ASSESSING ANTIBIOTIC USE AND PRESCRIPTION PATTERNS AMONG PATIENTS IN KARACHI: A STUDY ON COMPLIANCE AND INFECTION CONTROL
Main Article Content
Keywords
Antibiotic use, prescription patterns, infection control, Karachi, patient compliance
Abstract
Background: Effective management of infections heavily relies on appropriate antibiotic use and adherence to prescribed treatment regimens. This study aims to evaluate antibiotic use and prescription patterns among patients in Karachi and assess their impact on infection control and patient compliance.
Methods: This cross-sectional study involved 96 patients with various infections who were recruited from community (retail) pharmacies in Karachi. Data were collected on sociodemographic characteristics, antibiotic prescription patterns, culture sensitivity testing, and patient compliance. Statistical analyses, including chi-squared tests, were used to assess the relationships between different variables and infection control outcomes.
Results: The majority of patients were prescribed monotherapy, with penicillin and macrolides being the most frequently used antibiotics. A significant proportion of patients (75%) did not undergo culture sensitivity testing. The study found that female patients exhibited better infection control compared to males (80.6% vs. 55.4%, p = 0.016). Proper diagnosis on prescriptions was associated with 100% infection control. Factors such as smoking, marital status, and employment status were significantly associated with infection control outcomes.
Conclusion: The study indicates that adherence to infection control practices, including timely culture sensitivity testing and accurate diagnosis, significantly improves infection management. The findings underscore the importance of following recommended guidelines for antibiotic prescriptions and patient compliance to enhance treatment efficacy. Future research should focus on a broader range of healthcare settings to further explore these patterns and their impact on infection control.
References
2. Ahmed, S. K., Hussein, S., Qurbani, K., Ibrahim, R. H., Fareeq, A., Mahmood, K. A., & Mohamed, M. G. (2024). Antimicrobial resistance: impacts, challenges, and future prospects. Journal of Medicine, Surgery, and Public Health, 2, 100081.
3. Alam, M., Saleem, Z., Haseeb, A., Qamar, M. U., Sheikh, A., Abuhussain, S. S. A., Iqbal, M. S., Raees, F., Chigome, A., & Cook, A. (2023). Tackling antimicrobial resistance in primary care facilities across Pakistan: current challenges and implications for the future. Journal of Infection and Public Health.
4. Bassetti, S., Tschudin-Sutter, S., Egli, A., & Osthoff, M. (2022). Optimizing antibiotic therapies to reduce the risk of bacterial resistance. European journal of internal medicine, 99, 7-12.
5. Chinemerem Nwobodo, D., Ugwu, M. C., Oliseloke Anie, C., Al‐Ouqaili, M. T., Chinedu Ikem, J., Victor Chigozie, U., & Saki, M. (2022). Antibiotic resistance: The challenges and some emerging strategies for tackling a global menace. Journal of clinical laboratory analysis, 36(9), e24655.
6. Cicchinelli, S., Rosa, F., Manca, F., Zanza, C., Ojetti, V., Covino, M., Candelli, M., Gasbarrini, A., Franceschi, F., & Piccioni, A. (2023). The impact of smoking on microbiota: a narrative review. Biomedicines, 11(4), 1144.
7. Cook, M. A., & Wright, G. D. (2022). The past, present, and future of antibiotics. Science translational medicine, 14(657), eabo7793.
8. Coque, T. M., Cantón, R., Pérez-Cobas, A. E., Fernández-de-Bobadilla, M. D., & Baquero, F. (2023). Antimicrobial resistance in the global health network: known unknowns and challenges for efficient responses in the 21st century. Microorganisms, 11(4), 1050.
9. Davenport, R. (2021). Patterns of Death, 1800-2020: Global rates and causes. In The Routledge History of Death since 1800. Taylor & Francis.
10. Dhakad, G. G., Patil, R. V., Girase, D. S., Amrutkar, S. P., & Jain, R. S. (2022). Review on Antibiotics.
11. Gautam, S., Shrestha, N., Mahato, S., Nguyen, T. P., Mishra, S. R., & Berg-Beckhoff, G. (2021). Diabetes among tuberculosis patients and its impact on tuberculosis treatment in South Asia: a systematic review and meta-analysis. Scientific Reports, 11(1), 2113.
12. Mahizhchi, E., Sivakumar, D., & Jayaraman, M. (2024). Antimicrobial Resistance: Techniques to Fight AMR in Bacteria-A Review. Journal of Pure & Applied Microbiology, 18(1).
13. Mahmoudi, F., Jalayeri, M. H. T., Montaseri, A., MohamedKhosroshahi, L., & Baradaran, B. (2024). Microbial natural compounds and secondary metabolites as Immunomodulators: A review. International Journal of Biological Macromolecules, 134778.
14. Mdegela, R. H., Mwakapeje, E. R., Rubegwa, B., Gebeyehu, D. T., Niyigena, S., Msambichaka, V., Nonga, H. E., Antoine-Moussiaux, N., & Fasina, F. O. (2021). Antimicrobial use, residues, resistance and governance in the food and agriculture sectors, Tanzania. Antibiotics, 10(4), 454.
15. Mikell, F., Wooten, W. M., Manandhar, S., & Emberger, J. (2022). Global travel and antimicrobial resistance: A challenge for stewardship. Current Treatment Options in Infectious Diseases, 14(1), 1-14.
16. Murugaiyan, J., Kumar, P. A., Rao, G. S., Iskandar, K., Hawser, S., Hays, J. P., Mohsen, Y., Adukkadukkam, S., Awuah, W. A., & Jose, R. A. M. (2022). Progress in alternative strategies to combat antimicrobial resistance: Focus on antibiotics. Antibiotics, 11(2), 200.
17. Saikia, S., & Chetia, P. (2024). Antibiotics: From Mechanism of Action to Resistance and Beyond. Indian Journal of Microbiology, 1-25.
18. Sanchez, G. V. (2016). Core elements of outpatient antibiotic stewardship. MMWR. Recommendations and Reports, 65.
19. Sullivan, G. J., Delgado, N. N., Maharjan, R., & Cain, A. K. (2020). How antibiotics work together: molecular mechanisms behind combination therapy. Current opinion in microbiology, 57, 31-40.
20. Summers, E. M. (2020). Optimizing the Use of Antibiotics: Evaluation of a Quality Improvement Project Walden University].
21. Tang, K. W. K., Millar, B. C., & Moore, J. E. (2023). Antimicrobial resistance (AMR). British Journal of Biomedical Science, 80, 11387.
22. Treacy, P. (2023). The Living History of Medicine. Austin Macauley Publishers.
23. Turen, S., Yilmaz, R. A., & Gundogdu, S. (2021). The relationship with acceptance of illness and medication adherence in type 2 diabetes mellitus patients. International Journal of Caring Sciences, 14(3), 1824-1832.
24. Ullah, K., Baloch, M., Khan, A. A., Saeed, H., & Islam, M. (2020). Antibiotic prescribing trends in patients with upper respiratory tract infections reporting to tertiary care hospitals of Lahore. Pak J Pharm Sci, 33(4), 1879-1888.