Role of Betadine irrigation in chronic suppurative otitis media: Our experiences in a tertiary care teaching hospital of East India

2019 ◽  
Vol 8 (1) ◽  
pp. 29
Author(s):  
SantoshKumar Swain ◽  
IshwarChandra Behera ◽  
MaheshChandra Sahu
Keyword(s):  
Otitis Media ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Chronic Suppurative Otitis Media ◽  
Suppurative Otitis Media ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

scholarly journals Drug use in acute otitis media: a prospective study at a tertiary care teaching hospital

2019 ◽  
Vol 8 (2) ◽  
pp. 240
Author(s):  
Rushi N. Pandya ◽  
Maulik M. Patel ◽  
Varsha J. Patel
Keyword(s):  
Drug Use ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Acute Otitis Media ◽  
Fixed Dose ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Use Pattern ◽  
Drug Use Pattern

Background: Drug use study identifies the problems that arise from prescription and highlights the current approaches to the rational use of drugs. The objective of the study was to assess drug use pattern in patients diagnosed of acute otitis media in tertiary care teaching hospital.Methods: This prospective observational study was carried in the Otorhinolaryngology department of a tertiary care teaching hospital over a period of twelve months. The data collected for patients with acute otitis media included the patient's demographic details and the drugs prescribed. Data were analysed for drug use pattern and cost per prescription and assessment of rationality of prescription.Results: Total 153 patients were analysed, 100 (65.35%) belonged to male patients and 53 (34.65%) belonged to female patients. Children less than 2years age were the most diagnosed with AOM 47.71%, the major diagnostic symptoms were earache (58.16%) and fever (54.90%) and signs were congestion (52.94%) and discharge (43.13%). In a total 153 prescriptions (469 drugs), 33.68% were antimicrobials, followed by mineral supplements (23.67%). Average number of drugs per prescription was found to be 3.0. Most common antibiotic prescribed was amoxicillin (with or without clavulanate) in 142 (92.81%) patients. Paracetamol alone or in fixed dose combination with antihistaminics were prescribed in 131 patients. Average cost per prescription was 87.74(±35.67) Indian rupees. Seventeen (11.11%) prescriptions were rational in all the aspects based on standard guidelines.Conclusions: The present study showed that paracetamol and amoxicillin with or without clavulanate were mostly commonly prescribed in children with AOM. Irrational prescribing was seen in maximum number of cases.

scholarly journals To assess awareness regarding rational drug therapy and fixed dose combinations amongst interns and II MBBS students in tertiary care teaching hospital in Maharashtra, India

2017 ◽  
Vol 7 (1) ◽  
pp. 27
Author(s):  
Jeetendra M. Singh ◽  
Tushar C. Baheti ◽  
Rakesh Verma
Keyword(s):  
Drug Therapy ◽  
Teaching Hospital ◽  
Tertiary Care ◽  
Fixed Dose ◽  
Average Score ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Rational Drug

Background: The present study was designed to assess awareness regarding rational drug therapy and fixed dose combinations (FDC) amongst interns and II MBBS students in a tertiary-care teaching hospital in Maharashtra, India.Methods: This cross-sectional, questionnaire-based study containing MCQ and analytical questions on rational drug therapy, fixed dose combinations and role of Pharmacist in dispensing correct drug to the patients was carried out in both interns (n=80) and II MBBS students (n=100). The completed questionnaires were then collected and analysed statistically for responses.Results: Mean average score obtained by II MBBS students (score - 36.66marks) was significantly better than interns (score- 20marks) which probably may be due to pharmacology teaching they were undergoing. II MBBS students were found to be better informed as compared to the interns (p<0.05) on questions related to rational drug therapy. On the questions related to rationality of FDC in Yes/No type, interns and II MBBS students were found to be equally informed (p>0.05). However, on question related to justification of FDC, interns were found to be better informed as compared to the II MBBS students (p<0.05). On single question pertaining to role of pharmacist, interns were found to be better informed than II MBBS students possibly due to their better understanding of patient-pharmacist relationship.Conclusions: Our study highlights the significance regarding knowledge of rational drug therapy and fixed dose combination (both rational and irrational), both rational and irrational, amongst both interns and II MBBS students while identifying the possible areas of interventions to make them rational clinicians.

scholarly journals A STUDY ON THE PRESCRIBING PATTERN OF ANTIMICOBIAL DRUGS IN PATIENTS ATTENDING THE EAR, NOSE, THROAT DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL

2020 ◽  
pp. 197-199
Author(s):  
SWOPNA PHUKAN ◽  
SAHELI DAS
Keyword(s):  
Clavulanic Acid ◽  
Teaching Hospital ◽  
Generic Drugs ◽  
Tertiary Care ◽  
Essential Medicines ◽  
Antimicrobial Drugs ◽  
Suppurative Otitis Media ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Amoxicillin Clavulanic Acid

Objective: The aim of the study is to evaluate the prescription pattern of antimicrobial drugs in the department of ear, nose, throat (ENT) of a tertiary care teaching hospital in Guwahati. Methods: The present study was conducted in the department of ENT after getting approval from the Institutional Ethics Committee (No MC/190/2007/Pt – 11 December -18/18). It was a prospective observational study for a period of 6 months. Prescriptions were collected from the outdoor and indoor patients of ENT. Results: In the present study, the majority of the patients were male (64.1%). Mostly, the patients belonged to the age group of 31–60 years (52%). Pharyngitis (20.8%) was the most commonly encountered disease which was reported followed by ear discharge (16.2%) and acute suppurative otitis media (15.8%). Total number of antimicrobial drugs prescribed for 240 patients was 303, amoxicillin-clavulanic acid being the most common (66%). About 89.4% of the drugs were included in the WHO Model List of Essential Medicines, 2019. Majority of the patients were prescribed only one drug. Conclusion: The drug prescribed commonly for ENT infections was amoxicillin-clavulanic acid combination. Around 71.6% of drugs were prescribed by their brand names. Intervention is needed to promote the use of generic drugs as these drugs are with the same composition and provide the same therapeutic benefit at reasonable price.

scholarly journals Use of Antibiotics in Upper Respiratory Tract Infections in Tertiary Care Teaching Hospital of Delhi

2021 ◽  
Vol 11 (2-S) ◽  
pp. 36-40
Author(s):  
Md. Zulqarnain ◽  
Sanjit Singh ◽  
Abhishek Prasad ◽  
, Abdullah ◽  
Tanaya Palit
Keyword(s):  
Adverse Drug Reaction ◽  
Drug Reaction ◽  
Clavulanic Acid ◽  
Otitis Media ◽  
Teaching Hospital ◽  
Common Cold ◽  
Antibiotic Prescription ◽  
Tertiary Care ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

The aim of this study was to evaluate the prescribing pattern of antibiotics in URTI patients attending the OPD and IPD of HAHC Hospital, a tertiary care teaching hospital of Jamia Hamdard, associated with HIMSR, New Delhi. URTI account for millions of visits to family physicians each year. Although warranted in some cases, antibiotics are greatly overused. In the present study, an overall antibiotic prescription rate for adult patients with URTI was 45.6% whereas 54.4% patients were on non-antibiotic treatment. In our study the antibiotics were prescribed in 10.5% cases of common cold, 76.47% cases of pharyngitis, 63.15% cases of laryngitis, 100% cases of otitis media and 52.38% cases of sinusitis. The most commonly prescribed antibiotic was azithromycin which was prescribed collectively in 70.3% cases of common cold, pharyngitis, laryngitis, and sinusitis. The combination of amoxicillin and clavulanic acid was prescribed in remaining 29.7% cases suffering from pharyngitis. sinusitis, and otitis media. The antibiotic prescription at Hospital is in line with the ICMR guidelines for URTIs. We found adverse drug reactions in only 9% cases receiving azithromycin and combination of amoxicillin and clavulanic acid. The adverse drug reaction reported with azithromycin was diarrhoea, stomach pain, nausea and vomiting whereas only diarrhoea was reported with amoxicillin and clavulanic acid combination. No other unexpected adverse drug reaction was observed in this study. Keywords: URTI, Antibiotics, Azithromycin and co-morbidities.

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