Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital

Background: Widespread and irrational use of antibiotics has caused microbials to acquire re-sistance and is an important public health problem to be urgently addressed. Hence there is a need to con-stantly monitor the prescription practices through audits and to initiate corrective measure...

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Main Author: Selvaraj R
Format: Article
Language:English
Published: Sri Devaraj Urs Academy of Higher Education and Research 2016-03-01
Series:Journal of Clinical and Biomedical Sciences
Online Access:https://jcbsonline.ac.in/articles/assessment-of-antibiotic-prescription-practices-in-a-tertiary-care-hospital
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author Selvaraj R
author_facet Selvaraj R
author_sort Selvaraj R
collection DOAJ
description Background: Widespread and irrational use of antibiotics has caused microbials to acquire re-sistance and is an important public health problem to be urgently addressed. Hence there is a need to con-stantly monitor the prescription practices through audits and to initiate corrective measures. Objectives: To asses the antibiotic prescription practice in a teaching hospital. Materials and Methods : The prescrip-tions originating from medicine out patient department on one day in a week for five months were assessed for appropriateness in dosage, duration of treatment and use of fixed dose combination drugs (FDCs). The clinical diagnosis and patients details were recorded in a structured proforma. Results: Out of 650 patient prescription studied 180 patients (27.6%) received antibiotics. Among them 25.3% patients were pre-scribed one antibiotic and (18.8%) were prescribed antimicrobial FDCs. Out of the 180 prescriptions, 47% were irrational. The most commonly prescribed antibiotic categories were β-lactam antibiotics (35.1%), followed by fluoroquinolones (18.8%) and combinations of antibiotics from different groups (13.8%). Con-clusion: Higher frequency of irrational antimicrobial prescriptions suggests that antibiotic restriction poli-cies and a multidisciplinary effort to reduce usage are urgently required. Keywords: prescription practice, antibiotics, FDCs
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spelling doaj-art-bf3d6d1e01fe4ec88a3e043b459a0af62025-08-20T02:51:00ZengSri Devaraj Urs Academy of Higher Education and ResearchJournal of Clinical and Biomedical Sciences2231-41802319-24532016-03-01061202310.58739/jcbs/v06i1.4Assessment of Antibiotic Prescription Practices in a Tertiary Care HospitalSelvaraj R Background: Widespread and irrational use of antibiotics has caused microbials to acquire re-sistance and is an important public health problem to be urgently addressed. Hence there is a need to con-stantly monitor the prescription practices through audits and to initiate corrective measures. Objectives: To asses the antibiotic prescription practice in a teaching hospital. Materials and Methods : The prescrip-tions originating from medicine out patient department on one day in a week for five months were assessed for appropriateness in dosage, duration of treatment and use of fixed dose combination drugs (FDCs). The clinical diagnosis and patients details were recorded in a structured proforma. Results: Out of 650 patient prescription studied 180 patients (27.6%) received antibiotics. Among them 25.3% patients were pre-scribed one antibiotic and (18.8%) were prescribed antimicrobial FDCs. Out of the 180 prescriptions, 47% were irrational. The most commonly prescribed antibiotic categories were β-lactam antibiotics (35.1%), followed by fluoroquinolones (18.8%) and combinations of antibiotics from different groups (13.8%). Con-clusion: Higher frequency of irrational antimicrobial prescriptions suggests that antibiotic restriction poli-cies and a multidisciplinary effort to reduce usage are urgently required. Keywords: prescription practice, antibiotics, FDCshttps://jcbsonline.ac.in/articles/assessment-of-antibiotic-prescription-practices-in-a-tertiary-care-hospital
spellingShingle Selvaraj R
Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
Journal of Clinical and Biomedical Sciences
title Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
title_full Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
title_fullStr Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
title_full_unstemmed Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
title_short Assessment of Antibiotic Prescription Practices in a Tertiary Care Hospital
title_sort assessment of antibiotic prescription practices in a tertiary care hospital
url https://jcbsonline.ac.in/articles/assessment-of-antibiotic-prescription-practices-in-a-tertiary-care-hospital
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