Antimicrobial prescribing pattern in urinary tract infection in a tertiary care hospital

[...]it is a huge challenge for selecting appropriate antimicrobial agents for the treatment of UTI due to lack of proper surveillance mechanisms for monitoring antimicrobial use. [...]a drug use study can help in reviewing irrational and unnecessary prescribing pattern, which acts as huge financial...

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Bibliographic Details
Published in:National journal of physiology, pharmacy and pharmacology pharmacy and pharmacology, 2017, Vol.7 (12), p.1-1322
Main Authors: Naik, Samira, Samal, Satyajit, Sahu, Susanta, Rath, Bhabagrahi
Format: Article
Language:English
Subjects:
Antibiotics
Antimicrobial agents
Bacteria
Drug dosages
Drug resistance
Drug therapy
E coli
Hospitals
Laboratories
Medicine
Microbiology
Organisms
Patient compliance
Prescription drugs
Substance abuse treatment
Urinary tract diseases
Urinary tract infections
Urine
Urogenital system
Womens health
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Summary:[...]it is a huge challenge for selecting appropriate antimicrobial agents for the treatment of UTI due to lack of proper surveillance mechanisms for monitoring antimicrobial use. [...]a drug use study can help in reviewing irrational and unnecessary prescribing pattern, which acts as huge financial and physical burden to patient. According to Gupta et al.,[11] nitrofurantoin is a well-tolerated drug and has good efficacy when given twice daily for 5 days and it has a low propensity for ecological adverse effects. Study result may be limited by the fact that, initial antibiotic treatment received by the UTI patients before coming this hospital and its effect on urine culture sensitivity test was not taken into consideration. Since this is a tertiary care hospital dealing with patients mostly referred from primary and secondary health center; prescribers may be preferring second and third line drugs over first line drugs, which may be one of the reasons behind low use of nitrofurantoin and cotrimoxazole.
ISSN:2320-4672
2231-3206
DOI:10.5455/njppp.2017.7.0623506072017