Assessment of Antimicrobial Prescribing in Ophthalmology Outpatient Department of a Tertiary Care Hospital

Abstract

Background: Analysing drug prescribing pattern is crucial to prevent antibiotic resistance in community. The study aims to analyse the pattern of antibiotic drug prescription in outpatient department (OPD) of Ophthalmology. Methods: It was an observational study done over 3 months period in OPD of Ophthalmology DMGMC & H. Data were collected from case record form for demographic profile, nature of disease and type of antibiotic prescribed and route of administration. Results: A total of 250 patients were analysed from Ophthalmology OPD. Maximum patients belonged to 20-50 years (66.8%). The proportion of male (58%) as compared to females (42%). Average drug prescription was 1.08. Most commonly used antibiotic was Moxifloxacin. Maximum patients were diagnosed with conjunctivitis (22.8%) followed by external hordeolum (16%), cataract (12%) blepharitis (10%) and dacryocystitis (10% each). Among antibiotics fluroquinolones were used most (42.08%), followed by broad spectrum antibiotic chloramphenicol (20.8%) followed by aminoglycosides (16.8%). Maximum number of drugs were administered in topical form (64.8%).Conclusion: The present study found that fluroquinolone antibiotic was prescribed maximum. Most common dosage form of prescribed drug was eye drop. Antibiotics need to judiciously used in all OPD set up to prevent drug resistance.