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Abstract

“STUDY ON PRESCRIBING PATTERN OF ANTIMICROBIALS IN ENT DEPARTMENT OF A TERTIARY CARE TEACHING HOSPITAL IN BIHAR, INDIA.”

*Ayan Pal, Subhrojyoti Bhowmick, Jhilli Basu, Rabindranath Chattopadhyay, Shib Shankar Paul and Sumit Chattopadhyay

ABSTRACT

Background: Due to lack of data regarding antimicrobial prescribing pattern in ENT department from the state of Bihar, this current study was conducted to fill the void. Objective: The objective of this study was to monitor the antimicrobial utilization pattern and determine its cost effectiveness in the ENT department of a tertiary care teaching hospital in Bihar. Materials and Method: An observational, prospective study was conducted from May to October 2014 in the OPD and IPD of ENT Department of M.G.M. Medical College & L.S.K. Hospital, Kishanganj. Data were collected in customized proforma from 218 prescriptions and analyzed using the WHO prescribing indicators. Results: Majority of patients were male 53.67%. 37.16% patients were in the age group <15 years, followed by 34.86% patients between 15-60 years. Most of them were diagnosed with ear(40.82%) followed by throat(33.03%) infections. Commonly prescribed antimicrobials were β-lactams(71.69%) followed by macrolides(11.69%). Among the cephalosporins most frequently used was cefixime(22.46%), among penicillins was amoxicillin and clavulanic acid(16.92%), and among macrolides was azithromycin(8.61%). 66.51% patients received single antimicrobials whereas 33.49% received multiple antimicrobials. Average number of antimicrobials prescribed per patient being 1.49. Concomitant therapy included analgesics(39.33%) and antihistaminics(25.84%). The average cost per prescription being INR 89. All drugs were prescribed in brand names. Conclusion: Prescribing multiple antimicrobials was commonly encountered in this study without definite culture and sensitivity reports. Dedicated training hours on prescribing of antimicrobials in ENT diseases for doctors of the state along with regular prescription audit will help promote rationale use of antimicrobials in the long run.

Keywords: Antimicrobial agents, Prescribing pattern, Cost effectiveness, ENT infections, India.


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