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A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India
AIM: To evaluate the point prevalence of antimicrobial drug use by using point prevalence survey method. METHODOLOGY: A cross-sectional point prevalence study was done on patients admitted in AIIMS Bhopal hospital. This study included all inpatients receiving an antimicrobial that were on the ward a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691475/ https://www.ncbi.nlm.nih.gov/pubmed/31463232 http://dx.doi.org/10.4103/jfmpc.jfmpc_430_19 |
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author | Najmi, Ahmad Sadasivam, Balakrishnan Jhaj, Ratinder Atal, Shubham Kumar, Sunil Santenna, C |
author_facet | Najmi, Ahmad Sadasivam, Balakrishnan Jhaj, Ratinder Atal, Shubham Kumar, Sunil Santenna, C |
author_sort | Najmi, Ahmad |
collection | PubMed |
description | AIM: To evaluate the point prevalence of antimicrobial drug use by using point prevalence survey method. METHODOLOGY: A cross-sectional point prevalence study was done on patients admitted in AIIMS Bhopal hospital. This study included all inpatients receiving an antimicrobial that were on the ward at 8 AM on a specific day in May 2018. Information regarding age, gender, occupation, income group, diagnosis, patient's present/past medical history, treatment, any adverse drug reactions, and investigations are recorded in a pro forma. RESULTS: A total of 77 patients (31.95%) were included out of total 241 patients who received at least one antimicrobial. Of patients who received at least one antimicrobial, diagnosis was mentioned in 83.11% of prescriptions. Targeted treatment was given to 10.38% of patients. Reasons for antimicrobial were recorded in 12.98% of patients. Most common healthcare infection recorded was catheter-associated urinary tract infections followed by postoperative surgical site infections. Penicillin with beta lactamase inhibitors was most commonly prescribed antibiotic group followed by third generation cephalosporins and fluoroquinolones. Stop or review date was recorded in 19.48% of patients. Parenteral administration was given to 30.55% of patients. Compliance to guidelines was followed in 64.11% of patients. Local antibiotic guideline and antibiogram were available in hospital. Biomarkers were utilized in 9.77% of patients to guide the choice of therapy. CONCLUSION: Availability of antibiotic policy, antibiogram, local antibiotic guidelines, drugs, and therapeutic committee were some of the encouraging findings. Diagnosis was mentioned in majority of prescriptions. Most patients were prescribed oral antimicrobial drugs, which can reduce complications with parenteral route. Underutilizations of microbiological facilities, prolonged use of antibiotics for surgical prophylaxis, and polypharmacy were areas of concern. |
format | Online Article Text |
id | pubmed-6691475 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-66914752019-08-28 A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India Najmi, Ahmad Sadasivam, Balakrishnan Jhaj, Ratinder Atal, Shubham Kumar, Sunil Santenna, C J Family Med Prim Care Original Article AIM: To evaluate the point prevalence of antimicrobial drug use by using point prevalence survey method. METHODOLOGY: A cross-sectional point prevalence study was done on patients admitted in AIIMS Bhopal hospital. This study included all inpatients receiving an antimicrobial that were on the ward at 8 AM on a specific day in May 2018. Information regarding age, gender, occupation, income group, diagnosis, patient's present/past medical history, treatment, any adverse drug reactions, and investigations are recorded in a pro forma. RESULTS: A total of 77 patients (31.95%) were included out of total 241 patients who received at least one antimicrobial. Of patients who received at least one antimicrobial, diagnosis was mentioned in 83.11% of prescriptions. Targeted treatment was given to 10.38% of patients. Reasons for antimicrobial were recorded in 12.98% of patients. Most common healthcare infection recorded was catheter-associated urinary tract infections followed by postoperative surgical site infections. Penicillin with beta lactamase inhibitors was most commonly prescribed antibiotic group followed by third generation cephalosporins and fluoroquinolones. Stop or review date was recorded in 19.48% of patients. Parenteral administration was given to 30.55% of patients. Compliance to guidelines was followed in 64.11% of patients. Local antibiotic guideline and antibiogram were available in hospital. Biomarkers were utilized in 9.77% of patients to guide the choice of therapy. CONCLUSION: Availability of antibiotic policy, antibiogram, local antibiotic guidelines, drugs, and therapeutic committee were some of the encouraging findings. Diagnosis was mentioned in majority of prescriptions. Most patients were prescribed oral antimicrobial drugs, which can reduce complications with parenteral route. Underutilizations of microbiological facilities, prolonged use of antibiotics for surgical prophylaxis, and polypharmacy were areas of concern. Wolters Kluwer - Medknow 2019-07 /pmc/articles/PMC6691475/ /pubmed/31463232 http://dx.doi.org/10.4103/jfmpc.jfmpc_430_19 Text en Copyright: © 2019 Journal of Family Medicine and Primary Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Najmi, Ahmad Sadasivam, Balakrishnan Jhaj, Ratinder Atal, Shubham Kumar, Sunil Santenna, C A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India |
title | A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India |
title_full | A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India |
title_fullStr | A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India |
title_full_unstemmed | A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India |
title_short | A pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in Central India |
title_sort | pilot point prevalence study of antimicrobial drugs in indoor patients of a teaching hospital in central india |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6691475/ https://www.ncbi.nlm.nih.gov/pubmed/31463232 http://dx.doi.org/10.4103/jfmpc.jfmpc_430_19 |
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