Prescription Patterns in Management of Acute Watery Diarrhea among Under-5 Children in the First Visit In a Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Diarrhea is still a major killer disease in under-5 children and responsible for 13% of all under-5 deaths in India. ORS and zinc has been recognized to be the mainstay of the treatment of acute watery diarrhea, whereas antibiotics are reserved for only specific cases only. Often prescriptions with unnecessary medications increase both the cost of therapy and side-effects. The present study was attempted to analyze the prescription patterns among admitted under five children for a year in a tertiary care setting. The bed head tickets of all children under 5 years of age with a diagnosis of acute gastroenteritis were collected and demographic, clinicalparameters, treatment outcome including prescription pattern was noted. The data was analyzed using MS Excel software. A total of 792 under five children were diagnosed with acute gastroenteritis, out of which 84 childrenhad dysentery. Zinc was given to 94% (744)children and all received ORS. Explicit dietary advice was received by 12% patients. Antibiotics were prescribed to 86% under-5 children. Ceftriaxone-amikacin combinationwas most prevalent(12%) among parenteral antibiotics, while fluroquinolones among oral ones (18.2%). ORS and Zinc were used in almost all the cases, explicit dietary advice was not given in most of the cases. Despite universal use of probiotics, a gap was found in adopting rational practice of antibiotic use. In future, well organized studies may bridge these gaps.
Authors and Affiliations
Dr Arijit Das, Dr. Subikas Biswas, Dr. Gandhari Basu, Dr. Biplab Tudu
Keywords
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- EP ID EP370340
- DOI 10.9790/0853-1704021114.
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