Antibacterial Prescription Pattern in Medical and Surgical Intensive Care Units of a Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
Abstract
Objectives: This study was conducted to assess the prescribing pattern of Antibacterial agents in Medical and Surgical ICU of a tertiary care teaching hospital in Maharashtra and to suggest necessary modifications in prescribing Antibacterial drugs to achieve rational therapeutic practices. Materials and Methods: In this prospective observational study data of the first 1000 eligible consecutive case records of patients admitted to the Medical and Surgical ICUs during the study period of 1 year were taken. The data was then recorded in the proforma and analysed using Microsoft Excel 2013. Results: 74.1% and 25.9% prescriptions were from Medical and Surgical ICU respectively. Majority of MICU patients were elderly more than 60 years and with involvement of cardiovascular system (41.7%). Most frequently used Antibacterial drugs in MICU and SICU was Ceftriaxone (48.3%) and Metronidazole (97.2%) respectively. Polypharmacy was observed in both. Majority of parenteral Antibacterials were prescribed in MICU (71%) and SICU (91%) and more than 95% Antibacterials were prescribed by brand names in both. 88% Antibacterials from MICU and 83% from SICU were from national list of essential medicines. Conclusion: Most Antibacterial prescriptions were made without bacteriological culture and sensitivity testing evidences in MICU (73.8%) and SICU (42.9%). Antibacterial prescriptions were rational with respect to WHO drug use indicators in most patients. But most of the prescriptions were not supported by culture and sensitivity reports, as it was not done in many patients of ICU. The number of Antibacterials prescribed by generic names was low in the ICU and effort must be made to encourage prescribing by generic names.
Authors and Affiliations
Shahid Saache
Keywords
Related Articles
- EP ID EP281328
- DOI -
- Views 76
- Downloads 0
Spectrum of Bronchoscopy at Tertiary Care Hospital at Jaipur in Rajasthan
Introduction: Era of bronchoscopy began when German laryngologist Gustav Killan in 1876 and flexible fibro optic bronchoscope was introduced by Ikada in 1964. Bronchoscope has become an important diagnostic as well as th...
Comparison between Clonidine and Nitroglycerine in Maintaining Stable Cardiovascular Status in Laparoscopic Cholecystectomy Surgery
laparoscopic cholecystectomy has revolutionized gall bladder surgeries and it has now become the “gold standard” of symptomatic cholelithiasis. It offers many benefits than conventional cholecystectomy, and has been prom...
Minimally Invasive (Focused) Parathyroidectomy for Primary Hyperparathyroidism with Parathyroid adenoma
Approximately 85% of patients with primary hyperparathyroidism harbour a single adenoma. Thus, with accurate preoperative localization, targeted surgery using unilateral neck exploration under regional or local anaesthes...
Fibroid in Pregnancy- Associated Factors
Introduction: Fibroids are the commonest pelvic tumors and account for major bulk of patients in gynecology. Around 40% of women in reproductive age have fibroids. The prevalence of fibroid in pregnancy ranges from 1.6 t...
A Comparative Study BMD [Bone Mineral Density] in Two Group of Patients at Tertiary Care Hospital of Uttarakhand
Objective- A comparative study BMD in two group of patients at tertiary care hospital of Uttarakhand. Method- This study was conducted in the Department of Orthopaedics and Obstetrics & Gynaecology department of Governme...