Buradasınız

Anasayfa » Content

Evaluation of antibiotic prescribing patterns among medical practitioners in North India.

Journal Name:

  • Indian Journal of Basic & Applied Medical Research

Publication Year:

  • 2013
Author Name
Abstract (2. Language): 
Introduction: Rational and Cost Effective Medical care seeks to monitor, evaluate and suggest modifications in prescribing habits of medical professionals. The threat of rampant antibiotic resistance necessitates a study to assess the antibiotic prescribing patterns among inpatients in a tertiary care center in Ludhiana, North India. Methods: A prospective clinical record review was done on 100 patients admitted in the Medicine, Surgery, Orthopaedics , Paediatrics and Gynaecology wards of a tertiary care hospital. Using a table of random numbers5 patients/ department/ward/ day were selected from the list of inpatients obtained from theAdmissions office. Results: Majority of patients were not on any antibiotics at the time of admission.Over 65% of patients in Paediatrics and Gynaecology were prescribed 2 antibiotics. Majority of the patients in Medicine (60%), Orthopaedics(55%) and Gynaecology(50%) were on both i/v and oral antibiotic therapy whereas 85% of patients in Surgery department were only on i/v antibiotics. Antibiotics were not changed after the culture report in almost all of the patients in all the departments. In Medicine and Surgery depts., the cost of antibiotics in majority of the patients averaged between Rs.500 and Rs.1000throughout the hospital stay.95% were discharged after treatment of the illness.1 patient each from Surgery and Pediatrics expired during the study period. Conclusions : Antimicrobial resistance is an increasing problem in our hospital and is worsened by wrong prescribing practices. The need of the hour is to formulate guidelines for hospital antibiotic thereby standardizing the use of antimicrobial therapy. Appropriate antimicrobial stewardship includes not only the limitation of use of inappropriate agents but also the appropriate selection, dosing and duration of antimicrobial therapy to achieve optimal efficacy in managing infections.
Bookmark/Search this post with
FULL TEXT (PDF): 
PDF icon 952-957.pdf.pdf
  • 8
952-957
  • English

REFERENCES

References: 

1) Kaur J, Badyal DK. Prescribing practices in a Tertiary Care Hospital in Northern India. The Indian
Practitioner 2007;60(9): 548-52.
2) Bharatiraja R, Sridharan S, Chelliah LR , Suresh S, Senguttuvan M. Factors affecting antibiotic prescribing
patterns in paediatric practice.Indian J Pediatr 2005;72(10): 877-79
3) NeuHC.The crisis in antibiotic resistance. Science 1992; 257:1064-73
4) Gonzalez R, Bartlett JG, Besser RE, Cooper RJ, Hickner JM, Hoffman JR, et al. Principles of appropriate
antibiotic use for treatment of acute respiratory tract infections in adults: background, specific aims, and
methods. Ann Intern Med 2001; 134:479-86.
5)Srishyla MV, Naga Rani MA, Venkataraman BV: Drug utilization of antimicrobials in the in-patient setting
of a tertiary hospital. Indian J Pharmacol 1994;26:282-87.
6) Raymond DP, Pelletier SJ, Sawyer RG. Antibiotic Utilization Strategies to limit Antimicrobial
resistance.SeminRespirCrit Care Med 2002;23(5):497-501
7) Shankar RP , Partha P, Shenoy NK, Easow JM ,Brahmadathan KN. Prescribing patterns of antibiotics and
sensitivity patterns of common micro-organisms in the Internal Medicine ward of a tertiary hospital in Western
Nepal: a prospective study. Ann of Clinical Microbiol and Antimicrobials 2003; 2:1-9
8) RehanaHS ,Nagarani MA, Rehan M.A study on the drug prescribing pattern and use of antimicrobial agents
at tertiary care teaching hospital in eastern Nepal. Indian J Pharmacol 1998; 30: 175-80
9)Niederman M S. Appropriate use of Antimicrobial agents: Challenges and strategies for Improvement. Crit
Care Med;31:608-16
10)Srishyla MV, Naga Rani MA ,Venkataraman BV: Drug utilization of antimicrobials in the in-patient setting
of a tertiary hospital Indian J Pharmacol1994, 26:282-87.
11) Raveh D, Levy Y, Schlesinger Y, Greenberg A, Rudensky B and YinnonAM: Longitudinal surveillance of
antibiotic use in the hospital QJM 2001;94:141-52.
12)Ballow CH, Schentag JJ. Trends in antibiotic utilization and bacterial resistance report of the national
nosocomial resistance surveillance group. Diagn Microbial Infect Dis 1992; 15:375-425
13) Mincey BA, Parkuto MA. Antibiotic Prescribing Practices in a teaching clinic. South Med J 2001; 94(4):
365-69

Thank you for copying data from http://www.arastirmax.com