Abstract

EVALUATION OF PRESCRIBING PATTERNS OF ANTIBIOTICS IN ORTHOPEDIC DEPARTMENT AT GAJJALA BRAHMAREDDY (GBR) HOSPITAL, NARASARAOPET

V. Leela Lavanya*, R. B. Desireddy, P. Jaisree, P. Pujitha, R. Yaseswini, R. Lavanya

ABSTRACT

Background: Antibiotics are substances which are used to treat infections caused by microorganisms including fungi and protozoa. The inappropriate and indiscriminate use of antibiotics and potentially cause number of problems. Antibiotic resistance is not only a problem for the individual patient; it also reduces the effectiveness of established treatment and has become a major threat to public health by increasing the complexity and cost of treatment and reducing probability of successful outcome. Objective: The main objective is to investigate the irrationality of prescribing patterns of antibiotics in prescription. To improve rationality of antibiotics and to improve quality of life and socio-economic status of patient. Methods: It is a prospective observational study done at GBR Hospital, Narasaraopet. The records of all patients who had any courses of antibiotics within given period were isolated and screened and relevant data was extracted by using patient data collection form and filled forms were analyzed. Results: A total of 150 patients consisting of 83 males (55.33%) and 67 females (44.66%) were enrolled. Among these majority of patients 67(44.66%) were in the age group of 41-60 years. The most commonly prescribed antibiotics were cephalosporin’s. Majority of drugs 52% with single drug was prescribed in orthopedic department. 222(94.87%) were administered in IV route and 12(5.12%) were administered in oral route. Ceftriaxone was majorly used antibiotic in the category of cephalosporin’s. Conclusion: Of the 150 patients analyzed in various departments, it was observed that hospital physicians prescribed antibiotics more rationally with no banned drugs and lesser newer drugs. This study states that development of clinical pharmacy services is also necessary to improve rational prescribing of antibiotics. Utilizing of clinical pharmacy services shows benefit of patient health related outcomes and also improves the economic status of patients.

Keywords: Antibiotics, Hospital, Prescribing pattern, Antibiotic resistance.