RESUMO
Background: Injections are among the most commonly used medical procedure with an estimated 16 billion administrations each year worldwide. An overwhelming majority (90%-95%) of these injections are administered for curative purposes. Immunization accounts for around 3% of all injections. According to IPEN study, 03-06 billion injections administered annually in India. Estimates suggest that at least 50% of the world‟s injections administered each year are unsafe, particularly in developing countries. Most of the curative injections are unnecessary, ineffective or inappropriate. Purpose of current study was to assess and compare the knowledge, skill and practices at different levels of health care by health care providers regarding „Safe injection practices‟. Methods: The present study has been undertaken in the outdoor departments of government health care facilities of district Gwalior. The study was done at three places namely: Civil dispensaries, district hospital & medical college hospital - Madhav dispensary (Tertiary care hospital) from 1/7/12 - 28/2/13. Results: Only 10 (33.4%) of the providers were aware regarding blood borne injection borne by faulty injection practices, the same number knew about the reasons for wearing the gloves for both patient and personal safety. All the providers had 100% knowledge regarding safe injection practices but in practical many of the skills were lacking at all the health care facilities. Conclusion: There was a great disparity between knowledge and practice of health care provider regarding injection practices. They were quite aware about the transmission of diseases to them by the faulty injection practices but more efforts are needed to be done in this regard for the improvement for the use of safe injection practices in all the health care facilities.
RESUMO
Background: Injections are probably the most common of all medical procedures. The combination of injection overuse and unsafe practices creates a major route of transmission of blood borne pathogenic infections. Unnecessary use of injections can also lead to unnecessary burden on the institution in terms of efficiency, infrastructure, staff requirement and poor utilization of resources. Monitoring and analysis of prescribing practices can help to achieve rational use of injections. The present study was carried out to study the injection prescription patterns in outpatients of a rural tertiary care teaching hospital, Ambajogai, Maharashtra, India. Methods: A cross sectional descriptive study was conducted for duration of two months and 744 prescriptions were randomly collected and analyzed. Results: The total number of injections prescribed in 744 prescriptions was 205. Most (71.70%) of the patients receiving them were above 35 years of age. The most common complaint for which the injections were prescribed was musculoskeletal pain (45.36%) followed by fever. About 155 (75.60%) prescriptions contained injection diclofenac which was the most commonly used drug followed by injection paracetamol (11.21%). There was a high tendency of using brand names in prescriptions (89.30%). Conclusion: The study revealed high proportion of use of injectable drugs. There was overuse of analgesic injections like diclofenac, most of which were unnecessary and irrational. This leads to unnecessary burden on the institution in terms of efficiency, infrastructure, staff requirement and poor utilization of resources. There is a need to develop local guidelines for injection usage along with educational sessions for prescribing doctors.