Pattern of Antibiotic Use in Two Teaching Hospitals

Rashid, Hamza; Chowdhury, Sadia; Islam, Nazar Ul

doi:10.1177/004947558601600405

Cited by 15 publications

(9 citation statements)

References 7 publications

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“…[24][25] The number is however, higher than that reported in previous studies. 9,10,26 Maximum cases were of otitis media 74 (49.33%), sinusitis 24 (16.00%), tosilitis 15 (10.00%), pharyngitis 14 (09.33%), DNS 14 (09.33%), rhinitis 07 (04.66%), adenoiditis 02 (01.33%). 24,25 In another study, most patients reported with URTI (32.56%), CSOM (18.3%), sinusitis (6.28%), tonsillitis (5.75%), furuncle (4.71%).…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Medicine utilization studies and reviews are useful for obtaining information about pattern of medicine use and to identify expensive medicines. [8][9][10][11][12] Prescribing at outpatients is done by various types of health professionals and outpatient clinics deliver therapeutic service to large quarter of patients. Different types of irrationalities were observed both at outpatient of primary care facilities, 13 cost-effectiveness of specific type of care 14 as well as adherence to protocol 15 .…”

Section: Introductionmentioning

confidence: 99%

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Drug utilization trends in ENT out patient department in a private teaching hospital in Bangladesh

Any

Banu

Sultana

et al. 2015

Bangladesh J Physiol Pharmacol

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A cross-sectional descriptive study was carried out among individuals attending the ENT out-patient department from 1 st June 2012 to 3Oth August 2012 in Z.H. Sikder Women's Medical College& Hospital, Dhaka. Bangladesh. The primary aim of this study was to generate up to date information on drug use in the ENT outpatient service of our hospital indications for use. A total of 150 prescriptions were randomly audited at varying time interval from the department of ENT during a three month period. The data was collected in customized proforma. Maximum cases were of otitis media 74(49.33%), sinusitis 24 (16.00%), tonsilitis 15 (10.00%), pharyngitis 14 (09.33%), DNS 14 (09.33%), rhinitis 07 (04.66%), adenoiditis 02 (01.33%). The average number of drugs used in the prescriptions was 2.94%. None of the drugs were prescribed by generic name. All of them were prescribed with trade names. The topical preparations were the most commonly prescribed drugs. Middle and lower income group of patients generally attend outpatient department, the average cost per prescription was 112 taka. The average cost to be high in this group. Educational sessions for the doctors at different levels to encourage prescribing by generic names and on correct writing of prescriptions may be considered. Studies covering a larger number of patients and for a longer time period are required. A greater number of patients can be studied, seasonal variations can be overcome and drug utilization can be measured quantitatively.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Drug utilization trends in ENT out patient department in a private teaching hospital in Bangladesh

Any

Banu

Sultana

et al. 2015

Bangladesh J Physiol Pharmacol

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“…It has been detected that misuse of antimicrobials is from 50-62% in Bangladesh. 35,36 Only 8% of total medicine consumption of Bangladesh were prescribed by qualified physicians and rest of drug sellers. 37 It was also reported that inappropriate antimicrobial prescription rates in hospital settings in Bangladesh was 50%.…”

Section: Discussionmentioning

confidence: 99%

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Hoque¹,

Mostafa²,

Haque³

2016

JYP

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Background: Physicians formally receive education regarding antimicrobials and microbial resistance during a 5-6 year curriculum of the undergraduate medical program. However, the once magical bullet of antibiotics is now threatened by AR, which has become a significant hazard to global health. Thus, a doctor must possess the adequate knowledge to select an antibiotic or other drug for use in a particular disease. This issue is not currently being addressed in the undergraduate curriculum resulting in irrational prescribing. Therefore, it is essential to possess a comprehensive knowledge regarding drugs, including antimicrobials at an undergraduate level. Currently, there is no comprehensive evaluation of medical students' perception of AR in Bangladesh. This was the driving force to conduct this study and to identify gaps in KAP of medical students about AR, as well as to enrich the medical curriculum. Methods: This is a cross-sectional, randomized, questionnaire-based study. Data were collected using a validated instrument. Results: 107 students were selected using a quota sampling technique. A total of 107 participants (32.71% male and 67.29% female) attended the study. The response rate was 100%. Out of the cohort; 37.38%, 30.84%, and 31.78% were from the Year-III, Year-IV, and Year-V respectively. The participants felt more confident in 'Making an accurate diagnosis of infection/ sepsis.' Conclusion: Our study population found to be suffering from a lack of confidence partially due to a gap in their knowledge about the proper selection of antimicrobials.

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“…More than 90% of these antibiotics were used empirically on clinical grounds alone. 17 Even though the study was carried out only for a short period, the coverage was narrow based only on under 5 years children in cough or cold and pneumonia in pediatric out-patient departments of MMCH and CBMCBH but the study was very important for that age-group in our country. It was interesting to observe that 100% of all children with cough or cold were given antibiotic either willingly or pressured by parents.…”

Section: Discussionmentioning

confidence: 99%

“…The educational methods include clinical and laboratory consultation, education of undergraduate and postgraduates, and provision of bulleting, booklets and audiovisual aids. 17 A competent physician can prescribe scientifically, and economically if due emphasis on drug usage, is kept in mind. 18 Pharmacologists in Bangladesh do not play any role in hospital practice, whereas they attend many ward rounds in advanced countries.…”

Section: Discussionmentioning

confidence: 99%

Prescribing Pattern of Antimicrobials used in Under Five Years Children in Cough or Cold and Pneumonia in Outdoor Settings of Two Tertiary Level Hospital

Begum

Ahmed

Saha

et al. 2014

Bangladesh J Physiol Pharmacol

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This descriptive type of cross-sectional study was conducted in MMCH and CBMCB during the period from 1 st July/2005 to 30 th Jun/2006.The aim of the study was to find out the prescribing pattern of antimicrobials in cough or cold and pneumonia in under five years children. Prescriptions were collected from the out-patient pediatric department by using structured questionnaire. The structured questionnaires were made according to WHO/ INRUD drug use indicator. In case of cough or cold, the main findings on drug use were (a) Average number of drugs per prescription were 3.21 in MMCH and 3.85 in CBMCB respectively, (b) Percentage of prescriptions with an antibiotic prescribed was 100% in MMCH and CBMCB, (c) Percentage of drugs prescribed in generic name were 57.69% in MMCH and it was nil in CBMCB, (d) Cotrimoxazole, Amoxicillin and Cephalosporin were used frequently in MMCH and Cephalosporin and Erythromycin mostly were used in CBMCB, and (e) Route of administration were appropriate in both the institutes. In case of pneumonia, (a) Average number of drugs per prescription were 3.77, (b) Percentage of prescription with an antibiotic was 100%, (c) Percentage of drug prescribed in generic name was 27.5%, (d) Cephalosporin were used mostly (45.5%) for the treatment of pneumonia. Trend of poly pharmacy was found in both the institutes.

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Pattern of Antibiotic Use in Two Teaching Hospitals

Cited by 15 publications

References 7 publications

Drug utilization trends in ENT out patient department in a private teaching hospital in Bangladesh

Drug utilization trends in ENT out patient department in a private teaching hospital in Bangladesh

Insight of Medical Students of Clinical Years to Antimicrobials Prescribing and Resistance in Private Medical School, Chittagong, Bangladesh

Prescribing Pattern of Antimicrobials used in Under Five Years Children in Cough or Cold and Pneumonia in Outdoor Settings of Two Tertiary Level Hospital

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