Evaluation of Antibiotic Prescription Practices among General Surgeons in Nagpur
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 6
Abstract
The prescribing habits of the individual doctor are quite stable, and changes usually occur slowly and as a result of various influences, including scientific papers, specialist recommendations, meetings, colleagues, patients, and drug companies. The In the present study we studied prescription practices among general surgeons in Nagpur. This prospective observational study was conducted in the department of general surgery at NKP Salve Institute of Medical Sciences & Lata Mangeshkar Hospital Nagpur. Various Surgeons in Nagpur were surveyed on antibiotic prescription practices in the treatment of Routine surgical conditions. A one page questionnaire was delivered to the surgeons via Emails & Handouts. Data was analysed using SPSS software version 15.0. The results of this study is Seventy seven percent of respondents selected Ceftriaxone as the first choice antibiotic in patients with Appendicitis followed by ceftriaxone plus metronidazole (11%) and ciprofloxacin plus metronidazole (11%). Ceftriaxone is the drug of choice in inguinal hernia, Hydrocele and phimosis. In benign breast disease choice of drug is ceftriaxone (91.6%) and cefotaxime (8.4%). In malignant breast disease choice of drug is ceftriaxone (44.4%), cefotaxime (44.4%) and cefoperazone (11.1%). In cholecystitis choice of drug is ceftriaxone plus sulbactum (88.8%) and cefoperazone plus sulbactum (11.1%). In benign anorectic conditions choice of drug is ceftriaxone (91.6%). In perforation peritonitis & Intestinal obstruction choice of drug is ceftriaxone plus metronidazole. In conclusion the result of our observational study is failure to apply evidence based guidelines to our clinical practice. This indirectly increases the costs as well as increases the chance of resistance to higher antibiotics. Keywords: prescription practices, antibiotic, surgeons.
Authors and Affiliations
Vijay P Agrawal, Murtaza Akhtar
Keywords
Related Articles
- EP ID EP374187
- DOI -
- Views 45
- Downloads 0
Benign Lacrimal Gland Tumors: A Histopathologic Study
Lacrimal gland tumors are rare. The most common benign epithelial tumor of the lacrimal gland is pleomorphic adenoma or benign mixed tumor. We did a retrospective study of benign epithelial tumors of lacrimal gland to an...
An Assessment of Nutritional Status in Relation to Anthropometric Measurements in Malnourished Pre-School Children
Malnutrition remains a major threat to the survival, growth and development of Indian children. India is home to more than one-third of the world's under-nourished children. In 2010, one in five children was estimated to...
Field Study in Kure City, Hiroshima Prefecture, After Torrential Rains Triggered Massive Flooding and Landslides in Western Japan In 2018
Heavy rain in July 2018 resulted in the highest rain accumulation in western Japan in meteorological observation history, and these torrential storms triggered massive flooding and landslides in western Japan, with Hiros...
Isolation, Identification and Antimicrobial Susceptibility Pattern of Escherichia Coli Isolated From Urine Samples at Tertiary Care Hospital
Urinary tract infection (UTI) is the most common bacterial infection caused by both gram negative bacilli and gram positive cocci among which E. coli remains the leading uropathogens involving both men and women of all a...
Antenatal Corticosteroid Therapy Prevents Preterm Birth Related Complications
Preterm birth complications, is a major killer of under 5 children. We are far behind to achieve Millennium Development Goal 4 (MDG 4), targeted to reduce under-five mortality rate by two-third. In 2015, WHO strongly rec...