Prescribing pattern of antimicrobial agents in patients with chronic suppurative otitis media at a tertiary care hospital
Journal Title: International Journal of Research in Pharmacology & Pharmacotherapeutics (IJRPP) - Year 2017, Vol 6, Issue 3
Abstract
Background Chronic Suppurative Otitis Media (CSOM) is a serious healthcare concern worldwide, especially in developing countries like India despite the advances in healthcare facilities. India’s prevalence of CSOM is 7.8% which is high and this may be related to frequent upper respiratory tract infections and poor socio-economic conditions. In general practice, the therapeutic approach for ENT infections is nearly empirical and the main aim of physicians is to treat as specifically as possible, while covering the most likely pathogens. This study was undertaken to evaluate the prescribing pattern of antimicrobials in CSOM patients in a tertiary care hospital. Materials & methods A prospective, observational study was conducted in the patients with CSOM attending ENT outpatient department from November 2014 to November 2015. All the data regarding patient’s demographics and details of antimicrobial agents were recorded in a predesigned study proforma. The data thus obtained was analyzed using descriptive statistics. Results Out of 500 patients, the majority of the patients belonged to 21-30 years and had a male preponderance. Oral antibiotics were prescribed to 90.8 % of patients and the remaining 9.2% patients were given ototopical antimicrobials. Most common antimicrobials being Fluoroquinolones (64%) followed by Beta lactams (36%). Other concomitant drugs like analgesics, antihistamines, decongestants anti-ulcer agents and multivitamins were prescribed. Conclusion The study showed that the most common antimicrobial agents prescribed was fluoroquinolone group as they have antipseudomonal activity and lack ototoxicity. Beta lactams were preferred drugs over fluoroquinolones in children as the latter is associated with tendinitis and cartilage damage.
Authors and Affiliations
Divya R
Keywords
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