Prescribing patterns of antimicrobial usage in ophthalmology out patients department at tertiary care teaching hospital.
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Date
2015-03
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Abstract
Background: Drug utilization provides prescribing behaviors of prescriber. Rational
prescribing of antimicrobial drugs plays a crucial role in reducing the antibiotic
resistance. The study aim was to analyze the patterns of antimicrobial prescribed
ophthalmology outpatient department (OPD) patients.
Methods: The study was an observational study completed over a period of 6 months,
from July 2014 to December 2014. The study was conducted in Department of
Ophthalmology, MGM Medical College, and Hospital Navi Mumbai. A questionnaire
was specifi cally designed factoring patients’ demographical profi le, diagnosis of
disease, drug regimen.
Results: A total 125 prescriptions of patients were analyzed who visited
ophthalmology OPD department. Maximum patients belonged to the age group of
41-50 years (27.2%), followed by age group of 31-40 years (25.6%). The proportion
of male (59%) patients was more as compared to female patients (41%). Total drug
prescribed was 296. Average drug per prescription was 2.36. Among 296 drugs,
144 were antibiotic prescribed. Average antibiotic per prescription was 1.15. Most
commonly antibiotic prescribed was moxifloxacin. Most common fixed dose
combination (FDC) of antibiotic prescribed was tobramycin plus loteprednol. Among
total 125 patients, maximum patients were diagnosed with cataract (25%), followed by
meibomitis (12%), conjunctivitis (24%), blephritis (9%), foreign body in eye (12%),
psedophakia (10%) and other disease (8%). 96% of antimicrobial were prescribed
from essential drug list. The FDC of antimicrobial (40%), fl uroquinolone (19%),
aminoglycoside (13%), broad spectrum (12%), macrolide (9%), anti-viral (7%) was
prescribed. Maximum number of drugs was found in the form eye drops (72%).
Conclusion: The present study found that FDC of antibiotic was prescribed
maximum. Most common dosage form of prescribed drug was eye drop. Prescription
of drugs by brand name was a matter of concern
Description
Keywords
Prescribing patterns, Ophthalmology, Out-patients, Fixed dose, combinations
Citation
Suman Rajesh Kumar, Mohanty Ipseeta Ray, Gore Varshav S, Israni Neeraj, Deshmukh Y A. Prescribing patterns of antimicrobial usage in ophthalmology out patients department at tertiary care teaching hospital. International Journal of Basic & Clinical Pharmacology. 2015 Mar-Apr; 4(2): 290-293.