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

Abstract

Background: Antibiotics are the most commonly used and misused of all drugs. Patterns of antibiotic resistance widely follows local patterns of antibiotic prescribing and usage. Periodic data collection and analysis of antibiotic prescriptions at regional level are essential to understand and combat antibiotic resistance. Objective of the study was to study the prescribing pattern of antibiotics in outpatient department of Otorhinolaryngology in a tertiary care teaching hospital. Methods: A prospective observational study of prescribing pattern of antibiotics was conducted in the department of Otorhinolaryngology. Data of antibiotic utilization in outpatient department was collected through duplicate copies of the prescriptions. The data obtained was analyzed and the conclusions were drawn using descriptive analysis.Results: A total of 606 prescriptions were collected and analyzed during the study. Average number of antibiotics prescribed per prescription was 1.24 most of the antibiotics were prescribed for a duration of 1 to 5 days. Commonly prescribed antibiotic class was penicillin (48.1%) followed by quinolone (18.3%). Most of the antibiotics were prescribed by their brand names (98.8%).Conclusions: The present study highlights the wide use of extended spectrum antibiotics, along with brand names for prescribing. Interventions for prescribing of generic drugs from the essential drug list needs to be encouraged among physicians.

Prescription Pattern in patients with Acute Tonsillitis, attending Outpatient Department

“…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.…”

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

“…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.…”

“…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…”