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Point prevalence survey on antibiotic uses at tertiary care hospital: a cross-sectional study from western Maharashtra, India
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| Author:
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MOHITE RV, GARUD SK, SINDHI U, PATNI P, BOHRA D, ATTAR S, KRISHNA S
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| Abstract:
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Background: The recent global public health concern of antimicrobial resistance, World Health Organization advocates addressing and combating the burden of antibiotic resistance.
Objective: To estimate the quantitative burden of antibiotic prescriptions and to investigate the patterns of its uses among the patients admitted at the rural tertiary health care center.
Methodology: A hospital-based cross-sectional study was carried out at a fixed point of time in the year 2021. The study setting was selected on a random basis among the tertiary health care hospitals rendering speciality health care services to the population residing in Western Maharashtra, India. The structured questionnaire was used to record the responses from 556 study participants as well as antibiotics prescribed by the concerned authority. The data were entered into an MS Excel sheet and analyzed for descriptive statistics by using statistical software.
Results: The point prevalence of antibiotic use was 67.6% among the patients admitted at the rural tertiary health care center with a higher proportion, 58.7%, and 57.7% belonged to the adult population and female patients respectively. Among the total 376 prescriptions max, 32% antibiotic prescriptions were prescribed from Ob & Gynac. and surgical wards. The Cefixime was the topmost antibiotic, 32.9% prescribed in the study hospital. Single drug prescriptions and twice a day administration of antibiotics were reported higher, 81.1% and 74.2% in the study population. Max, 31.9% patients received 0.2gm of antibiotic dose per day whereas only 2.6% received 2.25 gm per day as a higher dose of antibiotics.
Conclusion: The study concluded that antibiotics prescribed in the rural tertiary health care center were on evidence-based, rational, and judicial drug prescription policy. Adherence to hospital drug prescription policy can reduce the incidence of antibiotic resistance to a great extent.
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| Keyword:
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Prevalence, survey, antimicrobials, resistance, hospital
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2021.13.02.456
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| Download:
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