Prescription pattern of antimicrobial drugs in pediatrics outpatient department of a tertiary care teaching hospital of North India

Mishra, Hitesh; Mishra, Rajeev; Mondal, Arka

doi:10.5455/2319-2003.ijbcp20140426

Cited by 9 publications

(14 citation statements)

References 9 publications

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“…An average of 5.3 drugs was prescribed per patient. This was much more than the reported statistics of 2-3 or 3-4 drugs prescribed per person [12,13] .However the difference noted in our study was because it was carried out among in-patients . Injectables were prescribed in 74.50% of admissions, even this can be explained based on the in-patient nature of our study.…”

Section: Discussioncontrasting

confidence: 53%

“…Still there is some scope (more number of drugs could be prescribed from EDL) for improvements in prescribing practices based on WHO essential drugs list. 12 .63% of prescriptions were found to be completely or partially legible along with no treatment recorded for some patients ,this could be because of the heavy patient load at the teaching hospital. However it should not be an excuse for not mentioning medications that are already administered to the patient.Regarding diagnosis 26.45% of diagnosis were of communicable diseases & 69.91% were non-communicable diseases & 1.5% was of both types.…”

Section: Discussionmentioning

confidence: 98%

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Study Of Rationality Of Prescriptions & Analysis Of Drugs Prescribed Among In-Patients Of Mcgann Teaching Hospital, S.I.M.S, Shimoga, Karnataka, India

S¹,

K²,

Revankar³

2014

IOSRJDMS

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Objective: Irrational prescribing is a common problem in drug use. Rational prescribing can prevent & avoid this. The present study was undertaken to evaluate the rationality of prescriptions according to WHO core drug use indicators. Materials & Methods: 1070 prescriptions from in-patient departments were randomly analysed for rational prescribing retrospectively for 5 months (from July to November 2013) based on WHO drug use indicators. Results: Prescribing of brand name (54.11%) was more common than generic name (45.89%). An average of 5.3 drugs were prescribed per person. 6.63% of prescriptions were partially legible or no treatment was recorded in treatment chart.90.18% of total drugs prescribed were from EDL & 7.85% of prescriptions had fixed dose combinations. Cephalosporins were the most commonly prescribed antibiotics. 3.36% of prescriptions have nil/incomplete diagnosis. Injectables were prescribed in 74.50% admissions. Conclusions: Prescribing by generic name is to be promoted to avoid confusion in understanding prescriptions; this also adheres to WHO standards of rational prescribing. Also emphasis should be given to promote use of drugs from EDL & to avoid incomplete/illegible prescriptions & to properly diagnose all the cases treated at the hospital.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 98%

Study Of Rationality Of Prescriptions & Analysis Of Drugs Prescribed Among In-Patients Of Mcgann Teaching Hospital, S.I.M.S, Shimoga, Karnataka, India

S¹,

K²,

Revankar³

2014

IOSRJDMS

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“…A similar high result also observed from other developing countries. In a study from India, 84% of children visiting outpatient department receive single antibiotic and 16% receive more than one antibiotic (24). A similar high result of antibiotic prescription in outpatient department is also noted in Jordan 2013 (25) but in study on pediatric outpatients' prescribing pattern in Saudi Arabia, the author found only 19.1% of the studied prescriptions were containing antibiotics (26 is probably reflects the strictness in application of guidelines for antibiotics prescription in different countries.The highest rate of antibiotics prescription was noted in inpatient department.…”

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confidence: 67%

Prescribing pattern of antibiotics in AL-Elwia Pediatric Teaching Hospital, Baghdad, 2016.

Obaid¹

2019

Al-Kindy Col. Med. J

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Background: Antibiotics are among the most commonly used medicine, in both community and hospital setting, all over the world especially in countries where no strict guideline to regulate their use. In Iraq, only a few studies conducted to describe the antibiotic prescription pattern in general hospitalsand even less in pediatric hospital. Objective: To describe the patterns for antibiotics used in Elwia pediatric teaching hospital in Baghdad, Iraq Type of the study: Descriptive cross sectional study. .Methodology: The study was conducted at AL-Elwia Pediatric Teaching Hospitalduring the year 2016. A random sample from all the prescriptions sheets, of patients consulting outpatient clinic or admitted to different departments were studied for different parameters in different departments of the hospital. Results:A total number of 9440 prescriptions, were collected and analyzed.The age group 1-5 years was the most common group consulting the hospital followed by those below 6 months of age. About 51% of all patients were males. The study revealedthat 87.56% of all patients consulting the hospital were received antibiotics. The highest rate of antibiotic used was in inpatient department (99.9%) followed by NNCU (92.11%). Amoxicillin was the most preferred antibiotics by pediatrician in outpatient, inpatient and ER department. Conclusion: The results of this study indicate that there is, in general, overuse of antibiotics in all hospital departments when compared with other developing countries.

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“…An encouraging result is that almost a half (15/38) of the studies included in this review reported high rates of single therapy aminopenicillin or penicillin prescriptions. These studies were conducted in Brasil [ 75 ], Guyana [ 79 ], India [ 65 ], Mongolia [ 6 ], Nigeria [ 70 ], Tanzania [ 56 ], USA [ 80 ], Uganda [ 69 ], and France [ 78 ], showing that the current guidelines are applied in both developed and developing countries. The study by Awor et al in Uganda in 2015 offers an important cause for reflection, since it shows that adherence to guidelines may be successfully implemented even in a nonhospital environment.…”

Section: Resultsmentioning

confidence: 99%

Treatment of Community-Acquired Pneumonia: Are All Countries Treating Children in the Same Way? A Literature Review

Donà

Luise

Dalt

et al. 2017

International Journal of Pediatrics

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Background Pneumonia represents an important threat to children's health in both developed and developing countries. In the last 10 years, many national and international guidelines on the treatment of pediatric CAP have been published, in order to optimize the prescription of antibiotics and limit their cost and side effects. However, the practical implementation of these guidelines is still limited. Main Text We analyzed the current recommendations for the therapy of pediatric community-acquired pneumonia (CAP) that all converge on the identification of aminopenicillins and beta-lactams as the optimal treatment for CAP. We also conducted a review of the current literature on antibiotic regimens used for pediatric CAP to identify the current state of guidelines implementation in different settings. We selected 37 studies published from 2010 to 2016, including both retrospective and prospective studies, mainly cross-sectional and hospital based. The results show a global heterogeneity in the antibiotics prescription for pediatric CAP, with application of guidelines varying from 0% to more than 91% and with important differences even within the same country. Conclusions Our review has demonstrated that the implementation of the guidelines is still limited but also that achieving the optimal prescription is possible and can be done in both developed and developing countries.

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Prescription pattern of antimicrobial drugs in pediatrics outpatient department of a tertiary care teaching hospital of North India

Cited by 9 publications

References 9 publications

Study Of Rationality Of Prescriptions & Analysis Of Drugs Prescribed Among In-Patients Of Mcgann Teaching Hospital, S.I.M.S, Shimoga, Karnataka, India

Study Of Rationality Of Prescriptions & Analysis Of Drugs Prescribed Among In-Patients Of Mcgann Teaching Hospital, S.I.M.S, Shimoga, Karnataka, India

Prescribing pattern of antibiotics in AL-Elwia Pediatric Teaching Hospital, Baghdad, 2016.

Treatment of Community-Acquired Pneumonia: Are All Countries Treating Children in the Same Way? A Literature Review

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