scholarly journals Drug utilization pattern of antimicrobials in OPD of ENT in teaching hospital

2019 ◽  
Vol 8 (9) ◽  
pp. 1994
Author(s):  
Ravi Shankar K. ◽  
Krishnakanth K. ◽  
Jagadeesh Alla
Keyword(s):  
Clavulanic Acid ◽  
Drug Utilization ◽  
Prospective Observational Study ◽  
Brand Names ◽  
Utilization Pattern ◽  
Drug Utilization Study ◽  
Antibiotic Policy ◽  
Medical College ◽  
Rational Drug ◽  
Amoxicillin Clavulanic Acid

Background: A drug utilization study may be helpful to identify the problems, suggest the remedial measures and promote rational use. Antimicrobials are commonly used to treat infections caused by bacteria, viruses, protozoa and fungi, evidently require huge prescriptions in India.Methods: A prospective, observational study was carried out for a period of four months from February to May 2019 in the Department of ENT (OPD) at NRI Medical College and General Hospital. Prescriptions were collected randomly from around 300 patients attending the ENT outpatient department after obtaining informed consent. The data were collected in the predesigned proforma for analysis.Results: 300 ENT patients were selected for the study, 62% were male and 38% were female. Out of 300 patients 190 ear disorders, 50 nasal, and 60 throat infections. Antimicrobial therapy were most commonly instituted in ear diseases (67.66%), nose (16.95%) and throat (15.37%) respectively. The most commonly used agents were amoxicillin with clavulanic acid- n=295, cefixime- n=1260, gentamicin- n=200, ciprofloxacin- n=157, azithromycin- n=199, nitroimidazoles (metronidazole- n=111).Conclusions: Cefixime and amoxicillin+clavulanic acid combination was the most commonly prescribed antibiotic in our study. Interventions to rectify the use of brand names are necessary to promote rational drug use. An antibiotic policy has to be developed for the doctors in treating infections so that rationality in using the antibiotics will be developed and the occurrence of antibiotic resistance can be reduced.

scholarly journals Drug utilization study in outpatient ophthalmology department of government medical college, Nellore, India

2018 ◽  
Vol 7 (5) ◽  
pp. 844
Author(s):  
Naveen Choudary Gorantla ◽  
Lalitha Hanumanthu
Keyword(s):  
Drug Utilization ◽  
Generic Drugs ◽  
Ethics Committee ◽  
Government Medical College ◽  
Utilization Pattern ◽  
Drug Utilization Study ◽  
Medical College ◽  
Duration Of Therapy ◽  
Generic Prescribing ◽  
Drug Utilization Studies

Background: Drug utilization studies are an important part of rational use of drugs. This study was planned to assess drug utilization pattern in Ophthalmology outpatient department.Methods: After approval from Ethics Committee, 620 prescriptions were analyzed according to WHO drug indicators.Results: 2. 4 drugs were prescribed on an average per prescription. Antibiotics (49%) were the most commonly used drugs. Fluoroquinolones (54%) were frequently used. Topical route was preferred route of drug administration. Prescription of generic drugs was not optimal (13%). Duration of therapy was missing in many prescriptions.Conclusions: Generic prescribing can be improved. Duration of therapy should be mentioned in all prescriptions.

scholarly journals The Assessment of Drug Use Pattern Using WHO Prescribing Indicators

2018 ◽  
Vol 16 (3) ◽  
pp. 279-284
Author(s):  
Binaya Shrestha ◽  
Sanjaya Mani Dixit
Keyword(s):  
Drug Use ◽  
Drug Prescription ◽  
College Teaching ◽  
Brand Names ◽  
World Health ◽  
Prescribing Indicators ◽  
Medical College ◽  
Rational Drug ◽  
Health Organization ◽  
Drug Use Pattern

Background: In order to promote rational drug use in developing countries, assessment of drug use pattern using the World Health Organization drug use indicators is important. The aim of this study was to assess the drug prescription patterns at Kathmandu Medical College Teaching Hospital, using some of the World Health Organization core drug use indicators.Methods: A prospective cross-sectional study was carried out in order to determine current prescribing trends at Kathmandu Medical College Teaching Hospital. A total of 605 prescriptions were collected and analyzed in the study.Results: The average number of drugs per prescription was 5.85 considering the total amount of prescriptions. Furthermore, assuming each prescription as an individual patient, 64.1% of patients received antibiotics, and 71% of patients received injectable form of drugs. Among antibiotics the most common antibiotics prescribed were Ceftriaxone, Amoxicillin/Cloxacillin, Azithromycin, Cefixime, and Cloxacillin. Only 16.94% of the medicines were prescribed in generic names with the rest 83.06% of the medicines being prescribed in brand names and 47.55% of medicines prescribed were from the National List of Essential Medicines-Nepal.Conclusions: The current study revealed that polypharmacy and prescription writing using brand names were common. Prescriptions writing in generic name needs to be promoted and encouraged. There appears to be a crucial need for the development of prescribing guidelines when it comes to antibiotics. Keywords: Drug prescription; drug utilization; prescribing practices; rational drug use; WHO prescribing indicators.

scholarly journals Drug utilization study of antipsychotics among schizophrenia patients in a tertiary care teaching hospital: a retrospective observational study

2020 ◽  
Vol 9 (6) ◽  
pp. 971
Author(s):  
Sahana M. Mogali ◽  
Basavaraj C. Kotinatot
Keyword(s):  
Observational Study ◽  
Drug Utilization ◽  
Atypical Antipsychotics ◽  
Demographic Data ◽  
Tertiary Care ◽  
Mood Stabilizers ◽  
Retrospective Observational Study ◽  
Utilization Pattern ◽  
Drug Utilization Study ◽  
One Year

Background: Aim of the study was to evaluate the drug utilization pattern of antipsychotics in schizophrenia patients in a tertiary care hospital.Methods: A retrospective observational study was conducted over a period of one year. Demographic data and drug utilization pattern of antipsychotics was collected from the surveyed prescriptions. Using WHO prescribing indicators data was analysed. Results were expressed in percentage.Results: Out of 300 prescriptions analysed, males were 58% and females 42%. Majority of schizophrenia patients were in age group of 15 to 45 years 70.33%. Olanzapine 75% was most common antipsychotic drug prescribed followed by risperidone 10.7%. Haloperidol 9.6%, fluphenazine 3.7% and chlorpromazine 1% were the other antipsychotics prescribed. Atypical antipsychotics 85.7% were commonly prescribed than conventional ones 4.3%. Concomitant drugs prescribed were anticholinergics, antihistaminics, sedative-hypnotics, antidepressants, mood stabilizers, antiulcer drugs and vitamin B complexes. Average number of drugs prescribed per prescription 3.26.Conclusions: Nowadays atypical antipsychotics are preferred over conventional ones because of their less side effects. Drug utilization study helps in rational usage of drugs important for patient care.

scholarly journals Drug utilization pattern in outpatient department of Government Medical College and C.P.R. Hospital, Kolhapur

2013 ◽  
Vol 2 (4) ◽  
pp. 403
Author(s):  
Rama Bhosale ◽  
Jaiprakash Ramanand ◽  
Sunita Ramanand ◽  
Ajitkumar Zende ◽  
Sudhir Padwal ◽  
...  
Keyword(s):  
Drug Utilization ◽  
Outpatient Department ◽  
Government Medical College ◽  
Utilization Pattern ◽  
Medical College

scholarly journals Susceptibility of Incisional Site Staphylococcus spp. to Three Common Perioperative Antimicrobials in Dogs Undergoing Clean Orthopaedic Procedures

VCOT Open ◽  
2020 ◽  
Vol 03 (02) ◽  
pp. e158-e163
Author(s):  
Po-Yen Chou ◽  
Duane Robinson ◽  
Amy S. Kapatkin ◽  
Steven E. Epstein ◽  
Michelle A. Giuffrida ◽  
...  
Keyword(s):  
Clavulanic Acid ◽  
Prospective Observational Study ◽  
Bacterial Isolates ◽  
Susceptibility Pattern ◽  
Coagulase Negative Staphylococci ◽  
Bacillus Spp ◽  
Amoxicillin Clavulanic Acid ◽  
Healthy Dogs ◽  
Staphylococcus Spp ◽  
Coagulase Positive Staphylococci

Abstract Objectives The aim of this study was to evaluate the susceptibility pattern of the incisional site Staphylococcus spp. to three commonly used perioperative antimicrobials in dogs. Materials and Methods A cohort of client-owned dogs was included in this prospective observational study. After induction of general anaesthesia and hair clipping, culture samples were collected from the incisional site of healthy dogs before orthopaedic surgery. The isolated colonies were identified. The susceptibility pattern of staphylococcal isolates was determined using Clinical and Laboratory Standard Institute standards. The staphylococcal susceptibilities to amoxicillin/clavulanic acid and cefpodoxime were compared with cefazolin using two-sided equality of proportions test. Results A total of 391 bacterial isolates were identified in 115 dogs. Bacillus spp. (n = 200) and Staphylococcus spp. (n = 95) were the most common bacteria isolated. Coagulase- positive and -negative staphylococci were isolated in 44 and 38% of dogs respectively. Cefazolin, amoxicillin/clavulanic acid and cefpodoxime staphylococcal susceptibilities were 68, 77 and 76% respectively. There were no significant differences in Staphylococcus spp. susceptibility between amoxicillin/clavulanic acid or cefpodoxime and cefazolin (p = 0.19, p = 0.25). Thirty-six per cent of coagulase-negative staphylococci and 6% of coagulase-positive staphylococci isolated were methicillin resistant. Conclusion Cefazolin, amoxicillin/clavulanic acid and cefpodoxime had similar susceptibilities for staphylococcal isolates. Routine use of amoxicillin/clavulanic acid or cefpodoxime in replace of cefazolin should be practiced with caution.

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