scholarly journals Prescribing Pattern of Drugs in Acute Respiratory Tract Infection in Children aged 1 To 5 Years At Tertiary Care Teaching Hospital

2018 ◽  
Vol 11 (4) ◽  
pp. 1903-1911 ◽  
Author(s):  
Sujata Jadhav ◽  
Chitra Khanwelkar
Keyword(s):  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Tertiary Care ◽  
Age Groups ◽  
Essential Medicine ◽  
Influenza Viruses ◽  
Brand Names ◽  
World Health ◽  
Prescribing Pattern ◽  
Tract Infections

Acute respiratory tract infections (ARTI) are very common in all age groups. Childhood respiratory tract infections are responsible for considerable morbidity and mortality. It is significant health problem in India also. The World Health Organization (WHO) estimates that 2 million children under five years of age die due to pneumonia. Majority of ARTIs have viral etiology. Rhinoviruses, respiratory syncytial viruses, parainfluenza and influenza viruses, human metapneumovirus, and adenoviruses are main causative agents. Among bacteria, group A streptococci, Corynebacterium diphtheriae, N. meningitides, H. influenzae, pneumococcus and Staphylococcus aureus are responsible for ARTIs. Drug utilization studies help to understand the pattern of prescription in that particular area for specific conditions.We included children from one to five years of age, diagnosed as ARTI and evaluated 298 prescriptions given to these children. Analysis of these prescriptions was done as well as they are compared with WHO prescription indicators. Cough (96%), fever (93%) and rhinitis (82.5%) were common symptoms observed, but sore throat, earache and breathlessness were also present in these children. Average number of drugs prescribed was 4.1/patient. Following drugs were prescribed, Antipyretics 98.3%, antimicrobials 91.3%, antihistaminics and cough syrups in 75.2%, Leukotriene antagonist in 25.1% patients, Vitamin B complex 11% and glucocorticoids 4.6%. All drugs were prescribed by brand names and not by generic name. 97.3% prescribed drugs were from national list of essential medicine. We found overuse of antimicrobials in our study. Educational programs are needed in order to bring rational use of antimicrobials. At the same time awareness in parents also should be done regarding antimicrobial use.

scholarly journals Prescribing trends in respiratory tract infections in a tertiary care teaching hospital

2017 ◽  
Vol 5 (6) ◽  
pp. 2588 ◽  
Author(s):  
Mirza A. Beg ◽  
Shakti B. Dutta ◽  
Shalu Bawa ◽  
Amanjot Kaur ◽  
Subhash Vishal ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Drug Utilization ◽  
Respiratory Tract Infections ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Fixed Dose ◽  
Utilization Pattern ◽  
Prescribing Pattern ◽  
Prescribing Trends ◽  
Tract Infections

Background: Respiratory tract infections are a major cause of morbidity and mortality in developing countries. Polypharmacy and irrational prescribing in respiratory diseases are common practice worldwide. Keeping in consideration this scenario, present study was undertaken to analyze the drug utilization pattern of respiratory tract infections.Methods: This drug utilization study was conducted by Pharmacology department at SGRRIM & HS to analyze drug utilization pattern of respiratory infections. A total of 585 prescriptions were collected from hospital and randomly evaluated for prescribing pattern using WHO drug indicators.Results: A total of 585 prescriptions were analyzed. Male:Female ratio was 1:0.77. Age wise distribution was done; 81(13.84%) 0-15 years, 54(9.23%) 16-30 years, 198(33.84%) 31-45 years, 75(12.82%) 46-60 years and 177(30.25%) patients belongs to >60 years of age group respectively. A total of 4869 drugs were prescribed, 2754(56.56%) antibiotics, 675(13.8%) bronchodilators, 630(12.93%) corticosteroids, 303(6.22%) antacids, 507(10.41%) in miscellaneous category respectively. 2562(52.61%) oral, 1491(30.62%) injectable and 816(16.75%) inhalational drugs were prescribed. Numbers of Fixed dose combinations were 645(13.24%). 8.32 drugs were prescribed per prescription. 2409(49.47%) drugs were prescribed from national essential medicine list 2015. 4320(88.72%) drugs were prescribed by their brand names.Conclusions: Irrational prescribing and polypharmacy was observed. The drug utilization studies are important tool to sensitize and increases awareness among physicians, which ultimately improves rational prescribing and patient care.

scholarly journals A study on prescribing trends in respiratory tract infections in a tertiary care hospital

2019 ◽  
Vol 1 (2) ◽  
pp. 50-56
Author(s):  
Omair sohail ahmed ◽  
Mohammed Abdul Ali ◽  
Omer wasiq ◽  
Syed Mujtaba Pasha ◽  
Mohammed Mukaram ◽  
...  
Keyword(s):  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Tertiary Care ◽  
Care Hospital ◽  
Prescribing Pattern ◽  
Drug Store ◽  
Stock Control ◽  
Points Of Interest ◽  
Prescribing Trends ◽  
Tract Infections

The drug utilization pattern of respiratory tract infections to assess the rational prescribing pattern at tertiary care teaching hospital, endorsing drugs by mark names may undermine a portion of the objectives of fundamental solution idea. Recommending by nonexclusive name causes the clinic drug store to have a superior stock control. This will likewise assist the drug store with purchasing drugs on contract premise, as the quantity of brands is less, in this manner decreasing the perplexity among drug specialists while apportioning. Bland medications are regularly more temperate than the marked ones. With respect to recommending of FDCs, Potential points of interest of FDC's incorporate lessened reactions, expanded patient consistence, cooperative energy and expanded adequacy and decreased cost, potential impediments incorporate unbendable settled measurements proportion, contrary pharmacokinetics, expanded harmfulness, doctor and drug specialist's obliviousness.

scholarly journals Drug utilisation pattern in geriatric patients of a teritiary care teaching hospital: a retrospective study

2019 ◽  
Vol 8 (11) ◽  
pp. 2450
Author(s):  
Naveen Kumar Tamma ◽  
Prasanth Kumar Patnaik ◽  
Srinivasu Karedla
Keyword(s):  
Respiratory Tract ◽  
Tertiary Care ◽  
Continuous Medical Education ◽  
Brand Names ◽  
Upper Respiratory Tract ◽  
Prescribing Practices ◽  
Gastrointestinal Infections ◽  
Prescribing Pattern ◽  
One Year ◽  
Tract Infections

Background: The objective of the study was to assess the prescribing pattern of drugs in geriatrics patient in a tertiary care hospital.Methods: A retrospective observational study was conducted by department of Pharmacology for a period of one year in patients above 65 years from case sheets of medical record section. WHO basic indicators were used for studying the prescribing pattern of drugs.Results: A total of 200 patients were included in the study. Respiratory tract and gastrointestinal infections were most commonly found among patients of geriatric age group. Among antibiotics ceftriaxone, cefixime, ampicillin, amoxicillin, azithromycin, ciprofloxacin, cotrimaxazole for upper respiratory tract infections and rantidine, norfloxacin for gastrointestinal tract infections were maximum utilized. Polypharmacy was prevalent and majority of drugs prescribed were by brand names because of free supply of drugs.Conclusions: There is a need to bring changes in the prescribing practices with particular emphasis on generic drug and restricting polypharmacy. Also antibiotic policy needs to be introduced in the hospital and continuous medical education besides evidence based medicine approach for rationale use of drugs.

scholarly journals Adverse drug reactions observed in treatment of gastro intestinal and respiratory tract infections: a prospective analysis

2019 ◽  
Vol 9 (1) ◽  
pp. 134
Author(s):  
Laxmipathi Kodam ◽  
Naveen Kumar Tamma ◽  
Janardhan Marupaka ◽  
Srinivasu Karedla
Keyword(s):  
Gastrointestinal Tract ◽  
Respiratory Tract ◽  
Adverse Drug Reactions ◽  
Respiratory Tract Infections ◽  
Adverse Drug Reaction Reporting ◽  
Tertiary Care ◽  
Brand Names ◽  
Drug Reactions ◽  
One Year ◽  
Tract Infections

Background: The aim of the study was to observe common adverse drug reactions in treatment of gastro intestinal and respiratory tract infections in a tertiary care hospitals.Methods: A prospective observational study was conducted by Departments of Pharmacology for a period of one year from prescriptions and case sheets of medical record section. Adverse drug reaction reporting forms and alert cards were used for reporting.Results: The drugs most commonly used for gastrointestinal tract and respiratory diseases are tablets norflox 400 mg, norflox-tz, taxim 200 mg, IV amikacin and iv amoxicillin (500 mg) and clavulanic acid (125 mg) combination. Systems affected by use of above drugs were skin and gastrointestinal tract. Urticaria on skin, abdominal pain, itching in genital area, ulcer on oral mucosa are the common adverse drug reactions observed.Conclusions: Drugs used for common gastrointestinal tract and respiratory tract infections alert cards should be issued to patients when prescribing and adverse drug reactions should be reported to higher centres. Brand names causing adverse reactions should be monitored regularly and their further usage should be based on signals from other centres. All tertiary care hospitals should have antimicrobial guidelines policy to reduce adverse drug reactions.

scholarly journals Usage of antibiotics and monitoring of drug interactions in pediatrics at a tertiary care teaching hospital

2021 ◽  
Vol 8 (11) ◽  
pp. 1828
Author(s):  
Rajasekar N. ◽  
Kireesh Kumar M. ◽  
Sowndarya M. ◽  
Dhanapal C. K. ◽  
Ramanathan R.
Keyword(s):  
Respiratory Tract ◽  
Drug Interactions ◽  
Teaching Hospital ◽  
Respiratory Tract Infections ◽  
Viral Infections ◽  
Tertiary Care ◽  
Prescribing Pattern ◽  
Care Teaching ◽  
Tract Infections ◽  
Rational Use Of Antibiotics

Background: Respiratory tract infections (RTI) are more common in pediatrics. Especially in developing countries like India, RTI causes more death in children. Antibiotics are used to treat RTI even in case of viral infections. Hence rational use of antibiotics is very much needed to avoid antibiotic resistance. In this study we have analysed the prescribing pattern of antibiotics and their drug interactions involved in the management of respiratory tract infections in a tertiary care teaching hospital.Methods: A prospective observational study was conducted in the department of pediatrics at a tertiary care teaching hospital for a period of 6 months (November 2019-April 2020). A total of 144 patients were included in the study and their prescription was analysed for their antibiotic prescribing pattern and interactions.Results: Infants were more prone to RTI infections. Among RTI, lower RTI were more common in children. We have analysed prescribing pattern of antibiotics in which, mono antibiotic therapy were more commonly used. Ampicillin was the frequently prescribed antibiotic. Azithromycin had the most possible interactions among the antibiotics prescribed.Conclusions: More than 336 antibiotics were used for all types of RTI, even in the case of viral infections. So rational use of antibiotics is needed. Among 144 children who were enrolled in the study, none of them were subjected to culture sensitivity test. As of which, all of them were treated empirically. Penicillin and cephalosporin are the mostly prescribed antibiotics in RTI. Cephalosporin prescribed children had less hospital stay and hardly interactions were found.

scholarly journals Antibacterial prescription and the associated factors among outpatients diagnosed with respiratory tract infections in Mbarara Municipality, Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Timothy Eria Muwanguzi ◽  
Tadele Mekuriya Yadesa ◽  
Amon Ganafa Agaba
Keyword(s):  
Drug Use ◽  
Respiratory Tract ◽  
Associated Factors ◽  
Respiratory Tract Infections ◽  
Essential Medicine ◽  
Prescribing Pattern ◽  
Rational Drug Use ◽  
Essential Medicine List ◽  
Rational Drug ◽  
Tract Infections

Abstract Background Respiratory tract infections (RTI) are the second most frequent diagnosis after Malaria amongst Outpatients in Uganda. Majority are Non pneumonia cough and flu which are self-limiting and often do not require antibacterials. However, antibiotics are continuously prescribed for these conditions and are a major contributor to antimicrobial resistance and wastage of health resources. Little is known about this problem in Uganda hence the impetus for the study. Objectives To determine the antibacterial prescribing rate and associated factors among RTI outpatients in Mbarara municipality Methodology This was a retrospective cross-sectional study on records of RTI outpatients from 1st April 2019 to 31st March 2020 (prior to the novel corona virus disease pandemic) in four selected public health facilities within Mbarara municipality. A pretested data caption tool was used to capture prescribing patterns using WHO/INRUD prescribing indicators. We used logistic regression to determine factors associated to antibacterial prescribing. Results A total of 780 encounters were studied with adults (18-59 years) forming the largest proportion of age categories at (337, 43.15%) and more females (444, 56.85%) than men (337, 43.15%). The antibacterial prescribing rate was 77.6% (606) with Amoxicillin the most prescribed 80.4% (503). The prescribing pattern showed an average of 2.47 (sd 0.72) drugs per encounter and the percentage of encounters with injection at 1.5% (24). Drugs prescribed by generic (1557, 79%) and drugs prescribed from essential medicine list (1650, 84%) both not conforming to WHO/INRUD standard; an indicator of possible irrational prescribing. Female gender (adjusted odds ratio [aOR] = 1.51, 95% confidence interval [CI]: (1.06–2.16); 18–59 years age group (aOR = 1.66, 95% CI: 1.09–2.33) and Individuals prescribed at least three drugs were significantly more likely to have an antibacterial prescribed (aOR= 2.72, 95% CI: 1.86–3.98). Conclusion The study found a high antibacterial prescribing rate especially among patients with URTI, polypharmacy and non-conformity to both essential medicine list and generic name prescribing. This prescribing pattern does not comply with rational drug use policy and needs to be addressed through antimicrobial stewardship interventions, prescriber education on rational drug use and carrying out more research to determine the appropriateness of antibacterial prescribed.

scholarly journals Study of drug utilization trends in respiratory tract infections in a tertiary care teaching hospital: a retrospective study

2017 ◽  
Vol 6 (11) ◽  
pp. 2583
Author(s):  
Avula Naveen ◽  
M. R. Sravani
Keyword(s):  
Health Care ◽  
Respiratory Tract ◽  
Drug Utilization ◽  
Respiratory Tract Infections ◽  
Tertiary Care ◽  
Essential Medicine ◽  
Prescribing Patterns ◽  
Fixed Dose ◽  
Drug Utilization Studies ◽  
Tract Infections

Background: Drug utilization studies play crucial role in the health sector and ultimately it provides insight into the efficiency of drug use and results of such research can be used to help to set priorities for the rational use of medicines and allocation of health care budgets. Respiratory tract infections (RTIs) contributing to significant mortality and morbidity of populations especially in developing countries like India. Polypharmacy and irrational prescription are significant negative fallouts in treatment of RTIs. Keeping in view of this, our study was undertaken to analyze the drug utilization pattern of RTIs.Methods: The study was conducted at Gandhi Hospital, after obtaining permission from the Institutional Ethics Committee. We have collected data of 600 case records of the patients diagnosed with respiratory tract infection and evaluated for prescribing patterns in consonance with WHO indicators.Results: Out of the total case records 348 (58%) were of male patients and 252 (42%) of female patients. Age wise distribution was done; 79 (13.16%) 0-15 years, 46 (7.67%) 16-30 years, 123 (20.50%) 31-45 years, 194 (32.33%) 46-60 years and 158 (26.33%) patients belongs to >60 years of age group respectively. A total of 4682 drugs were prescribed, 2468 (52.71%) antibiotics, 768 (16.4%) bronchodilators, 581 (12.4%) corticosteroids, 323 (6.89%) antacids, 542 (11.57%) in miscellaneous category respectively. With regard to formulations 2463 (52.60%) oral, 1463 (31.24%) injectable and 756 (16.14%) inhalational drugs were prescribed. Numbers of Fixed dose combinations were 712 (15.20%). 7.8 drugs were prescribed per prescription. 2493 (53.24%) drugs were prescribed from National Essential Medicine List. 4168 (89.02%) drugs were prescribed by their brand names.Conclusions: Prescription of drugs with branded names, Irrational prescribing, poly pharmacy were observed in our study. So there is an urgent need for creating awareness among the health care professionals regarding rational prescription by using data from from drug utilization studies. 

Evaluation of Parental Knowledge, Attitudes and Practices Regarding Antibiotic Use in Acute Upper Respiratory Tract Infections in Children in a Tertiary Care Hospital in Turkey

2021 ◽  
Author(s):  
Aslınur Albayrak ◽  
Nazmi Mutlu Karakaş ◽  
Bensu Karahalil
Keyword(s):  
Antibiotic Resistance ◽  
Respiratory Tract ◽  
Respiratory Tract Infections ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Upper Respiratory Tract Infections ◽  
Care Hospital ◽  
Upper Respiratory Tract ◽  
Upper Respiratory ◽  
Tract Infections

Abstract BackgroundUpper respiratory tract infections (URTIs) are common in children. Most URTIs have been shown to be of viral origin. Inappropriate use of antibiotics is one of the main causes of antibiotic resistance. The problem of unnecessary antibiotic use among children is a concern for antibiotic resistance in low- and middle-income developing countries.MethodsOur study is a cross-sectional survey study. It was carried out between 14 December 2020 and 1 April 2021 for parents over 18 years of age with a child under 18 years’ old who applied to the general pediatrics outpatient clinics of Gazi University Faculty of Medicine Hospital Department of Pediatrics.Results554 parents responded to the questionnaire. A total of 15.7% of parents stated to use antibiotics in any child with fever. 37% of parents believed that antibiotics could cure infections caused by viruses. 6.3% of parents declared that they put pressure on pediatricians to prescribe antibiotics. 85.6% of the parents stated that they never gave their children non-prescription antibiotics when they had a high fever. 80.9% of them declared that they never used past antibiotics in the presence of a new infection. Female gender, high level of education, high income level and low number of antibiotics used in the last 1 year were found to be statistically significant with the better knowledge level of the parents (p <0.05).ConclusionAccording to the results of our study of parents' lack of knowledge about antibiotics in Turkey, though generally it shows proper attitude and behavior. It shows that some of the restrictions imposed by the National Action Plan are partially working. However, it is still necessary to continue to inform parents, pediatricians and pharmacists about the use of antibiotics, and to be more sensitive about the prescribing of antibiotics, and if necessary, sanctions should be imposed by the state in order to prevent unnecessary antibiotic prescriptions.

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