Pattern of Antibiotic Use in Different Departments of Dhaka Medical College Hospital

Chowdhury, Mostofa Kamal; Siddique, Ashfaque Ahmed; Sarkar, Prodip Kumar; Haque, Md. Manjurul; Biswas, Prodip Kumar; Biswas, Sarmistha; Ahasan, Ham Nazmul

doi:10.3329/jom.v16i1.22399

Cited by 6 publications

(6 citation statements)

References 5 publications

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“…Rest of the 81.82% patients was not recommended to perform any culture and sensitive test. A similar result was also observed in another study of 2015, conducted in different units of Dhaka medical college hospital, Dhaka, Bangladesh [22]. Though a number of guidelines like NHS guideline for antimicrobial protocol for the management of infection in primary care 2017-2019 and Hertfordshire partnership university NHS foundation trust guideline for antimicrobial prescribing guidelines in adults 2015 stated that clinical and diagnostic tests must be carried out before prescribing antibiotics to ensure that bacteria are responsible for the illness and prescribed antibiotics are beneficial for the illness.…”

Section: Discussionsupporting

confidence: 88%

Antibiotics Prescription Pattern in Rural Area of Bangladesh: A Cross-Sectional Study in Debidwar Upazila of Comilla District

Khanam

Masud

Khurshed

et al. 2018

Int J Pharm Pharm Sci

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Objective: The study was aimed to evaluate the antibiotic prescription pattern by physicians in the area of study.Methods: This cross-sectional observational study was carried out with a self-designed standard questionnaire by manual data collection over a three months period at the Debidwar Upazila of Comilla District. The data were collected by directly interviewing the participants. Microsoft Excel 2010 was used for the analysis of the collected data.Results: Out of 242 patients, 60.74% of patients were male, 39.26% of patients were female. Majority of the patients (50%) belonged to age group 9 to 20 and in terms of profession, 53.30% were students. Among the previous disease history, hypertension (20.25%) was found at the dominant position. Common cold (28.95%) was the frequent reason for visiting doctor and ciprofloxacin was prescribed to 30.17% patients (Male: 21.90%, Female: 8.26%). Before prescribing anti-bacterial agents or any other agents, only 23.55% patients were recommended diagnostic tests and in 81.81% cases, physicians simply prescribed medicine by his/her own assumption and culture and sensitivity test was recommended and done for 18.18% patients.Conclusion: Prescription of broad-spectrum antibiotics for common cold and diarrhea, prescribing antibiotics or medicine based on presumption was the clear indications of irrational antibiotics use and inappropriate prescription pattern.

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Section: Discussionsupporting

confidence: 88%

Antibiotics Prescription Pattern in Rural Area of Bangladesh: A Cross-Sectional Study in Debidwar Upazila of Comilla District

Khanam

Masud

Khurshed

et al. 2018

Int J Pharm Pharm Sci

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“…Again, most of the studies done in Bangladesh, concentrate on a single disease, pathogen, or specimen. [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] But, a single organism can cause different types of infection, at different sites and can cause different diseases. For example, E. coli can cause gastroenteritis, sepsis, UTI, even meningitis.…”

Section: Introductionmentioning

confidence: 99%

Prevalent Bacteria and Their Sensitivity and Resistance Pattern to Antibiotics: A Study in Dhaka Medical College Hospital

Hossain

Naher²,

Hasan

et al. 2017

J Dhaka Med Coll

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amikacin, moxifloxacin, imipenem, meropenem, piperacillin+tazobactum combination, vancomycin, doxycycline, tetracycline, tigecycline, nitrofurantoin, azactum, linezolid and 100% resistant to cefixime. Enterobacter was 100% sensitive to penicillin, amikacin, gentamicin, netilmicin, doxycycline, tetracycline, tigecycline and 100% resistant to cefixime, ceftazidime, ceftriaxone, cefepime, cotrimoxazole, levofloxacin, vancomycin. E. coli was 100% sensitive to imipenem, meropenem, vancomycin, tigecycline and 100% resistant to mecillinam, aztreonam. Klebsiella was 100% sensitive to flucloxacillin, colistin, vancomycin, tigecycline, linezolid and 100% resistant to nalidixic acid. Proteus was 100% sensitive to cephradine,

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“…In this study, it was found that 155 antibiotics were used in total of 60 patients, among which highest group of antibiotics prescribed were metronidazole (36.77%) followed by ceftriaxone (32.25) and then gentamycin (10.32%). Another study which was conducted in prescribing patterns of antibiotics in post-operative patients in teaching hospital in Hyderabad in 2014 which also had similar antibiotic prescribing pattern, among which highest group of antibiotics prescribed were third generation cephalosporin [6] comprising 44% and then 30.7% metronidazole [7].…”

Section: Discussionmentioning

confidence: 99%

Study on Usage of Antibiotics in Emergency Gastrointestinal Surgery Patients

Steffy¹,

Kumar²,

Veeramani³

et al. 2020

IJAPB

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To observe the antibiotics usage in post-emergency gastrointestinal surgeries and to assess the adherence of patients to the antibiotics and its adverse effects for achieving good clinical outcomes by educating the patients. The study was conducted in RMMCH, over a period of 6 months. Patient's medication adherence was assessed using MORISKY SCALE and 60 patients were enrolled in the study out of which a greater number of patients were male belonging to 18 to 33 years. Most prescribed antibiotics were cefotaxime and metronidazole. Mostly combinations of antibiotics were used in treatment. Medication adherence was significantly improved 17 % as the impact of our patient counselling. We observed that cephalosporin and nitroimidazole category drugs were given most probably in emergency gastrointestinal surgeries.

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Pattern of Antibiotic Use in Different Departments of Dhaka Medical College Hospital

Abstract: Abstract:Background

Cited by 6 publications

References 5 publications

Antibiotics Prescription Pattern in Rural Area of Bangladesh: A Cross-Sectional Study in Debidwar Upazila of Comilla District

Antibiotics Prescription Pattern in Rural Area of Bangladesh: A Cross-Sectional Study in Debidwar Upazila of Comilla District

Prevalent Bacteria and Their Sensitivity and Resistance Pattern to Antibiotics: A Study in Dhaka Medical College Hospital

Study on Usage of Antibiotics in Emergency Gastrointestinal Surgery Patients

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