Evaluation of Prescribing Patterns of Antibiotics in General Medicine Ward in a Tertiary Care Hospital
Journal Title: International Journal of Trend in Scientific Research and Development - Year 2019, Vol 4, Issue 1
Abstract
Knowledge about antibiotic utilization and resistance patterns of most common microorganisms are unavailable in tertiary care hospitals. To assess the pattern of antibiotic utilization and outcome of patients in a General Medical Ward, all positive blood cultures BC over a 4 month period from July 2019 to October 2019 were retrospectively reviewed. Sixty five positive BC were recorded in which patients 43 males and 22 females . 72 of the patients received antibiotics before or soon after obtaining the BC, and ceftriaxone was the most frequently prescribed antibiotic 41.93 , either alone or in combination with other antibiotics. The bacteraemia was due to gram positive cocci in 60.46 of cases, gram negative rods in 30.23 , and gram positive rods in 9.30 . Positive BC due to contamination was not included. The most common gram positive cocci were Staphylococcus epidermidis, followed by S. aureus, while the most common gram negative bacilli were Brucella species, Proteus mirabilis, and Klebsiella sp. The suspected sources of the bacteraemia were respiratory 21.2 , urinary 19.2 , or skin 19.2 . A subsequent change in the antibiotics regimen was done in 69.76 cases after BC results became available with no apparent effect on the outcome. Adding Cefotaxime, Amoxicillin clavulonic acid, piperacillintazobactum, vancomycin and clindamycin was the most frequent change done 19.4 for each equally . Complications developed in 69.76 of patients, with 88.66 of them suffering from sepsis shock. 69.23 of the patients improved and 30.77 expired death was related to infection in 87.5 of cases. In conclusion, most bacteremia in the medical ward of the hospital were due to gram positive cocci, which should be considered in antibiotic selection prior to BC. Vageeshwari Devuni | Debabrata Chaudhary "Evaluation of Prescribing Patterns of Antibiotics in General Medicine Ward in a Tertiary Care Hospital" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-1 , December 2019, URL: https://www.ijtsrd.com/papers/ijtsrd29618.pdf Paper URL: https://www.ijtsrd.com/pharmacy/pharmacology-/29618/evaluation-of-prescribing-patterns-of-antibiotics-in-general-medicine-ward-in-a-tertiary-care-hospital/vageeshwari-devuni
Authors and Affiliations
Vageeshwari Devuni | Debabrata Chaudhary
Keywords
Related Articles
- EP ID EP685843
- DOI -
- Views 106
- Downloads 0
A Comparative Research on SSL VPN and IPSec VPN
With information technology growth, VPN In a variety of areas, technology has been commonly used. Here we are. Two forms of VPN are studied in paper IPSec and SSL VPN Detailed implementation, protection, scalability and...
Effect of Foreign Exchange Rate Fluctuations on Nigerian Economy
This study investigated the effect of exchange rate fluctuations on Nigerian economy. The fixed and floating exchange eras were compared to know the exchange rate system in which the economy has fairly better. The time p...
Wireless Charging Solution of Mobile Phone Batteries using Microwaves via Cellular Communication
In todays era, mobile phones have become a basic part of our day to day lives and their phone side to excessive use of mobile phones leads to early drainage of mobile phones batteries which have been a great issue. The m...
Implementation of Low Cost Radon Measuring System for Air Quality Monitoring
Because inhaling radon and its radioactive decay products causes irradiation of lung tissue, the radon data obtained from houses and workplaces need to be transferred using Wi Fi and the Internet to a database on a radon...
Accounting Ratios Information: An Instrument for Business Performance Analysis
The research study is an empirical work that looked at instrument for measuring organization performance using ratio analysis. It also ascertains the relevance of internal and external financial reports during ratio anal...