DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN

Background: The increase in antibiotic resistance is a challenging threat to the healthcare system. Irrational drug use, polypharmacy and the current epidemic of bacterial resistance is attributed to the over use of anti-microbial drugs. Objectives: The aim of the current study is to evaluate the u...

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Main Authors: Awais Arshaad, Shahzaib Sharafat, Ayesha Mustafa, Hamza Mahmood, Fatima Mustafa, Sonia Tariq, Ammara Asif
Format: Article
Language:English
Published: Superior University Lahore, Pakistan 2023-03-01
Series:International Journal of Pharmacy & Integrated Health Sciences
Subjects:
Online Access:https://ijpihs.pk/index.php/IJPIHS/article/view/54
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author Awais Arshaad
Shahzaib Sharafat
Ayesha Mustafa
Hamza Mahmood
Fatima Mustafa
Sonia Tariq
Ammara Asif
author_facet Awais Arshaad
Shahzaib Sharafat
Ayesha Mustafa
Hamza Mahmood
Fatima Mustafa
Sonia Tariq
Ammara Asif
author_sort Awais Arshaad
collection DOAJ
description Background: The increase in antibiotic resistance is a challenging threat to the healthcare system. Irrational drug use, polypharmacy and the current epidemic of bacterial resistance is attributed to the over use of anti-microbial drugs. Objectives: The aim of the current study is to evaluate the utilization pattern of fluoroquinolones, to find significant difference between defined daily dose and prescribed daily dose of such antibiotics. Methodology: Quantitative observational, retrospective study was performed to measure the use of antibiotics, specifically Fluoroquinolones in the northern region of Punjab, Gujranwala District, Pakistan. Total 300 patients were enrolled in this study. Data was collected from the patients of all age regardless of their gender, by prescription review. Results: Total 300 prescriptions were reviewed to evaluate the prescription pattern of fluoroquinolones in outpatients. Out of 300 prescriptions, the average number of drugs per prescription was 4.5, maximum number of drugs per prescription was 8 and minimum one drug was prescribed in 28 (9.3) prescriptions. The number of prescriptions that contains the drugs without generic names were 71 (23.7) and which contains one drug with generic names were 203 (67.7). Encounter with antibiotic and injection prescribed were 79.3% and 5.3%, respectively. The most commonly prescribed anti-biotic was ciprofloxacin followed by levofloxacin (maximum defined daily dose). Conclusion: In this study we observed the drug utilization review of fluoroquinolones antibiotics by evaluating the prescribing patterns among the outpatients. All the study drugs were prescribed by their brand names rather than generic names which is not a rational prescribing and utilization pattern, leading to the enforcement of antibiotic stewardship program.
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publishDate 2023-03-01
publisher Superior University Lahore, Pakistan
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series International Journal of Pharmacy & Integrated Health Sciences
spelling doaj-art-75bc1bd847964b8f9fb3dcf6918f60dc2025-08-20T03:15:34ZengSuperior University Lahore, PakistanInternational Journal of Pharmacy & Integrated Health Sciences2958-16562789-28402023-03-014110.56536/ijpihs.v4i1.54DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTANAwais Arshaad0Shahzaib Sharafat1Ayesha Mustafa2https://orcid.org/0000-0001-5993-3444Hamza Mahmood3Fatima Mustafa4Sonia Tariq5Ammara Asif6Pharmacist, Biogen Life Sciences DistributorsPharmacist,Healthwire online pharmacyThe Superior University, LahoreStudy coordinator / Pharmacist at Central Park HospitalThe Superior University, Lahore5. Department of Pharmacy, Islamia University Bahawalpur.The University of Copenhagen, Denmark. Background: The increase in antibiotic resistance is a challenging threat to the healthcare system. Irrational drug use, polypharmacy and the current epidemic of bacterial resistance is attributed to the over use of anti-microbial drugs. Objectives: The aim of the current study is to evaluate the utilization pattern of fluoroquinolones, to find significant difference between defined daily dose and prescribed daily dose of such antibiotics. Methodology: Quantitative observational, retrospective study was performed to measure the use of antibiotics, specifically Fluoroquinolones in the northern region of Punjab, Gujranwala District, Pakistan. Total 300 patients were enrolled in this study. Data was collected from the patients of all age regardless of their gender, by prescription review. Results: Total 300 prescriptions were reviewed to evaluate the prescription pattern of fluoroquinolones in outpatients. Out of 300 prescriptions, the average number of drugs per prescription was 4.5, maximum number of drugs per prescription was 8 and minimum one drug was prescribed in 28 (9.3) prescriptions. The number of prescriptions that contains the drugs without generic names were 71 (23.7) and which contains one drug with generic names were 203 (67.7). Encounter with antibiotic and injection prescribed were 79.3% and 5.3%, respectively. The most commonly prescribed anti-biotic was ciprofloxacin followed by levofloxacin (maximum defined daily dose). Conclusion: In this study we observed the drug utilization review of fluoroquinolones antibiotics by evaluating the prescribing patterns among the outpatients. All the study drugs were prescribed by their brand names rather than generic names which is not a rational prescribing and utilization pattern, leading to the enforcement of antibiotic stewardship program. https://ijpihs.pk/index.php/IJPIHS/article/view/54Antibiotic resistanceDefined Daily DosePrescribing indicatorsFluoro-quinolone
spellingShingle Awais Arshaad
Shahzaib Sharafat
Ayesha Mustafa
Hamza Mahmood
Fatima Mustafa
Sonia Tariq
Ammara Asif
DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN
International Journal of Pharmacy & Integrated Health Sciences
Antibiotic resistance
Defined Daily Dose
Prescribing indicators
Fluoro-quinolone
title DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN
title_full DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN
title_fullStr DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN
title_full_unstemmed DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN
title_short DRUG UTILIZATION REVIEW OF FLUOROQUINOLONES AMONG THE OUT-PATIENTS IN A PUBLIC SECTOR HOSPITAL, PAKISTAN
title_sort drug utilization review of fluoroquinolones among the out patients in a public sector hospital pakistan
topic Antibiotic resistance
Defined Daily Dose
Prescribing indicators
Fluoro-quinolone
url https://ijpihs.pk/index.php/IJPIHS/article/view/54
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