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Pain Management 2018
Internal Medicine 2018
International Journal of Anesthesiology & Pain Medicine
ISSN: 2471-982X
Page 83
March 26-28, 2018
Vienna, Austria
JOINT EVENT
7
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Internal Medicine and Patient Care
&
6
t h
E d i t i o n o f I n t e r n a t i o n a l C o n f e r e n c e o n
Pain Management
Volume 4
Introduction:
The growing body of evidence shows a strong
linkage between inappropriate antibiotic use and antimicrobial
resistance.
Objective:
To analyze the initial antibiotic prescribing pattern
among physicians for pneumonia at medical wards and ICU of a
tertiary care institute in northern India.
Methods:
The initial antibiotic regimen is defined as the
antibiotics prescribed during the first day of therapy. One hundred
and twelve prescription were analyzed, one from each patients
with pneumonia over a period of six months.
Results:
Amoxicillin-clavulanic acid (38.39%) was the commonest
antibiotic prescribed followed by azithromycin (34.82%) either as
monoor combination therapy. Cefoperazone-sulbactum(35.71%),
levofloxacin (32.14%), and piperacillin-tazobactam (22.32%) were
among the commonly prescribed antibiotics for pneumonia,
either alone or in combination. Seventy-five percentage of
prescription contained two or more antibiotics. The prescription
was considered appropriate if antibiotics were prescribed in
correct dose and duration, according to patient characteristics
and local sensitivity profile. Only 44.79% initial prescriptions were
found appropriate and adhering to Institute’s antibiotic protocol.
Conclusion:
Our study throws light into the prevailing irrational
antibiotic prescribing patterns in developing countries like India.
Formulation of local antibiotic protocol and adherence to the
same can improve prescribing pattern and thereby antimicrobial
sensitivity.
dr.divyamr@gmail.comInitial antibiotic prescribing pattern amongst physicians,
for patients of Pneumonia, at medical wards and ICU – an
observational study from India
Divya M Radhakrishnan, Naveet Wig, Anant Mohan, Arti Kapil
and
Randeep Guleria
All India Institute of Medical Sciences, New Delhi, India
Int J Anesth Pain Med 2018, Volume 4
DOI: 10.21767/2471-982X-C1-003