Abstract

PROSPECTIVE STUDY OF ANTIBIOTICS UTILIZATION IN PULMONOLOGY DEPARTMENT ANDHRAPRADESH, INDIA

Ch. Sunil Kumar*, A. Pasupathi, B. S. Venkateswarlu, R. Margret Chandira and K. P. Sampath Kumar

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Abstract

In any country, a large number of sociocultural factors also contribute to the way drugs are used. In India, this include national drug policy, illiteracy, poverty, use of multiple health care systems, drug advertising and promotion, same of prescription drugs with out prescription, competition in the medical and pharmaceutical marketplace and limited availability of and unbiased drug information. The complexity of drug use means that optimal benefits of drug therapy in patient care may not be achieved because of under use, over use or misuse of drugs. One method to evaluate and improved drug use is conducting drug use evaluation studies. Method: This study was prospective observational study in Pulmonology department Andhra Pradesh, India Results: The study was conducted from October -2020 to March -2021 in Various hospitals in Andhra Pradesh. In our study, among 335 patients, 220 (65.67%) were Males and 115 (34.32%) were Females. The highest number of cases observed were Pulmonary Tuberculosis are 153 patients (45.67%), followed by COPD are 87 patients (25.9%), Pneumonia are 42 patients (12.53%), Pleural effusion cases are 39 patients (11.64%), and Bronchiectasis cases are 14 patients (4.17%).The results revealed that Therapeutic evaluation of various antibiotics from our case studies we could observe that the most frequently prescribed antibiotics are higher percentage of patients using Cephalosporin’s (51.14%) followed by Macrolides (17.09%), Metronidazole (12.58%), Penicillin’s (7.66%), Aminoglycosides (3.41%), Doxycycline (3.41%), Fluoroquinolones (3.27%), Carbapenems (1.30%) Conclusion: LRTI usually causes minor illness, but may result in significant morbidity and mortality. Better lay and professional awareness of the often prolonged course of LRTI may improve understanding and appropriate use of antibiotics. Studies are needed to clarify the risks and benefits and to identify sub-groups who may benefit from antibiotic treatment. In this study the Health care professionals are increase the awareness for improving quality of life in critically ill LRTIs patients and preventing further complications.

Keywords: Pulmonology, Mortality, Cephalosporins, Pneumonia, Respiratory Tract infections.