Assessment of antimicrobial drugs utilization in tertiary care hospital-an antimicrobial stewardship implication

Singh Tarun; Shandilya Kapil; Nayak Amit; Jain Gaurav; Hussain Munawwar; Singh Gurvinder; Ndang Maheipeube; Anuj Malik; Agrawal Bimal

doi:10.53730/ijhs.v6nS7.13258

Authors

Singh Tarun MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, India
Shandilya Kapil MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, India
Nayak Amit Department of Pharmacy, School of Medical and Allied Sciences, GD Goenka University, Sohna road, Gurgaon
Jain Gaurav IES Institute of Pharmacy, IES University, Bhopal
Hussain Munawwar MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, India
Singh Gurvinder MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, India
Ndang Maheipeube MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, India
Anuj Malik
anujmalik007@gmail.com
MM College of Pharmacy, Maharishi Markandeshwar (Deemed to be University) Mullana, Ambala, India
Agrawal Bimal MM Institute of Medical Sciences & Research, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, India

Keywords:

Antimicrobial Stewardship (AMS), Prospective Audit and Feedback (PAF), Drug utilization evaluation (DUE), Anatomical therapeutic intervention (ATC), Defined daily dose (DDD)

Abstract

Background: Irrational antibiotic usage major cause of spreading antimicrobial resistance therefore goal of this research was to refine prescribing patterns and may aid in addressing issues related to irrational antibiotic usage. Method: This prospective observational research was conducted at Maharishi Markandeshwar Institute of Medical Sciences & Research to assess the prescribing pattern of Antimicrobials Agents (AMAs) as well as the logic of their use. Results: The study enlisted the participation of 100 individuals. Of all 63% were male and 37% were female. The vast majority of participants are between the ages of 41- 60.94% of the 100 subjects receive AMAs.In our study, cephalosporins and β-lactams were found to be the most widely used AMA class (52.6%).Ceftriaxone was prescribed the most (32%), followed by piperacillin and tazobactam (23%).Antibiotics were given to patients for a maximum period up to 7 days in 39% and 5% of patients were given more than 17 days. 59 % patient’s urine sample was collected AST from different sites, urine (30), pus and sputum (7), blood (5), wound and et (3), pleural (1), ascitic (1), AFB (1), and abdominal (1).Only 37.8% specimens yielded a positive result, whereas 62.71% yielded a negative result Conclusion.

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