Assessment of Prescribing Pattern of Antimicrobials in Orthopaedic Department of Tertiary Care Teaching Hospital: A Multi-center study
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Keywords
Antimicrobial agents, World health organization, Policy, Rational.
Abstract
Background: Antimicrobials are among the most frequently prescribed classes of medications used both prophylactically as well as to treat various orthopaedic infections.
Aim: To evaluate prescribing pattern of antimicrobial agents in orthopaedic indoor patients of tertiary care teaching hospital in Hyderabad & Raipur.
Materials and Methods: A Multi- center prospective study was carried over a period of 1.5 years in orthopaedic department of a tertiary care hospital. A total of 500 prescriptions of indoor patients were collected, and analyzed for most common diagnosis, most common antimicrobial used, drugs used from WHO essential drug list and generic drugs used .
Results: The prescribing pattern of antimicrobials was recorded in a preformed proforma. Most commonly prescribed group of antimicrobials was cephalosporins followed by aminoglycosides. Linezolid from cephalosporin and Amikacin from aminoglycosides were the most commonly used drugs. The most common indication was bone fractures followed by soft tissue infections. Most of the
drugs were from the essential drug list but no drug was prescribed with generic name.
Conclusion: This study highlights the common prescribing pattern of antimicrobials in our tertiary care teaching hospital. The drugs should be used appropriately from the WHO essential drug list with frequent update of information. The implementation of antimicrobial policy and treatment guidelines should be according to disease pattern of that area and this can be done only with periodic assessment of disease pattern and rational prescribing of the medicine by the clinical pharmacologist in that area.
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