Prescribing pattern and awareness about anemia among in-patients in a tertiary care teaching hospital

Mohammed Sarfaraz, A. S. Archana, Bhavana Kalwa, Monish Abraham Mathew, Shilpa Anna Kuriakose, Doddayya H.


Background: Anemia is a major public health problem in India affecting people in all age groups with major consequences for human health as well as economic development. Hence the study aims to assess prescribing pattern of physicians in anemia and to create awareness among in-patients in a tertiary care teaching hospital.

Methods: A prospective and observational study was carried out in 180 in-patients admitted to General Medicine department in a tertiary care teaching hospital diagnosed with anemia for 6 months. Data was collected from case sheets of patients and assessed for prescribing pattern and direct interview was conducted with patients using standardized KAP questionnaire on anemia.

Results: Among 180 in-patients, 126 patients (70%) were females and 54 patients (30%) were males. As part of the therapy, folic acid with vitamin combinations (37 prescriptions) followed by elemental iron with folic acid combinations (32 prescriptions) were most prescribed drugs. KAP questions were scored appropriately and compared with hemoglobin levels. Knowledge level of patients was not significantly correlated (i.e., p=0.254) with their haemoglobin levels. There was a highly significant positive correlation (i.e., p=0.006) between attitude scores of patients and haemoglobin levels. A significant positive correlation (i.e., p=0.001) was found between practice scores of patients and hemoglobin levels.

Conclusions: This study clearly showed that prescribing pattern of drugs in anemia patients’ needs to be continuously evaluated. To address the issue of anemia, the patient’s awareness should be enhanced.


Anemia, Hemoglobin, KAP, Iron deficiency, Red blood cells, Prescribing pattern

Full Text:



Sahana KS, Ghaliyah K, Anitha P, Prakash S. Study of anemia in hospitalized infants at a tertiary care hospital. Ntl J of Community Med. 2015;6(2):22-7.

Sireesha G, Thomas JC, Patil PB, Doddayya H. A prospective study on medication prescribing pattern for paediatrics in a tertiary care teaching hospital. World J Pharm Pharm Sci. 2016;5(10):654-66.

Vishwanath M, Narayana RS, Sahana D. Assessment of drug utilization in hospitalized children at a tertiary care teaching hospital. J Chem Pharm Res. 2014;6(2):592-8.

Chippy SE, Kumaraswamy M, Ariya C, Nevin JG, Abel AT, Laxman W. Drug prescribing practice among anemic patients in a tertiary care teaching hospital. World J Pharm Res. 2017;6(4):858-87.

Sonkar VK, Khan NM, Domple VK, Inamdar IF. Knowledge and practise of pregnant womens regarding the iron supplement during pregnancy. Int J community med public health. 2017;4(8):2891-4.

George M, George N, Ramesh N. Awareness regarding anemia, gestational diabetes and pregnancy induced hypertension among antenatal women attending outpatient department in a rural hospital. Ntl J of Community Med. 2016;7(5):362-7.

Chellan R, Paul L. Prevalence of iron-deficiency anaemia in India: J Pop Soc Stud. 2010;19(1):60-80.

Malhotra V, Hari K, Divya B. An epidemiological study on prevalence of anemia among elderly population residing in rural Nalgonda, Telangana, India. Sch J App Med Sci. 2015;3(4):1641-4.

Verma A, Rawal VS, Kedia G, Kumar D, Chauhan J. Factors influencing anemia among girls of school going age, Department of community medicine, B J college Ahmedabad. Indian J Community Med. 2014;29(1):6-25.

Uria AG, Naik PK, Midde M, Yalla PS, Pakam R. Prevalance and severity of anemia stratified by age and gender in rural India. Anemia. 2014;1-5:176182.

Bhandare B, Satyanarayana V, Safina K. Prescribing pattern of iron preparations in antenatal women in a tertiary care hospital. J Int Med Dentistry. 2014;1(1):23-7.

Shilpa J, Sreni CA, Betty RI. Impact of knowledge, attitude and practice on anemia status among women in coastal Kochi, Kerala. Int J Multidisciplinary Current Res. 2016;4:295-8.

Yousof H, Daud W. Nutrition education, attitude and haemoglobin status of Malasian adolescents. Southeast asian J trop med public health. 2012;43(1):192-200.