Prescribing Pattern of Antimicrobials in Urinary Tract Infection at Outpatient Department in a Tertiary Care Hospital in Dhaka

Abstract

Background: Urinary tract infection (UTI) is the most common illness affecting both males and females in almost all age groups. Hence, continuous analysis of prescribing pattern in UTI is vital. Objective: The study was designed to determine the prescribing pattern of antibiotics in UTI patients at a tertiary care hospital.
 Materials and Methods: A prospective observational study was carried out on 180 patients in Dhaka National Medical College Hospital from January to March 2012 by collecting data from outpatient department of Surgery, Medicine and Gynaecology & Obstetrics.
 Results: Analysis of prescribed drugs revealed that use of antibiotics such as nitrofurantoin (30.55%), cefuroxime (22.22%) and ciprofloxacin (16.66%) were significantly higher compared to other drugs. The most common isolated organisms were Escherichia coli (60%), Proteus (20%), Klebsiella (13.33%), and Pseudomonas (6.66%).
 Conclusion: Present findings are suggestive of the need for periodic monitoring of antibiotic sensitivity pattern to provide effective treatment.
 J Enam Med Col 2020; 10(1): 23-26

Prescription Pattern of Different Groups of Antibiotics at Out Patient Department of a Tertiary Medical College Hospital in Dhaka City

“…In Gynae & obstetrics OPD, the most commonly prescribed antibiotics were quinolones as well as other groups of antibiotics which were 23(46.0%) cases and 27(54.0%) cases respectively. In our research it was found that cephalosporin accounted 31.78% of total antibiotic prescriptions which is high as compared to the study conducted in Nepal and Turkey but low than India [9][10][11] . The highest uses were by cefixime, cefuroxime and ceftriaxone for respiratory infections and other infections.…”

“…The most commonly prescribed antibiotics at medicine OPD was Cephalosporin which was 19(51.4%) cases followed by others antibiotics and azithromycin which was 9(24.3%) cases and 8(21.6%) cases respectively. In surgery OPD, the most commonly used antibiotics were flucloxacillin and cephalosporin which was 66(82.5%) cases and 24(30.0%) cases respectively 9 . In Gynae & obstetrics OPD, the most commonly prescribed antibiotics were quinolones as well as other groups of antibiotics which were 23(46.0%) cases and 27(54.0%) cases respectively.…”

“…However, due to a lack of serious attention to the rules laid down in the drug policy, prescribing behavior of doctors appears to be changing. Though a number of investigations on prescribing practices have been undertaken in different countries, very little data have seriously been looked for in this country 9 . This study finding can be utilized to create awareness among physicians about antibiotic prescribing principles and thereby ensure good quality of drug therapy, to practice rational use of drug and to improve quality treatment 10 .…”

Distribution of Diseases and their Prescription Pattern at Outpatients Department of Gynecology and Obstetrics in a Tertiary Care Hospital in Bangladesh

“…This prescription may be handwritten on printed prescription forms that are assembled into pads or printed onto similar forms using a computer printer. In some cases, a prescription may be transmitted from the physician to the pharmacist verbally by telephone, although this practice may increase the risk of medical error 6 . The content of the prescription includes the name and address of the prescribing provider and any other legal requirement such as registration number.…”

A prospective study on antibiotic resistance pattern in patients with urinary tract infection

“…[3][4][5][6][7][8][9][10][11][12][13][14] Culture sensitivity tests were also important in case of UTI to go for a specific antibiotic treatment rather than the empirical treatment for the patients. 15,16 Ideally, the antimicrobial agent chosen should be well tolerated, well absorbed, achieve high urinary concentrations, and have a spectrum of activity limited to the known or suspected pathogen(s). 17,18 Bacterial strains, even from the same species, may vary widely in sensitivity to antibiotics.…”