Abstract

RATIONALITY ASSESSMENT OF ANTIBIOTIC USE IN MEDICAL AND SURGICAL UNITS AT A MULTISPECIALTY HOSPITAL

Dr. Mohammed Abuzar Ghufran*, Dr. A. V. Kishore Babu, Dr. Bedarkar Akshay Prasad, Dr. Dasari Naga Venkata Bhavani, Dr. Penukula Priyanka, Dr. Mohammed Ilyas

ABSTRACT

This study was contrived with the aim to evaluate antibiotics prescribed for their rationality and appropriateness. The research was conducted to assess the antibiotic prescribing pattern of the physicians in renowned hospital in Hyderabad. This study is descriptive in nature. The population took under study was from the different wards of Care Hospitals, Nampally. The 307 respondents were the patients from which 202 patients were ambushed with different organ and tissue infections admitted in different medical wards were evaluated for rationality according to standard guidelines and remaining 105 patients were scheduled for surgical treatment admitted in different surgical units of the hospital were monitored to scrutinise the conformance to policy framed by the hospitals Infection control Committee. The specially designed data collection forms aided ward round survey method was used to fetch the data and analyzed by the help of Microsoft Excel 2007.The results of 202 patients evaluation shows that more than 50% patients receive the antibiotics empirically, Less than 20 % are to be witnessed to be receiving antibiotics prophylactically, Less than 20% patients received antibiotic inappropriately and only the limited numbers of patients are able to have received antibiotics specifically. The 105 prophylactic conformity audit shows more than 60% disagreement with the policy. As most of the antibiotics are used empirically, perceivable count of inappropriately prescribed antibiotics and a maximal deviation from hospitals framed prophylactic policy, this is supposed to be the major reason for the development of resistance.

Keywords: Antibiotic, Rationality, Prophylactic, Empiric, Resistance.