Evaluation of Rationale Prescription Pattern among RTPCR Positive COVID 19 Patients in a Tertiary Care Hospital, Chengalpet district, Tamil Nadu – A Cross-Sectional Study

Abstract

Introduction. Prescription pattern monitoring studies (PPMS) are drug utilization studies with the main focus on prescribing, dispensing, and administering drugs. They promote appropriate use of monitored drugs and reduction of abuse or misuse of monitored drugs. from 2019 till 2022 COVID 19 brings frightening situation among all individuals in worldwide and unexpected clinical presentations each day by day because of the mutation of SARS-Cov virus and the number of people getting affected with the disease is still not completely reduced .the management of the COVID 19 still challenging due to less awareness about the treatment and poor follow up of guidelines and physician choice of management .thus by, we conducted this study to evaluate the prescription pattern and the adherence of ICMR guidelines 2021 and rational use of antibiotics and remdicivir, tocilizumab, steroids and their outcome and severity of COVID 19. Methods. Prescription data were analyzed retrospectively by bringing the case sheets of 100 in-patients who got admitted to the karpaga Vinayaka medical college from 15th Oct 2021- 15th march 2022 and enrolled in a specially designed case report form after getting the higher officials’ permission from the MRD office. Results. Out of 100 patients’ case sheets, a mild type of patients are affected more in the study duration and the treatment plan has adhered to the management protocol which is given by our Indian Government on 2021. The total number of patients who received antibiotics for prophylactic purposes is higher in value than for definitive purposes. 226 | Cardiometry | Issue 24. November 2022 Usage of remdesivir, tocilizumab, and steroids are genuine according to the ICMR guidelines 2021 and the outcome of the disease gives a clue about less mortality than morbidity during the 6 months of the evaluation period Conclusion. The Prescription was written and adhered to the ICMR guidelines 2021 and there was a judicious use of steroids, remdesivir, tocilizumab, and antibiotic usage more for prophylactic purposes to prevent secondary infection than definitive purposes who are under secondary bacterial infection that indirectly gives use clue that secondary infection affected patients are less due to successful management.