Antimicrobial utilization pattern in indoor patients of obstetrics and gynecology ward of a tertiary care hospital

Aparna Chincholkar; Ankita Sawant; Vaishali Korde

doi:10.18203/2319-2003.ijbcp20240995

Authors

Aparna Chincholkar Department of Pharmacology, MAEER’S MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India
Ankita Sawant Department of Pharmacology, MAEER’S MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India
Vaishali Korde Department of Obstetrics and Gynecology, MIMER Medical College, Talegaon Dabhade, Pune, Maharashtra, India

DOI:

https://doi.org/10.18203/2319-2003.ijbcp20240995

Keywords:

Antimicrobial resistance, Rationalism, WHO, ICMR

Abstract

Background: Rational prescribing of antimicrobials is fundamentally necessary to reduce incidence of antimicrobial resistance. To evaluate the rationality of antimicrobial prescribing practices in patients admitted to obstetrics and gynecology ward of a tertiary care hospital using ICMR guidelines and to check how many drugs were prescribed from NLEMI.

Methods: It was a prospective observational study. Study included newly admitted patients in obstetrics and gynecology ward receiving antimicrobial therapy. Drugs prescribed to the patients during their hospital stay were noted from case sheets in case record form. WHO core and economic indicators were used to analyze prescribing patterns. Medguideindia.com was referred for prices of drugs.

Results: Average number of drugs prescribed for a patient admitted in the obstetrics and gynecology ward were 3.22 and 4.31 respectively. Percentage of drugs prescribed by their generic name were 37.11% and 39.42% in obstetrics and gynecology ward respectively. 26.85% and 34.14% of patients received drugs through parenteral route in obstetrics and gynecology wards respectively. All antimicrobials were prescribed from NLEMI.

Conclusions: WHO recommends prescribing all drugs by their generic names. Average duration of antimicrobial treatment was higher than recommended average duration suggested by ICMR. ICMR recommends use of 2^nd generation cephalosporins but in the present study 3^rd generation cephalosporins were used. For rational use of antimicrobials and to reduce their cost it is recommended to prescribe antimicrobials by their generic names and reduce treatment duration by referring to ICMR Guidelines and NLEMI.

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