(2014; 487 pages)
The Rational Use of Medicines results into a more effective treatment at an affordable cost. Essential Drugs List (EDL) and the Standard Treatment Guidelines (STG) are an important component of promoting Rational Use of Medicines. Gujarat Medical Services Corporation Limited under the auspices of Department of Health and Family Welfare, Government of Gujarat finalizes EDLand has undertaken the task to develop STG for the State. The objective is to improve the availability of quality drugs at each health facility and to achieve maximum public health improvement using available resources. B. J. Medical College and Civil Hospital, Ahmedabad has been instrumental in the preparation of the STG.
An attempt has been made in this manual to provide guidelines for the treatment of common diseases, keeping in mind the Rational Use of Medicines. It is a blend of evidence from standard text and reference books with consensus of specialists. The guidelines are comprehensive, concise and seek to summarize treatment plan for patients with priority diseases. It is assumed that the patient has been fully evaluated and all co-morbidities identified. Under each clinical condition, the treatment plan has been suggested that can be applied to the average patient with common presentation. However, there may be great variations in patient presentation, their family history, treatment preferences and tolerance for different side effects. Therefore, these guidelines can be viewed as an expert consultation and weighed with respect to other information. Moreover, the recommendations do not replace clinical judgment nor encroach on clinical flexibility, which must be tailored to the particular needs of each clinical situation.
A large number of experienced clinicians have contributed in the preparation of these guidelines. The manual begins with a brief introduction to the concept of Rational Use of Medicines along with its important components. This is followed by chapters on common diseases and emergency conditions which may be general to all specialties. Remaining chapters describe frequent clinical conditions in each specialty, for example ENT, Psychiatry, Obstetrics and Gynecology etc. The format of the guidelines includes important salient features, diagnostic tests followed by non-pharmacological, pharmacological treatment plan and patient education, if applicable. Medicines are mentioned in generic names and choice is based on the balanced criteria of efficacy, safety, suitability and cost.
This manual will be useful as ready reference for the health care providers and supply management staff.