Prescription pattern in the department of surgery in a tribal district hospital of Andhra Pradesh, India

Khade, Ajay; Bashir, Mohammed; Sheethal, A

doi:10.4103/2141-9248.117953

Cited by 13 publications

(19 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, 80.50% antimicrobials were preferred by brand names. This trend was similar with Khade et al 8 Writing prescriptions using generic name is an important drug-use quality to avoid undesirable drug interactions, adverse drug reactions, and medication errors. In this study, majority of drugs were prescribed as brand names.…”

supporting

confidence: 65%

Drug utilization study-pattern of use of anti-microbial drugs among post operative patients in department of general surgery at a tertiary care hospital

Patel

Chhaiya

Mehta

2017

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

Background: The objective of this study was to assess the current trends of prescribing antibiotics amongst the patients of General surgery postoperative unit of C. U. Shah Medical College and Hospital, Surendranagar, Gujarat.Methods: An observational study was done amongst 200 patients admitted in the General surgery postoperative ward of a C. U. Shah Medical College and Hospital, Surendranagar over a period of 6 months in accordance with the ethical principles of the ethics committee guidelines. Data were analyzed using Microsoft Office Excel 2007 and values were presented descriptively in percentiles.Results: The average number of antimicrobials per encounter was 1.78. The most common surgeries in the postsurgical unit were urological procedures 61 (30.35%) followed by incision and drainage 40 (20%). Most of the patients were in the age group of 35-60 yrs. Higher utilization of cephalosporins (62.91%) and fluoroquinolones (20.27%). The most preferred route of administration of antibiotics in post operative period was oral (55.58%).Conclusions: The present study provides valuable insight about the overall pattern of anti-microbials used in postoperative patients in a tertiary care hospital. It is intended to be a step in broader evaluation of safety and efficacy of drug as well as for improving prescribing habits among the fraternity and minimizing incidence of resistance to antimicrobials in surgical wards of a teaching hospital.

show abstract

supporting

confidence: 65%

Drug utilization study-pattern of use of anti-microbial drugs among post operative patients in department of general surgery at a tertiary care hospital

Patel

Chhaiya

Mehta

2017

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

show abstract

“…This is similar to a study by Ajay khade et al where the productive age group is actively involved in socioeconomic activities, making them vulnerable to diseases, which may need surgical interventions and antibiotic treatment [25]. The number of male patients in the study was 158 (74.2%).…”

Section: Resultssupporting

confidence: 88%

A Prospective Study of the Pattern of Use of Antimicrobial Agents in Surgical Prophylaxis in a Tertiary Care Centre

Brethis

Thamizharasan

Sridevi

et al. 2016

Int J Pharm Pharm Sci

View full text Add to dashboard Cite

Objective: To evaluate the most common class of antimicrobial agents used in surgical prophylaxis. To evaluate the timing, dosage, route and duration of use of antimicrobial agents in surgical prophylaxis. Methods:The study subjects were 214 patients who underwent general surgical procedures at Vinayaka Missions Kirupananda Variyar Medical College from July 2013 to June 2014. The use of antimicrobial agents was noted from the first dose of antibiotic given before the induction of anaesthesia. After surgery was completed the duration of antibiotic in the post-operative ward was noted.Results: Majority of the patients were males of age group 50-60 y and the most common surgical procedure was hernioplasty. Combination therapy with two antimicrobial agents was more preferred regimen 126 (58.9%). Among the antimicrobial agent's cefotaxime 114 (24.8%) was the most commonly prescribed drug and it was followed by metronidazole 121 (21.9%). ceftriaxone 60 (13.1%) was the third most commonly prescribed antimicrobial agent. The mean duration of prescription of antimicrobial agents in the present study was 4.78 d and the mean cost of drug treatment was 787.54 rupees. The cost-effective regimen was that of aminoglycosides and imidazole. Conclusion:The choice of antimicrobial agent was based on the local prevalence pattern of microorganisms. The intravenous administration of antibiotic prophylaxis immediately before or after the induction of anaesthesia is the most reliable method for ensuring effective serum concentration at the time of surgery. The antimicrobial agent chosen must cover all the most likely contaminating organisms.

show abstract

“…Khade et al, observed that ciprofloxacin and metronidazole were most commonly used antibiotics. 11 In study by Vadajiya et al, metronidazole and ciprofloxacin were two most commonly prescribed antibiotics. 14 Study by Salman et al, showed major use of amikacin.…”

Section: Discussionmentioning

confidence: 99%

“…7,13 However, studies by Bansali et al, and Khade et al, showed lower percentage of drugs prescribed by generic names. 8,11 All encounters contained an injection prescribed, may be an injectable antibiotic, an injectable analgesic or intravenous fluid. This was comparable to the finding observed in other studies.…”

Section: Discussionmentioning

confidence: 99%

Drug prescribing pattern in surgical wards of a tertiary care hospital in Western part of India

Patel¹,

Jadav

Parmar

et al. 2018

Int J Basic Clin Pharmacol

View full text Add to dashboard Cite

Background:In surgical wards, drugs are required to manage pain, nausea, vomiting, infections, etc. A growing number of pharmaceutical products are available in present era. Irrational prescribing of drugs is prevalent worldwide. Drug utilization study can be used to assess prescribing patterns. Authors undertook this study to determine current practice of prescribing in surgical wards of the hospital. Methods: Authors conducted observational, noninterventional, descriptive study among patients admitted in surgical wards for one year. Authors have analysed collected data of 604 patients using descriptive statistics to determine utilization pattern of drugs and drug use indicators. Results: Appendicitis (14.9%) followed by hernia (10.6%) were leading diseases for admission. Mean duration of stay was 7.44. Average number of drugs in a prescription was 8.94. Antibiotics (32.07 %), analgesics (17.11 %) and antacids (16.09 %) were leading drug groups prescribed. Amikacin (5.81 %) followed by metronidazole (5.30 %) and ciprofloxacin (5.19 %) were commonly prescribed antimicrobial drugs. Tramadol (5.31 %) and pantoprazole (7.17 %) were leading drugs prescribed from analgesics and antacids respectively. All prescriptions had at least one injectable drug. At least one antibiotic was present in 92.05 % prescriptions. Majority of drugs (87.27 %) were prescribed by generic names. Proportion of drugs prescribed from essential medicine list was 84.22 %. Conclusions: Polypharmacy and injectable drug prescribing were common in practice. There is a scope for improving such prescribing practices among practitioners. Use of multiple antibiotics should be avoided whenever possible and usage should be evidence based.

show abstract

Prescription pattern in the department of surgery in a tribal district hospital of Andhra Pradesh, India

Cited by 13 publications

References 14 publications

Drug utilization study-pattern of use of anti-microbial drugs among post operative patients in department of general surgery at a tertiary care hospital

Drug utilization study-pattern of use of anti-microbial drugs among post operative patients in department of general surgery at a tertiary care hospital

A Prospective Study of the Pattern of Use of Antimicrobial Agents in Surgical Prophylaxis in a Tertiary Care Centre

Drug prescribing pattern in surgical wards of a tertiary care hospital in Western part of India

Contact Info

Product

Resources

About