scholarly journals Antibiotic prescription analysis of inpatients in a tertiary care teaching hospital

Author(s):  
Jyothsnya Srinivasa ◽  
Vijaya Rajendran

Background: Antibiotics are one among the commonly prescribed drugs. Patterns of antibiotic resistance widely follows local patterns of antibiotic prescribing and usage. Periodic surveillance of antibiotic prescriptions at regional level are essential to understand and combat antimicrobial resistance. To study the prescribing pattern of antibiotics among inpatients of various specialties in a tertiary care teaching hospital. Method: A prospective observational study of prescribing pattern of antibiotics was conducted among inpatients of various specialties in a tertiary care teaching hospital. Antibiotic prescribing data was collected using a semi structured proforma. The data obtained was analyzed and the conclusions were drawn using descriptive analysis.Results: A total of 1161 prescriptions were collected. 3211 antibiotics were prescribed. Mean average duration of treatment with antibiotics per patient was 11.8 days. Use of 3rd generation cephalosporins, imipenem, piperacillin and vancomycin observed. 75% of antibiotics were prescribed for prophylactic use. Antibiotics prescribed for therapeutic indication were supported by clinical, radiological and other investigations like culture and sensitivity reports.Conclusions: The present study highlights the use of antibiotics for long duration among admitted patients. Implementation of antimicrobial stewardship program with adherence to standard treatment guidelines is essential to combat antimicrobial resistance.

Author(s):  
Jyothsnya Srinivasa ◽  
Vijaya Rajendran ◽  
Pratibha Nadig ◽  
Shubhatara Swamy

Background: Antibiotics are the most commonly used and misused of all drugs. Patterns of antibiotic resistance widely follows local patterns of antibiotic prescribing and usage. Periodic data collection and analysis of antibiotic prescriptions at regional level are essential to understand and combat antibiotic resistance. Objective of the study was to study the prescribing pattern of antibiotics in outpatient department of Otorhinolaryngology in a tertiary care teaching hospital. Methods: A prospective observational study of prescribing pattern of antibiotics was conducted in the department of Otorhinolaryngology. Data of antibiotic utilization in outpatient department was collected through duplicate copies of the prescriptions. The data obtained was analyzed and the conclusions were drawn using descriptive analysis.Results: A total of 606 prescriptions were collected and analyzed during the study. Average number of antibiotics prescribed per prescription was 1.24 most of the antibiotics were prescribed for a duration of 1 to 5 days. Commonly prescribed antibiotic class was penicillin (48.1%) followed by quinolone (18.3%). Most of the antibiotics were prescribed by their brand names (98.8%).Conclusions: The present study highlights the wide use of extended spectrum antibiotics, along with brand names for prescribing. Interventions for prescribing of generic drugs from the essential drug list needs to be encouraged among physicians.


2019 ◽  
Vol 9 (2) ◽  
pp. 192-196
Author(s):  
Sarita Jangra ◽  
Bhupinder Bhyan ◽  
Wasim Chand ◽  
Joesph Saji ◽  
Rahul Ghoghari

Background: Frequent use of antibiotics can cause antimicrobial resistance and increased health care cost. Child and infants have immature pharmacokinetic and pharmacodynamic system. To overcome issue regarding antibiotic, use of institutional protocols based on rational standard guidelines (IAP/WHO) is necessary. Aim: To assess prescribing pattern of antibiotics in department of pediatric at tertiary care teaching hospital. Methods: A 6 months prospective observational single centered study was conducted on 147 pediatric patients who were prescribed with antibiotics at a tertiary care teaching Hospital, from December 2017 to May 2018. Results: In study population distribution of age 5-10(41.66%) is highest population of patients and age 16-18(9.72%) is lowest patients of population. In disease distribution URTI  (23.12%) is highest population of patients and Meningitis (2.02%) is lowest. Amoxicilin (27.21%) was more prescribed antibiotic and Levofloxacin (2.04%) was less prescribed drug. In gender distribution (66.66%) patient were found to be male and (33.33%) patient were found to be female out of total population. In frequency of treatment (54.42%) were given as twice a day, followed by (27.89%) were given once a day and (17.68%) were given as a thrice a day. Conclusion: It was found that the population of male patient more than female patient, Study give the common idea of antibiotic prescribing pattern. The prescribing of antibiotics was according to the guidelines. Keywords:  Antibiotic, Pediatric, rational, prescribing pattern, inpatient, outpatient.


Author(s):  
Rajesh Venkataraman ◽  
Madan Rayamajhi ◽  
Shahinur Islam ◽  
Nanjunda N

 Objectives: The objectives of the study were to study the prescribing pattern on psychotropic agents at psychiatric department at rural tertiary care teaching hospital, B.G. Nagara.Methods: A prospective and observational study was conducted among psychiatric department (either sex) after considering inclusion and exclusion criteria for the period of 6 months and a total of 300 prescriptions were analyzed.Results: A total of 300 psychiatric patients were enrolled, male 170 (56.67%) patients predominated over females 130 (43.33%) patients. Majority of participants were under age group of 31–40 years (28.6%), illiterate (75%), unemployed (52%), and married (84%). Prevalence of mood disorder 109 (36.33%) was high followed by substance used and addictive disorder 53 (17.67%), schizophrenia 46 (15.33%), and psychosomatic medicine 22 (7.33%). Antidepressant (28.59%) was the commonly prescribed group followed by benzodiazepines (14.81%), anticholinergic (7.18%), and anticonvulsants (7.18%). Tricyclic antidepressants drugs amitriptyline (53.44%) was most frequently prescribed an antidepressant. An average number of drugs per prescription was 2.32 out of which 16.91% of drugs were prescribed by their generic name.Conclusion: Selective serotonin reuptake inhibitors (SSRIs) were the most common group, and escitalopram was the most common medication used among the SSRIs. Majority of the drugs were prescribed from essential drug list. This study advocated an overall rational utilization of psychotropic drugs with fewer deviations due to the socioeconomic status of patients and prescription practices of healthcare providers and need to improve prescribing habits to ensure rational use.


Author(s):  
Mohammed Sarfaraz ◽  
A. S. Archana ◽  
Bhavana Kalwa ◽  
Monish Abraham Mathew ◽  
Shilpa Anna Kuriakose ◽  
...  

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.


Background: Drug use is a tricky task comprises of prescriber, dispenser and the patient. It is influenced by factors such as prescribing experience, drug cost, availability, dispenser knowledge and patient cultural belief. Objective: Current study aim is to assess the drug prescribing pattern in the inpatient ward of the surgery department at tertiary care teaching hospital using WHO prescribing indicators. Material and Methods: A prospective observational study was carried out after the approval from the institutional ethical committee for a period of six months from February 2019 to July 2019. Data were collected, evaluated and represented using descriptive statics and graph wherever applicable. Result: Total of 190 prescriptions were collected and analyzed using WHO prescribing indicators. An average number of the drug was 5.23%. The percentage of the drug from essential medicine list, generic name and Injectables prescribed was 46.93%, 17.68% and 53.16% respectively. Conclusion: Labelling status of prescribing was not according to standards of WHO prescribing indicators and needs special attention. Such study plays a crucial role in the institution level and helps in preparation of evidence-based modules for rational use of drugs.


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