prescribing trend of analgesics used in post operative patients in surgery units of a government and a private medical college hospital of Dhaka city. A total of 360 prescriptions of patients who underwent surgery were collected randomly .Among 360 prescriptions. 180 were collected from the government and other from private medical college hospital from the period of July 2007 to June 2008. Data pertaining to medications prescribed for pain management from the day of operation to sixth post operative day were recorded. It was observed that in government medical college and hospital 90.6% patients received pethidine on the operation day. Other associated analgesics on that day were either tramadol (42.2%) or ketorolac (54.4%). Only 9.4% patients did not receive any analgesic on that day. In private medical college hospital 65.6% patients received nalbuphine and 33.3% patients received pethidine on the operation day. Along with nalbuphine and pethidine, 86.7% patients received tramadol and 13.3% patients received kctorolac. 0.6% patients did not receive any analgesic on that day. In government medical college hospital, most of the patients received only tramadol (48.3%). kctorolac (38.9%) and pethidine (0.6%) on the first post operative day as a single drug. In private medical college hospital. 84.4% patients received ketorolac and 15.6% patients received tramadol on the lu post operative day. In government hospital most of the patients received tramadol whereas in private medical college hospital most of the patients received ketorolac on 2thl, 3"3, 4th and 5th post operative day. On 6th post operative day. 81.1% patients did not receive any analgesic in government hospital and 92.8% patients did not receive any analgesic in private medical college hospital.