Abstract
Background: Drug can cure ailment when used rationally on the other hand they may become harmful or even may threaten a life when used irrationally. Absence of guidelines for antibiotic use, protocols for rational therapeutics and infection control committees, have led to overuse and misuse of antimicrobials even in different specialized units in hospitals. Objective: The study has been designed to get a picture of use of antibiotics in a tertiary care hospital of Bangladesh. Materials and method: Cross sectional study was conducted in the department of Medicine of Sir Salimullah Medical College and Mitford Hospital, Dhaka, Bangladesh, for 3 months from 1st January 2009 to 31st March 2009. Admitted patients of Medicine unit-1 who got antibiotics were included in the study. Total number of patients was 1563. Results: Five hundred out of 1563 patients were prescribed antibiotics (38%). Out of 500 prescriptions, 68(14%) prescriptions were found irrational. Conclusion: Continuous surveillance should be carried out to reduce the irrational use of antibiotics. DOI: http://dx.doi.org/10.3329/dmcj.v2i2.20526 Delta Med Col J. Jul 2014; 2(2): 64-67
Highlights
IntroductionThe conference of experts on the rational use of drugs, convened by the World Health Organization (WHO) in Nairobi (Kenya) in 1985, defined that ‘The rational use of drugs requires that patients receive medication appropriate to their clinical needs, in dose that meet their own individual requirement for an adequate period of time and of the lowest cost to them and their community’.2
The clinical use of antibiotics was introduced in the early 1940s and a short time thereafter, their misuse and abuse potential were recognized.[1]The conference of experts on the rational use of drugs, convened by the World Health Organization (WHO) in Nairobi (Kenya) in 1985, defined that ‘The rational use of drugs requires that patients receive medication appropriate to their clinical needs, in dose that meet their own individual requirement for an adequate period of time and of the lowest cost to them and their community’.2Rational use of drugs is based on ‘Rule of Right’ ‘The right drug given to the right patient at the right time with the right doses’
This study found that 32% of admitted patients in a medicine ward of a tertiary level hospital of Bangladesh got antibiotics and 14% of prescriptions were found irrational
Summary
The conference of experts on the rational use of drugs, convened by the World Health Organization (WHO) in Nairobi (Kenya) in 1985, defined that ‘The rational use of drugs requires that patients receive medication appropriate to their clinical needs, in dose that meet their own individual requirement for an adequate period of time and of the lowest cost to them and their community’.2. Rational use of drugs is based on ‘Rule of Right’ ‘The right drug given to the right patient at the right time with the right doses’. They should fulfill safety, affordability, need and efficacy. Conclusion: Continuous surveillance should be carried out to reduce the irrational use of antibiotics
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