Study on drug utilization pattern of antibiotics among dermatology in-patients of a tertiary care teaching hospital, Karaikal, Puducherry

Divyashanthi, C. M.; Nandhini, A.; Kumar, Santosh

doi:10.5455/2319-2003.ijbcp20141227

Cited by 7 publications

(12 citation statements)

References 11 publications

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“…Infectious disease like fungal infection topped the Table (8%). This disease pattern is comparable to the study conducted by CM Divysanthi et al in Karaikal 16 which showed similar reports. This shows that the incidence of the skin disease depends mostly on geographical location, genetic makeup as well as environmental factors.…”

Section: Discussionsupporting

confidence: 81%

Study on Steroid Utilization Pattern in a Tertiary Care Teaching Hospital

Aryal¹,

Kunwar²,

Shadvar³

et al. 2017

IJOPP

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Background: Rational use of corticosteroids is very essential for improving patient safety on long term use. AIM: To study the prescribing pattern of steroids in teaching hospital. Method: A prospective observational study was conducted in the department of dermatology and general medicine in a tertiary care teaching hospital for the period of 6 months. All patients receiving any category of Steroid therapy were included and the prescribing and tapering pattern of steroids were reviewed. Result: Prescribing pattern was observed and analysed in 226 participants during the study period. Steroids were prescribed for various Respiratory illnesses (59.32 %) and Skin related conditions (33.18%). The steroid utilization was found to be more in elderly patients, particularly males. Inhaler administration was common in 44.5% of cases. Budesonide was the most commonly prescribed (43.45%) followed by Prednisolone (15.25%) and Hydrocortisone (14.91%). Budesonide + Hydrocortisone were the most common therapy given in combination (35.19%). In topical preparation, Ultra potent Steroid Clobetasol (45.93%) was commonly prescribed and in Systemic Preparation, Intermediate acting steroid Prednisolone (37.82%) was used. Most drugs were prescribed rationally although some factors like improper history, drug administration time and tapering were deviating away from rationality. Conclusion: Not much variation was found in the pattern of prescription amongst the healthcare professionals. Although most of the drugs were prescribed rationally, involvement of a Clinical pharmacist in patient care can help in more rational prescribing along with prevention and early detection of ADRs which can directly promote drug safety and better patient outcomes.

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Section: Discussionsupporting

confidence: 81%

Study on Steroid Utilization Pattern in a Tertiary Care Teaching Hospital

Aryal¹,

Kunwar²,

Shadvar³

et al. 2017

IJOPP

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“…Non-infectious skin diseases, like dermatitis, topped by 19%, followed by Eczema (16%), lichen planus and urticaria (16% each). This disease pattern is comparable to the study conducted in Karaikal, which showed similar reports (Divyashanthi et al 2014, Wahane et al 2016. This shows that the incidence of the skin disease depends mostly on a geographical location, genetic makeup as well as environmental factors.…”

Section: Discussionsupporting

confidence: 89%

Assessment of drug utilization pattern of steroids in a district general hospital in Amravati region

Shende¹,

Ghutke²,

Panekar³

et al. 2019

RRP

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Introduction: Rational use of corticosteroids is very important in the long term for improving patient safety. The main objective of the study was to analyze the prescribing patterns of steroids in a district general hospital, Amravati. Materials and methods: A prospective observational study was carried out over a period of six months in a district general hospital. All patients receiving any category of steroid therapy were enrolled, and the prescribing tapering patterns of steroids were reviewed. The demographic data, disease data and data on the utilization of various steroids were analyzed, and the knowledge of the patients was assessed by using a Michigan questionnaire. Results and discussion: 179 patients were recruited for the study. Steroids were prescribed for various (29.6%) respiratory conditions, (10.1%) CVS diseases, (11.7%) CNS, (1.6%) in hepatic disorders, (1.1%) musculoskeletal disorders, (3.4%) skeletal disorders, (0.6%) renal impairments, (3.9%) GI disorders, (19.0%) skin diseases and (19.0%) other diseases. The utilization of steroid dexamethasone was the most commonly prescribed to 111 patients (63.8%) followed by hydrocortisone (57 patients, 32.8%) and prednisolone (6 patients, 3.4 %). Dexamethasone was most commonly associated with adverse effects (1.8% of such as headaches, abdominal pains, and rashes), followed by prednisolone (0.8% of such as facial swelling), clobetasol (0.4%) and fluticasone (0.4 %). Conclusions: Very little variation was found in the prescription pattern amongst the healthcare professionals. Most of the drugs were prescribed rationally; the significance of the study is to improve the patient safety in the long-term use of steroid therapy by observing the prescribing patterns as irrational use of steroids can increase the risk of adverse effects.

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“…This finding was similar to the studies conducted by Chakrawarty and Jaiswal 15 Sunderkotter et al, 22 Stevens et al, 10 and Moon 23 This may be due to higher safety, efficacy, and well-defined profile of adverse events and most of them are affordable. Topical antibiotics were prescribed in 75 patients, it was found that most commonly used topical antibiotic was mupirocin (40), and it was similar to the studies conducted by Khan et al, 13 Divyashanthi et al, 24 and Chakrawarty and Jaiswal, 15 but it was contrast to the study conducted by Pathak et al, 14 where clindamycin was most commonly prescribed.…”

Section: Discussionsupporting

confidence: 58%

Current Prescribing Practices in Bacterial Skin Infections in a Tertiary care hospital- A Prospective study

Dimma

Chintala²,

Regidi

et al. 2023

Asian J Med Sci

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Background: Skin diseases of microbial etiology are caused by bacteria, fungi, viruses, and ectoparasites, of which bacterial infections are most common than others. Antibiotic resistance among the micro-organisms is developing due to indiscriminate use of antibiotics and irrational prescription of drugs. Aims and Objectives: The aims of this study were to assess various aspects of prescription pattern and rational use of antibiotics for bacterial infections in the department of dermatology. Materials and Methods: A prospective analysis of 120 patients attending Dermatology Out Patient Department, at Government Medical College, Srikakulam, for 16 months (June 2017–September 2018) was carried out to analyze the usage of antibiotics through various routes to treat dermatological infections. The number of antibiotics prescribed, their name, class of drug, frequency and route of administration, and duration were recorded and analyzed using descriptive statistics. Results: Among the study population, 55.9% were male and 44.1% were female. Acne vulgaris (25%) is the most common condition, for which antibiotics were prescribed followed by impetigo (16.66%). Most commonly prescribed systemic antibiotics were penicillins (51.66%) followed by macrolides (18.33%). Most commonly prescribed topical antibiotic was mupirocin (33.33%) followed by clindamycin (25%). The most preferred route of antibiotic administration was oral route (62.44%). Conclusion: Prescription pattern of antibiotics in this study proved that dermatologists followed rationality and contributed their part to curb the spread of antibiotic resistance. Periodic screening of drug prescribing pattern studies should be done to rationalize the prescription, to reduce errors, and to increase therapeutic benefits and cost-effective management.

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Study on drug utilization pattern of antibiotics among dermatology in-patients of a tertiary care teaching hospital, Karaikal, Puducherry

Cited by 7 publications

References 11 publications

Study on Steroid Utilization Pattern in a Tertiary Care Teaching Hospital

Study on Steroid Utilization Pattern in a Tertiary Care Teaching Hospital

Assessment of drug utilization pattern of steroids in a district general hospital in Amravati region

Current Prescribing Practices in Bacterial Skin Infections in a Tertiary care hospital- A Prospective study

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