Antibiotics Prescribing Pattern at Outpatient Department of A Tertiary Medical College Hospital

Abstract

Background: In order to improve the prescription quality and promoting rational prescription pattern, there is an obligatory need to investigate the factors that affect doctors' prescription patterns. The study was conducted to observe the antibiotics prescribing pattern at outpatient department of a tertiary medical college hospital.
 Methods: This was a descriptive cross sectional study in a tertiary medical college hospital during the period of January 2018 to June 2018 which was conducted on 300 prescriptions collected from different outpatient department.
 Results: Average number of drugs prescribed per encounter was 3.70 (Optimal value 1.6–1.8). Antibiotics (Oral, injectable and topical) were prescribed 46% (Optimal value 20.0–26.8%) and antibiotic as only injected form 19.71% (Optimal value 13.4–24.1% of total injectable drug). Drugs prescribed from the Essential Drugs List( EDL) equated to 52.90% (Optimal value 100%). The antibiotics given in most of the patients ( 91%) were without doing culture sensitivity test before prescribing. Out of 46% prescriptions with antibiotics, 79.9% had one antibiotic, 19.6% included two antibiotics and 0.7% had three antibiotics. Cefuroxime was the most commonly prescribed antibiotics (22.5%) followed by Azythromycin (11.6%) Cefixime (11.5%) Ciprofloxacin (10.9%) Flucloxacillin (10.9%) and Metronidazole (8.7%).
 Conclusion: This study revealed that percentage of antibiotic was high and most of the antibiotic was given without culture and sensitivity.
 Chatt Maa Shi Hosp Med Coll J; Vol.17 (2); Jul 2018; Page 36-39

Assessment of Antibiotic Prescribing Patterns at Outpatient Pharmacy Using World Health Organization Prescribing Indicators

“…27 A study conducted in Bangladesh, however, reported that cephalosporins were the most frequently prescribed groups of antibiotics followed by macrolids. 28 By specific antibiotics, amoxicillin (28.5%) followed by ciprofloxacin (12%) and metronidazole (11.1%) were the most frequently prescribed antibiotics in the current study. This finding was consistent with similar study conducted in Ghana, in which amoxicillin (22.5%) followed by ciprofloxacin (18.4%) being the most frequently prescribed antibiotics.…”

Tackling antimicrobial resistance in Bangladesh: A scoping review of policy and practice in human, animal and environment sectors

“…Health sector (combined by 'OR') (b) Geographic location (combined by 'OR') (c) and/or its indiscriminate use [17]. Studies reveal two or more antimicrobials to be commonly prescribed at a time in Bangladesh [14,15,18,19,20,22,30,31], and more antimicrobials to be prescribed in hospital settings compared to community settings [21]. Prescribing antibiotics without laboratory tests was quite common in Bangladesh due to reported lack of testing facilities [18,19,22].…”

“…Studies reveal two or more antimicrobials to be commonly prescribed at a time in Bangladesh [14,15,18,19,20,22,30,31], and more antimicrobials to be prescribed in hospital settings compared to community settings [21]. Prescribing antibiotics without laboratory tests was quite common in Bangladesh due to reported lack of testing facilities [18,19,22]. However, sometimes the qualified prescribers (e.g., in-service trainee doctors of medical college hospital) felt confident enough to select an appropriate antimicrobial and prescribe correct dose and duration based on clinical diagnosis [23].…”

The Outpatient Prescribing Pattern of Cefuroxime in Al-Kharj

“…In 2018, cefuroxime is the 6 th most commonly prescribed antibiotics in the present study. Ata and Biswas [10] reported that cefuroxime was the most commonly prescribed antibiotics (22.5%) followed by azythromycin (11.6%) cefixime (11.5%) ciprofloxacin (10.9%) flucloxacillin (10.9%) and metronidazole (8.7%). Coenen et al [11] reported that there is an increase of second and third-generation use, mainly cefuroxime, cefpodoxime and cefixime.…”