Abstract

COMPARISON OF INVENTORY MANAGEMENT OF ASV IN DIFFERENT HOSPITALS OF KERALA

Dona Johnson*, Aby Paul, Swapna Saju and Antriya Annie Tom

ABSTRACT

Background: Snakebite is an occupational hazard leads to morbidity and mortality. Anti-snake venom (ASV) is the only evident treatment option for snake bite envenomation. In India, poly valent anti-venom is the effective antidote against the Big4 category. ASV is manufactured in liquid and lyophilised form. Liquid form can be stored up to 2years whereas lyophilized form can be for 5 years and must be kept in cool temperature. The use of ASV in different hospitals may vary based on the geographical variations. The inventory of different hospitals was compared in this study. Results: The study compares the holding capacity of ASV in different hospitals. There was different brands ASV usage in different hospitals. More than 3 brands were from hospitals 3 and 4. The stock level of ASV is highest for hospital.[4] the increased stock level leads to many problems because ASV is a scare product. The availability is limited. If the stock level increased in some hospitals may leads to scarcity to some other hospitals. The lead time for ASV is similar in hospitals which take nearly 1 month. After 1 month almost all hospitals will move to next stock. The holding quantity of ASV is highest in hospital.[3] The holding quantity depends on different seasons and the hospitals. Excess stock level highest in hospital.[4] As the excess stock increases the wastage as well as the shortage of ASV increases. The excess inventory cost were highest in hospital 4 followed by hospital 1 then hospital.[2] This leads to more economic burden to the hospitals. Conclusion: The hospital burden for ASV treatment was analyzed mainly on the basis of ASV procurement and the use of ASV in different hospitals. It is observed that in most patients more number of ASV vials were used than requirement. This led to high economic burden to the patient. Also the hospital pharmacies included in the study were procuring excess number of ASV than required. Due to improper inventory control measures, hospital burden for storing ASV increases.

Keywords: Snakebite is an occupational hazard leads to morbidity and mortality.