Background: The emergence of resistant organisms is
disturbingly prevalent all over the world. Antimicrobials are one of the most
often given medicine classes in hospitals. Irrational and inappropriate
antimicrobial prescriptions, in addition to poor patient compliance, are a
substantial factor to the development of drug resistance. It is vital to
increase physician and patient awareness of antibiotic resistance. In order to
battle resistant organisms, sometimes known as super bugs, physicians and
surgeons should be encouraged to participate in infectious disease control
training programmes on a regular basis.
Objectives: Determine whether antimicrobials are given
judiciously in a tertiary care institution by assessing the pattern of
antimicrobial usage.
A retrospective study was done to establish the current
antibiotic prescribing practises at Tagore Medical College Hospital. A random
sample of 100 inpatient case sheets from General Medicine, Obstetrics and
Gynecology, General Surgery, Paediatrics, Chest Medicine, Skin, and ENT from
the Medical Records Department were examined for antimicrobial delivery by oral
and parenteral (IV) routes.
Males accounted for 53% of the participants in this study,
while females accounted for 47%. The majority of the patients were in their
forties and fifties (17-60yrs). A total of 16 antimicrobials were prescribed
for 100 inpatients. The drugs Metronidazole and Ciprofloxacin were the most
regularly utilised. The treatment lasted three days on average, thirteen days
on average, and three days on average. The most common route of antibiotic
delivery was parenteral because the patients were inpatients. Metronidazole
(52%) was the most commonly used parenteral (IV) antibiotic, followed by
Ciprofloxacin (42%), Cefotaxime (27%), Amikacin (7%), and Ceftriaxone (2%). (7
percent ). Sixty-three percent of the prescriptions were empirical, twelve
percent were directed, and twenty-five percent were targeted.
Conclusions: Metronidazole and Ciprofloxacin were the most
regularly used antimicrobials, with acute gastroenteritis being the most
prevalent condition for which they were administered. The proportion of
targeted prescriptions was low when compared to empirical prescriptions.
Antibiotics must be prescribed judiciously and in compliance with the
antibiotic policy.
Author(s) Details:
S. Priestly Vivekkumar,
Department of Pharmacology, Panimalar Medical College Hospital and Research
Institute, Poonamalle, Chennai -123, India.
A. Aswin,
Department of Community Medicine, Indira Medical College, India
Balaji Arumugam,
Department of Community Medicine, Indira Medical College, India.
D. Jeyakumari,
Department of Microbiology, JIPMER, Karaikkal, India.
S. Kandasamy,
Department of Microbiology, Bharaath Medical College Hospitals, India.
Please see the link here: https://stm.bookpi.org/CAPRD-V9/article/view/5972