Abstract

ASSESSMENT OF ANTIBIOTIC USAGE PATTERN IN PRE AND POST OPERATIVE PATIENTS IN SURGICAL DEPARTMENT IN A TERTIARY CARE HOSPITAL –A PROSPECTIVE STUDY

Mrs. Anisha K. A.*, Mahsanazi, Dr. Sushma Muchukota, Bahar Zare, Dr. Rinku Mathappan

ABSTRACT

Background: Antibiotics usage is to decrease the risk of postoperative surgical infections. The inappropriate, unsystematic and overuse of antibiotics effects the health of patients also leads to the bacteria resistant as this is serious concern now-a days. Aim and Objectives: The main aim of the study is to determine the pattern of antibiotic usage in surgical in-patients and for Postoperative patient. This study was meant to consider the extent of antibiotic use in a tertiary care sector hospitals. Methods: A prospective observational study was conducted over a period of 6-month in inpatient surgical department at ESI hospital, Indira nagar, Bangalore, which is 750 bedded tertiary care hospital. Patients above 15 years and receiving antibiotic therapy pre- and post-surgery were included into the study. Results: A total of 192 patients with surgical operations were included in the study. The disease spectrum was classified into respective system-wise surgical procedures of which was found that 119 receieved antibiotics, among which highest group of antibiotics prescribed were third generation cephalosporin (16.1%) followed by penicillins (13.6%). The most frequently prescribed antibiotics were metronidazole among the nitroimidazoles (15.6%) followed by ceftriaxone – (18.15%) of the 3rd generation of cephalosporins. Conclusion: The rate of prescribing of broad-spectrum antibiotics has increased demonstrably which may result in the development of bacterial resistance; however, development of guidelines for an antibiotic prescription and use of appropriate drugs for the diseases can minimize the unfavourable use of antibiotics and cost of health care.

Keywords: Antibiotics, Surgery, Prescription pattern.