Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital

Background: The irrational use of antibiotics is a global issue and it can lead to morbidity, mortality, and increased health care costs. Hence, proper use of antibiotics is imperative and should be included in the pharmaceutical care plan. Objective: The objective of this study was to evaluate the...

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Autores principales:	Rinta Mathew, Humera Sayyed, Subhashree Behera, Keemya Maleki, Sunita Pawar
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	antibiotics pediatrics rational prescribing prescribing pattern who prescribing indicators Medicine R
Acceso en línea:	https://doaj.org/article/da70995cd9d34fffa206bde9158463fc
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spelling	oai:doaj.org-article:da70995cd9d34fffa206bde9158463fc2021-12-02T14:49:26ZEvaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital2231-07702249-446410.4103/ajm.ajm_73_20https://doaj.org/article/da70995cd9d34fffa206bde9158463fc2021-01-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.4103/ajm.ajm_73_20https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background: The irrational use of antibiotics is a global issue and it can lead to morbidity, mortality, and increased health care costs. Hence, proper use of antibiotics is imperative and should be included in the pharmaceutical care plan. Objective: The objective of this study was to evaluate the prescribing pattern of antibiotics for children using WHO core prescribing indicators. Materials and Methods: A prospective, observational study was carried for 6 months in the pediatric department at a tertiary care hospital, Pune. The WHO prescribing indicators were used to evaluate the prescriptions, and the ideal WHO range was considered as a determining factor for rational prescription. Results: A total of 302 patients were included in the study, with a mean patient age of 4.92 ± 4 years. The average number of drugs per encounter was 6.12 (WHO standard is less than 2). The percentage of antibiotics prescribed was 26.3% with an average of 1.63 antibiotics per prescription. Of the 493 antibiotics, 85.59% were injectable which is higher than the WHO standard of 13.4–24.1%. A near-optimal value of 99.59% antibiotics was prescribed from the hospital formulary which is similar to WHO standards, and the antibiotics prescribed with generic names were 25.76%. The most common class of antibiotics prescribed were cephalosporins and penicillins. Conclusion: Polypharmacy, high injectable use, and non-adherence to generic prescription were common in our tertiary care center. Continuous audits, training, and new treatment protocols are recommended.Rinta MathewHumera SayyedSubhashree BeheraKeemya MalekiSunita PawarThieme Medical and Scientific Publishers Pvt. Ltd.articleantibioticspediatricsrational prescribingprescribing patternwho prescribing indicatorsMedicineRENAvicenna Journal of Medicine, Vol 11, Iss 01, Pp 15-19 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	antibiotics pediatrics rational prescribing prescribing pattern who prescribing indicators Medicine R
spellingShingle	antibiotics pediatrics rational prescribing prescribing pattern who prescribing indicators Medicine R Rinta Mathew Humera Sayyed Subhashree Behera Keemya Maleki Sunita Pawar Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
description	Background: The irrational use of antibiotics is a global issue and it can lead to morbidity, mortality, and increased health care costs. Hence, proper use of antibiotics is imperative and should be included in the pharmaceutical care plan. Objective: The objective of this study was to evaluate the prescribing pattern of antibiotics for children using WHO core prescribing indicators. Materials and Methods: A prospective, observational study was carried for 6 months in the pediatric department at a tertiary care hospital, Pune. The WHO prescribing indicators were used to evaluate the prescriptions, and the ideal WHO range was considered as a determining factor for rational prescription. Results: A total of 302 patients were included in the study, with a mean patient age of 4.92 ± 4 years. The average number of drugs per encounter was 6.12 (WHO standard is less than 2). The percentage of antibiotics prescribed was 26.3% with an average of 1.63 antibiotics per prescription. Of the 493 antibiotics, 85.59% were injectable which is higher than the WHO standard of 13.4–24.1%. A near-optimal value of 99.59% antibiotics was prescribed from the hospital formulary which is similar to WHO standards, and the antibiotics prescribed with generic names were 25.76%. The most common class of antibiotics prescribed were cephalosporins and penicillins. Conclusion: Polypharmacy, high injectable use, and non-adherence to generic prescription were common in our tertiary care center. Continuous audits, training, and new treatment protocols are recommended.
format	article
author	Rinta Mathew Humera Sayyed Subhashree Behera Keemya Maleki Sunita Pawar
author_facet	Rinta Mathew Humera Sayyed Subhashree Behera Keemya Maleki Sunita Pawar
author_sort	Rinta Mathew
title	Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
title_short	Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
title_full	Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
title_fullStr	Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
title_full_unstemmed	Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
title_sort	evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/da70995cd9d34fffa206bde9158463fc
work_keys_str_mv	AT rintamathew evaluationofantibioticprescribingpatterninpediatricsinatertiarycarehospital AT humerasayyed evaluationofantibioticprescribingpatterninpediatricsinatertiarycarehospital AT subhashreebehera evaluationofantibioticprescribingpatterninpediatricsinatertiarycarehospital AT keemyamaleki evaluationofantibioticprescribingpatterninpediatricsinatertiarycarehospital AT sunitapawar evaluationofantibioticprescribingpatterninpediatricsinatertiarycarehospital
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Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital

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