Abstract

PRESCRIBING PATTERN OF ANTIBIOTICS IN SURGICAL DEPARTMENT IN A TERITIARY CARE TEACHING HOSPITAL

Nrithya S. Kumar*, C. Pandu Varaprasad, Anakha Thyag, Silpa sudarsanan,
Y. Hrishikesh Reddy.

Abstract

Background: Antibiotics are the recurrently prescribed drugs among hospitalized patients especially surgical department. Extensive and random use of broad spectrum antibiotics has contributed to the emergence of resistance. Aim: To assess the prescribing pattern of antibiotics in a surgical department of tertiary care teaching Hospital. Materials And Methods: This prospective study was carried out in various surgical departments at Rajiv Gandhi Institute of Medical Science, Kadapa. Data was collected from the patient chart review method which is well suited to identify the prescribing pattern of drugs for surgical patients and their susceptibility pattern. Results: In our study, among the total group of 234 patients, 130 (55.55%) were females and 104(44.44%) were males The majority of the patients were between the age of 30-40 years. Assessment that, most prescribed antibiotics in surgical department were ceftriaxone. We assessed that a total of 234 patients 38(16.23%) were not received appropriate antibiotic prophylaxis and the patient after surgery, post- operative treatment were not given for 30(12.82%) patients. We have done susceptibility test on 234 cases, in which most of the organism were shown resistance to ceftriaxone and the most prevalent organism in this region were found to be Staphylococcus aureus. Conclusion: It is necessary to emphasize the rational use of antimicrobials to minimize the misuse of available antimicrobials. In addition, regular antimicrobial susceptibility surveillance is essential for area-wise monitoring of the resistance patterns.

Keywords: Antibiotics, Antimicrobial resistance, Surgical prophylaxis, susceptibility test.