A Study of Prescription Pattern of Antibiotics in Pediatric In-Patients of Mc-Gann Teaching Hospital Shivamogga Institute of Medical Sciences (SIMS), Shivamogga, Karnataka

Abstract

Introduction: Rational antibiotic prescription is very important to prevent antimicrobial resistance. So the present study was conducted to know the rational use of drug in paediatric in-patient of Mc-Gann teaching hospital, SIMS, Shivamogga. Material and Methods: A retrospective study of 2months duration was undertaken during May-June of 2013. A total number of 100 patients case sheets were utilized for our study from paediatric in-patients department of Mc-Gann teaching hospital. Patients were included with history of various infections. The data were analysed by using SPSS. Result and Conclusion: The mean age of paediatric patient was 5.8. The average number of drugs per encounter was 4.26. The average number of antibiotic per patient was 2.13. In present study antibiotic were 50% of total drugs prescribed and 98.1% of antibiotics were prescribed from the WHO list of essential medicine, 2013. Most common prevalence of disease among study patients sample was acute gastroenteritis. The most commonly prescribed antibiotics were Cefixime and Gentamicin. In present study 47.59% of antibiotics were prescribed in generic name. Most commonly preferred route for antibiotic administration was intravenous route (93%) and next common was oral route. The present study on antibiotic prescription pattern reveals prescribing pattern was not rational, as there is polypharmacy, less use of generic drugs, over use and inappropriate use of antibiotics, and excessive parenteral use of antibiotics administration. But prescription pattern was rational regarding adhering to WHO list of essential medicine. Strict adherence to the antibiotic prescription policy can significantly overcome the overuse of antibiotics and reduce the development of resistance to antibiotics.