scholarly journals Prescribing pattern of antibiotics in ENT outpatient department in a tertiary care teaching hospital

2020 ◽  
Vol 9 (12) ◽  
pp. 1892
Author(s):  
Jyothsnya Srinivasa ◽  
Vijaya Rajendran ◽  
Pratibha Nadig ◽  
Shubhatara Swamy
Keyword(s):  
Antibiotic Resistance ◽  
Teaching Hospital ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Brand Names ◽  
Outpatient Department ◽  
Antibiotic Prescribing ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

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.

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

2020 ◽  
Vol 9 (12) ◽  
pp. 1792
Author(s):  
Jyothsnya Srinivasa ◽  
Vijaya Rajendran
Keyword(s):  
Antimicrobial Resistance ◽  
Teaching Hospital ◽  
Treatment Guidelines ◽  
Tertiary Care ◽  
Antibiotic Prescribing ◽  
Duration Of Treatment ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Stewardship Program

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.

scholarly journals Patterns of drug use and drug dispensing in dermatology outpatient prescriptions in a tertiary care teaching hospital

2018 ◽  
Vol 7 (8) ◽  
pp. 1494
Author(s):  
Aravinda Kumar
Keyword(s):  
Drug Use ◽  
Teaching Hospital ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Inappropriate Use ◽  
Essential Drug List ◽  
Outpatient Prescriptions

Background: Periodic assessment of drug prescribing and dispensing pattern in a hospital facility shall play a major role in avoiding the inappropriate use of drugs which leads to potential hazards and expenses for the patients.Methods: The objective of the study was to analyse the patterns of drug use and dispensing in dermatology outpatient prescriptions from a tertiary care teaching hospital in south India. Data were collected over a period of one month from patients attending dermatology outpatient department by scrutinizing 100 prescriptions and analyzed using WHO formulated “core drug use indicators” like the format, prescribing pattern and rationality of prescriptions.Results: The total number of drugs prescribed in 100 prescriptions was 233 i.e. on average 2.33 drugs were prescribed per patient. The patient's name and age were mentioned in all the prescriptions while diagnosis, dose, route of administration, dosage form, duration of therapy and prescriber's identity was written in 43.29%, 68.04%, 69.07%, 100%, 49.48% and 63.91% prescriptions respectively. Out of all drugs, 42.91% were generic drugs and 57.08% were from National Essential Drug List of India. Steroids (18.02%) were the most common group of drugs used, followed by keratolytics and emollients (15.87%). Most of the drugs were given by topical route (47.63%).Conclusions: A prescription by a doctor is a reflection of physicians’ attitude towards the disease and the role of drug in its treatment. It also provides an insight into the nature of health care at that facility. Interventions to rectify over proper prescription format and prescription of generic drugs are necessary to further improve rational drug use in this facility.

scholarly journals To assess prescribing pattern of antibiotics in department of pediatric at tertiary care teaching hospital

2019 ◽  
Vol 9 (2) ◽  
pp. 192-196
Author(s):  
Sarita Jangra ◽  
Bhupinder Bhyan ◽  
Wasim Chand ◽  
Joesph Saji ◽  
Rahul Ghoghari
Keyword(s):  
Teaching Hospital ◽  
Population Distribution ◽  
Health Care Cost ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Antibiotic Prescribing ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Frequent Use

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.

scholarly journals PRESCRIBING PATTERN OF PSYCHOTROPIC AGENTS IN RURAL TERTIARY CARE TEACHING HOSPITAL

2018 ◽  
Vol 11 (3) ◽  
pp. 155
Author(s):  
Rajesh Venkataraman ◽  
Madan Rayamajhi ◽  
Shahinur Islam ◽  
Nanjunda N
Keyword(s):  
Teaching Hospital ◽  
Selective Serotonin Reuptake Inhibitors ◽  
Psychiatric Patients ◽  
Tertiary Care ◽  
Healthcare Providers ◽  
Prescribing Pattern ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Psychotropic Agents ◽  
Psychiatric Department

 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.

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