Abstract

EVALUATION OF PRESCRIBING PATTERN OF ANTIBIOTIC DRUG FOR UTI AMONG PREGNANT WOMEN IN CRIMSON HOSPITAL, RUPANDEHI

Mukesh Kumar Chaudhary*, Manisha Bhusal, Rojita Shah, Samikshya Bhandari, Shanti Pandey

ABSTRACT

Introduction: Urinary tract infections are the second most common infection of pregnancy affecting up to 14% of pregnant women. The main objective of our study is to evaluate the prescription pattern of antibiotic in case of UTI during pregnancy. Methodology: A prospective study was conducted on 710 pregnant female patients in Crimson Hospital, Rupandehi Nepal where 102 of them were clinically diagnosed with UTI and the prevalence ratio was 14.3%. Result: The result of this study showed that most of pregnant women were from age group 24-28 year. It was found that the Hindu women (82.35%) were most affected followed by Muslim (14.70%) and Christian (2.94%). According to this study most of the patients were from other races (30.39%) followed by Brahman (27.45%), Newar (18.62%), Chhetri (14.7%) and Mongolian (8.83%). The highest number of pregnant women with UTI were from second trimester (96.08%) and from multigravida (59.94%). Average number of drug and antibiotic drug prescribed were 4.47 and 0.039 respectively. Only 9.80% of drugs were prescribed from generic name and 75% of drugs were from essential medicine list of Nepal. Conclusion: According to the FDA category all the prescribed antibiotics belong to category B. It was observed that there was lack of hospital guidelines for antibiotic use and antibiotic were prescribed empirically without screening test. The most prescribed antibiotics was nitrofurantoin (42.15%) followed by cefuroxime axetile (33.33%), cefixime (19.60%) and ceftriaxone (4.90%).

Keywords: UTI, Antibiotic, Pregnancy, FDA category.