Prescribing pattern of antibiotics in ENT outpatient department in a tertiary care teaching hospital

Srinivasa, J; Rajendran, Vijaya; Nadig, Pratibha; Swamy, Shubhatara

doi:10.18203/2319-2003.ijbcp20205129

Cited by 3 publications

(3 citation statements)

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“…Among the interesting results was the fact that, in comparison to previous studies, a sizable fraction (41%) of the antibiotics were administered parenterally (Ceftriaxone). In contrast to this research a study in which only 16% of patients received treatment via a parenteral method 15 . This result was most likely caused by the patients' abrupt illness presentation, which required parenteral antibiotics in most cases.…”

Section: Discussionmentioning

confidence: 78%

Prescription Pattern in patients with Acute Tonsillitis, attending Outpatient Department

Khan,

Shaikh,

Memon

et al. 2024

PJMHS

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Background: Acute tonsillitis is a major health problem among children and adults which is badly effects the quality of life. Aim: To determine the antimicrobial prescription pattern in patients with acute tonsillitis, attending ENT OPD of Kulsumbai Valika, Social Security, Post Graduate Teaching Hospital Karachi.. Methodology: This cross-sectional study was conducted among the patients attending the outpatient of ENT, with acute tonsillitis. Study was conducted in Outpatient of ENT department of Kulsumbai Valika Social Security S.I.T.E. Hospital, Karachi. from 1st January 2023 to 31st December 2023. Data collection was done from the prescription of each patient. Statistical analysis was carried out using SPSS version 23. Results: A total of 210 acute tonsillitis patients, with 116(55.23%) were male. Mean number of the drugs in prescription 4±1.4. All the prescriptions included antimicrobials, 185(88%), and NSAIDs. Amoxicillin / Clavulanic acid (24.8%) and Ceftriaxone (12.2%) were the most commonly prescribed antimicrobials. Parenteral route was preferred in 113(53.8%). None of the patients was offered culture or sensitivity test of the microorganisms. Practical implication: Acute tonsillitis patients admitted and started parenteral antibiotic along with anti-inflammatory drugs. Conclusion: Antimicrobials thosewere prescribed in almost all cases of acute tonsilitis, and most frequently prescribed were Amoxicillin / Clavulanic acid and Cefixime. Injectable antibiotics were also prescribed very frequently. Most of the patients were given just one antibiotic. This study findings highlighted the gaps the rational practices in drug prescribing for acute tonsilitis. Keywords: Acute tonsillitis, Amoxicillin,antimicrobials, Clavulanic acid, Cefixime, prescription.

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Section: Discussionmentioning

confidence: 78%

Prescription Pattern in patients with Acute Tonsillitis, attending Outpatient Department

Khan,

Shaikh,

Memon

et al. 2024

PJMHS

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“…22,23 Analysis of prescription of adjuvants showed predominant prescription of nasal decongestants (52%) followed by antihistamines (18%), which are similar to those of Srinivasa et al's study with 60% of nasal decongestants. 24 About 74.06% of drugs prescribed were generic, which is in contrast with other studies reporting a higher use of brand names. 13,25,26 In the present study, 96% of drugs prescribed were from the hospital formulary list, meaning that physicians are adhering to the list.…”

Section: Discussionmentioning

confidence: 79%

“…22 23 Analysis of prescription of adjuvants showed predominant prescription of nasal decongestants (52%) followed by antihistamines (18%), which are similar to those of Srinivasa et al's study with 60% of nasal decongestants. 24…”

Section: Discussionmentioning

confidence: 99%

Antimicrobial Prescription Pattern in ENT Outpatient Department in a Tertiary Care Teaching Hospital, Telangana, India

Naveen

Potnuru

Sileveru

et al. 2023

Int J Recent Surg Med Sci

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Introduction Otorhinolaryngological infections are very common in adults and in children also. These infections are caused by various microorganisms and to treat these infections, antimicrobial agents are used frequently. As irrational use of antimicrobials leads to the development of antibiotic resistance and it is a big threat to the society, the present study was planned to get awareness among the practitioners regarding the antimicrobial prescription pattern. Aim To study the prescription pattern of antimicrobial agents in outpatient department of otorhinolaryngology in a tertiary care teaching hospital. Materials and Methods An observational study was planned over a period of 8 months from July 2019 to February 2020 in ENT outpatient department (OPD) at Mamata General Hospital, Khammam in Telangana. In total, 562 prescriptions were collected. Patient's details, probable diagnosis, prescribed medication details such as generic name, dose, and dosage forms were taken. The collected data was analyzed and the conclusions were drawn using descriptive analysis. Results Total number of prescriptions were 562. The majority of the prescriptions belonged to the 21 to 40 years of age group. Males were included more than females (males 320 and females 242). Chronic suppurative otitis media (CSOM) (16.2%) was the commonest infection. Most commonly prescribed antimicrobial was amoxicillin and clavulanic acid combination (26.17%), followed by cefpodoxime with clavulanic acid (21.9%) and ciprofloxacin (19.06%). In 371 (66.01%) prescriptions, only one antimicrobial was prescribed, whereas in 36 (6.40%) prescriptions no antibiotic was given. The average number of drugs per prescription was 3.18 and the average number of antimicrobials per prescription was 1.25. Tablet form (52.9%) was the commonest dosage form and most of the drugs were prescribed by generic name (74.06%). Conclusion The present study though prescription pattern of antibiotics and adherence to the hospital formulary by the physicians in the hospital is encouraging, still there is a chance in reducing the number of drugs prescribed per patient. The findings of this study will be useful to prescribe antimicrobials rationally so that the patient and health care system on the whole will be benefited.

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Prospective Drug Utilization Evaluation Analysis in Outpatient Departments with Ear, Nose, and Throat Outpatients: Incorporating Benchmarks and World Health Organization Indicators

MUGADA,

JAYAMON,

KOSIREDDY

et al. 2024

tjps

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Objectives Drug utilization studies are tools for determining the effectiveness of drug use. The aim of the study was to evaluate drug usage patterns in ear, nose, and throat (ENT) outpatient settings by incorporating established benchmarks and World Health Organization (WHO) indicators. Materials and Methods A cross-sectional study on drug utilization evaluation (DUE) was conducted on 800 patients from the ENT outpatient department. We gathered data on currently prescribed medications and identified any discrepancies with a thorough analysis. Continuing educational activities such as “dear doctor” letters and personal consultations were used to rectify any irrational prescribing patterns among physicians. The WHO/International Network for Rational Use of Drugs core drug use indicators, specifically prescribing and patient care indicators, and established benchmarks were applied to encourage rational prescribing. Results The three most common diagnoses were pharyngitis (51.49%), allergic rhinitis (25.11%), and acute suppurative otitis media (21.17%). Montelukast, in combination with levocetirizine (13.77%) and amoxicillin in combination with clavulanic acid (8.81%), was the most frequently prescribed medication. The average number of drugs per prescription was 4.2% (±1.1), with low usage of generic names (33.0%) and suboptimal reliance on the essential drugs list (76.7%). Furthermore, patient care indicators demonstrated room for improvement, particularly concerning consultation times (6 minutes), dispensing times (30 seconds), and drug labeling practices (0% labeled). The DUE improved the prescribing rate of first-line drugs for five diseases and few aspects of prescribing and patient care indicators. Conclusion There is an overuse of prescribed drugs, a need for more utilization of generic names, and less than optimal use of the essential drugs list. Additionally, shortcomings in patient care were observed, including issues in consultation, drug dispensing times, and labeling. However, DUE effectively improved WHO patient care metrics and the prescription of first-line drugs warranting its implementation.

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Prescribing pattern of antibiotics in ENT outpatient department in a tertiary care teaching hospital

Cited by 3 publications

References 9 publications

Prescription Pattern in patients with Acute Tonsillitis, attending Outpatient Department

Prescription Pattern in patients with Acute Tonsillitis, attending Outpatient Department

Antimicrobial Prescription Pattern in ENT Outpatient Department in a Tertiary Care Teaching Hospital, Telangana, India

Prospective Drug Utilization Evaluation Analysis in Outpatient Departments with Ear, Nose, and Throat Outpatients: Incorporating Benchmarks and World Health Organization Indicators

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