Disparity between cost variation of antibiotics in northern and western India: A cross - sectional study

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dc.contributor.authorKhan, Fatimaen_US
dc.contributor.authorMotiwala, Zainab Yusufalien_US
dc.contributor.authorKhan, Shaarif Raufen_US
dc.date.accessioned2023-08-19T05:00:12Z
dc.date.available2023-08-19T05:00:12Z
dc.date.issued2022-09
dc.description.abstractBackground - About 58% of India’s health expenditure is out of pocket expenditure. There is a wide variation in the cost of different brands of the same generic drug. Prescription of expensive brands of antibiotics contributes to the development of antibiotic resistanc e. There is literature available on the cost variation and cost ratio of antibiotics but none on the regional disparity. Materials and Methods - An observational cross - sectional study design was adopted. The study was conducted at the medical stores of Ali garh (Uttar Pradesh) and Mumbai (Maharashtra). The maximum and minimum cost/unit in Rupees (INR) of each antibiotic manufactured by multiple pharmaceutical companies was noted. Furthermore, Cost per daily defined dose (cost/DDD) was calculated for the most expensive and least expensive drug. Results - ALIGARH - The highest percent cost variation of 1897.14 and cost ratio of 19.97 was found for Piperacillin 4000mg + Tazobactam 500mg tablets. The least percent cost variation of 48.92 and cost ratio of 1.49 was found for ciprofloxacin 200mg vial. MUMBAI - The highest cost variation of 3031.05 and cost ratio of 31.31 was found for cefixime 200 mg tablets. The least percent cost variation of 6.43 and cost ratio of 1.06 was found for ciprofloxacin 200 mg vial. Concl usions - There is disparity in the cost variation and ratio between the two cities Aligarh and Mumbai in this study, which can be attributed to availability of different brands, under a generic group, in the different regions of the countryen_US
dc.identifier.affiliationsAssociate Professor, Department of Microbiologyen_US
dc.identifier.affiliationsMedical Student, Jawaharlal Nehru Medical college (JNMC), AMU, Aligarh, India.en_US
dc.identifier.citationKhan Fatima, Motiwala Zainab Yusufali, Khan Shaarif Rauf. Disparity between cost variation of antibiotics in northern and western India: A cross - sectional study. Indian Journal of Medical Research. 2022 Sep; 8(3): 1-4en_US
dc.identifier.issn2454-9894
dc.identifier.issn2454-9886
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224045
dc.languageenen_US
dc.publisherIbn Sina Academy of Medieval Medicine & Sciencesen_US
dc.relation.issuenumber3en_US
dc.relation.volume8en_US
dc.source.urihttps://doi.org/10.21276/iabcr.20 2 2 . 8 . 3 . 2en_US
dc.subjectReg ional disparityen_US
dc.subjectcost variation of antibioticsen_US
dc.subjectAMR developmenten_US
dc.subjectprescribing expensive drugsen_US
dc.titleDisparity between cost variation of antibiotics in northern and western India: A cross - sectional studyen_US
dc.typeJournal Articleen_US
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