Antibiotic prescription patterns and WHO compliance in JandK hospital.

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Study on antibiotic prescription pattern and compliance towards w.h.o drug use indicators at tertiary care hospital in jammu and kashmir
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Shivam Choudghal, Dr. Rojin G. Raj and Gurpreet Singh Multani


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Study on antibiotic prescription pattern and compliance towards w.h.o drug use indicators at tertiary care hospital in jammu and kashmir

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20228-24551


Download the PDF file of the original publication


Summary of article contents:

Introduction

The study aimed to investigate the antibiotic prescribing patterns in patients at a tertiary care hospital in Jammu and Kashmir, examining aspects such as the class of drugs, medication frequency, route of administration, dosage, and duration of therapy, while adhering to the World Health Organization's (WHO) drug use indicators. The research highlighted the importance of rational prescribing to combat antibiotic resistance, which has become a significant health concern in India, where antibiotic misuse is common. Given the critical role antibiotics play in healthcare, the study also sought to identify and rectify prescription errors while promoting safe and effective use of antimicrobials.

Prevalence of Antibiotic Prescribing Errors

The findings indicated a high prevalence of medication errors in antibiotic prescriptions, with 39 out of 126 prescriptions exhibiting errors, amounting to 30.95%. Despite the identification of such errors, prescription details such as dosage and frequency were clearly mentioned in 79.37% of the cases. Clinical pharmacists are essential in recognizing these errors and implementing correction strategies. The data confirms the significance of thorough monitoring in improving patient safety and pharmaceutical care standards while minimizing the risk of adverse effects associated with incorrect prescriptions.

Antibiotic Classes and Administration Routes

The research established that Cephalosporins were the most frequently prescribed antibiotics, with 46 patients (36.51%) receiving them. The study found that intravenous administration was the predominant route, utilized in 68.25% of cases. In contrast, the appropriate use of oral antibiotics was significantly lower, which underscores a potential area of improvement for enhancing medication delivery efficiency in hospital settings. These prescribing trends are essential for understanding patient treatment regimens and ensuring effective management of infections while reducing antibiotic resistance.

Responsibility of Clinical Pharmacists

The importance of clinical pharmacists in promoting rational drug use and ensuring compliance with WHO criteria was highlighted. Only 44.44% of prescriptions adhered to the established guidelines, indicating a gap in compliance that must be addressed. The involvement of pharmacists in reviewing prescriptions can lead to significant improvements in medication safety and effectiveness. Their role includes not just identifying and rectifying errors, but also educating healthcare providers and patients about the importance of adherence to prescribed drug regimens.

Conclusion

In conclusion, this study sheds light on the critical issues surrounding antibiotic prescribing practices in a tertiary care hospital, highlighting the need for enhanced oversight and pharmacist involvement to mitigate medication errors and promote effective use of antimicrobials. The findings emphasize the role of clinical pharmacists in improving patient outcomes by ensuring adherence to WHO guidelines, leading to better management of infectious diseases and a reduction in the incidence of antibiotic resistance. Future research should focus on larger samples to validate and expand upon these findings for the betterment of healthcare delivery systems.

FAQ section (important questions/answers):

What was the purpose of the antibiotic prescription study?

The study aimed to investigate antibiotic prescribing patterns, examine specific drug characteristics, correct prescription errors, and assess compliance with World Health Organization’s criteria in a tertiary care hospital.

How many patients were involved in the study and what was the duration?

The study involved 126 patients over a duration of six months at a tertiary care hospital in Jammu and Kashmir.

What was the most commonly prescribed class of antibiotics?

Cephalosporins were the most commonly prescribed antibiotics, accounting for 36.51% of prescriptions among the study's patients.

What were the main findings regarding prescription errors?

Out of 126 prescriptions, 39 (30.95%) contained medication errors, indicating a need for improved prescribing practices and oversight in the hospital.

How often were generic names used in prescriptions?

Generic names were used in 82.5% of prescriptions, signifying a favorable trend toward rational drug use.

What role do clinical pharmacists play in antibiotic prescriptions?

Clinical pharmacists are essential in minimizing medical errors and promoting appropriate medication use, particularly in managing antibiotics and evaluating adherence to guidelines.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Antibiotic prescription patterns and WHO compliance in JandK hospital.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Disease:
Diseases, particularly infectious ones, are central to the study as they drive the need for antibiotics. Thorough understanding of various diseases informs clinical practice, guiding appropriate antibiotic selection and reducing the risk of resistance due to over-prescribing or misuse.

2) Antibiotic (Antibacterial):
Antibiotics, specifically, are a class of drugs designed to combat bacterial infections. The study finds cephalosporins as the most frequently prescribed antibiotics. Evaluating the patterns of antibiotic usage is critical for addressing issues like resistance and ensuring effective treatment protocols are followed.

3) Study (Studying):
The study is a structured examination aimed at investigating antibiotic prescribing patterns and compliance with WHO guidelines. It is crucial for generating data that informs healthcare practices, identifies errors, and improves patient outcomes. This research sheds light on existing practices in a tertiary care hospital in Jammu and Kashmir.

4) Table:
Tables in research are used to present data systematically and facilitate quick comprehension. In this document, various tables summarize findings such as disease distribution, class of antibiotics, routes of administration, and medication errors, making it easier for readers to analyze the results comprehensively.

5) Drug:
Drugs, broadly defined, include any substances that have a physiological effect on living organisms. This encompasses not just antibiotics but also drugs used in conjunction to manage various health conditions, emphasizing the need for rational prescribing practices to enhance treatment efficacy and patient safety.

6) Cancer:
Cancer represents a group of diseases characterized by uncontrolled cell growth. In the study, cancer patients are part of the demographics examined, underscoring the importance of appropriate antibiotic therapy in a population that may have compromised immune systems, thereby necessitating careful prescribing practices.

7) India:
India is significant in the study as it serves as the geographical context for investigating antibiotic prescribing patterns. The country faces considerable challenges with antibiotic misuse and resistance, prompting the need for effective healthcare policies and practices to improve patient outcomes in treating infectious diseases.

8) Kashmir:
Kashmir is the study's locale, adding cultural and regional specificity to the findings. Healthcare practices in Kashmir may differ from other regions, and understanding these differences is vital in tailoring antibiotic prescription strategies and addressing local health concerns regarding infectious diseases.

9) Punjab:
Punjab is mentioned as the state where ISF College of Pharmacy is located, indicating the academic framework supporting the study. This connection highlights the collaboration between educational institutions and healthcare facilities in improving healthcare outcomes and involvement in research initiatives in India.

10) Medicine:
Medicine refers to the science and practice of diagnosing, treating, and preventing disease. In this study, medicine encompasses not just antibiotics but also the overall therapeutic context in which they are administered, including patient management, adherence to treatment protocols, and medication safety.

11) Post:
In this study, 'post' appears as part of terms like 'post-operative,' indicating the focus on antibiotic prescribing following surgical procedures. This is critical as infections can complicate recovery, making appropriate antibiotic use vital for preventing post-surgical infections and ensuring patient wellbeing.

12) Male:
Gender demographics, specifically the male population, are noted in the study, indicating a higher prevalence of male patients admitted for antibiotic therapy. Understanding gender disparities in health can help tailor treatment protocols and policies aimed at addressing the specific health needs of different groups.

13) Narayana (Nara-ayana, Nara-yana):
Narayana refers to the Shri Mata Vaishno Devi Narayana Super-Speciality Hospital, which plays a pivotal role in the research study. This institution offers critical healthcare services, reinforcing the importance of conducting studies in hospital settings to gather practical insights into antibiotic prescribing practices.

14) Sneha:
Sneha appears as part of a referenced study conducted by 'P. Sneha Pallavi,' providing a comparative benchmark for the current research findings. It underscores the significance of previous research in shaping ongoing studies on antibiotic use and promoting evidence-based practices in healthcare.

15) Katra:
Katra is the town where the Shri Mata Vaishno Devi Narayana Super-Speciality Hospital is located. The specific setting is important as local healthcare practices and patient populations can influence prescribing patterns and therapeutic approaches, revealing insights that may not be applicable elsewhere.

16) Death:
In medical research, especially concerning antibiotics, mortality rates are critical markers of treatment efficacy. The study highlights instances where prolonged antibiotic therapy could lead to complications, emphasizing the need for careful monitoring and adherence to treatment protocols to prevent fatal outcomes.

17) Mata:
The term 'Mata' in 'Shri Mata Vaishno Devi' reflects cultural and religious significance, contributing to the identity of the hospital. Understanding such cultural aspects can provide deeper insights into patient demographics and expectations within healthcare settings in regions like Jammu and Kashmir.

18) Devi:
In the context of the hospital's name 'Shri Mata Vaishno Devi,' 'Devi' carries spiritual significance, highlighting the cultural heritage of the region. This cultural awareness may affect patient engagement and healthcare delivery, influencing how services are perceived and utilized by the community.

19) Shri (Sri, Sr):
The title 'Shri' in 'Shri Mata Vaishno Devi' signifies respect and reverence. In the healthcare context, acknowledging cultural titles can enhance patient trust and rapport, which is essential for effective communication and adherence to treatment plans in diverse populations.

20) Beta:
Beta may refer to beta-lactam antibiotics, a major class of antibiotics. Understanding the distinct properties and treatment applications of such drugs is essential for effective patient care and rational prescribing, particularly in managing various infectious diseases that may present in a tertiary care setting.

21) Observation:
Observation is the method employed in the study to assess antibiotic prescribing patterns. This systematic approach allows for data gathering that informs clinical practices and reinforces the role of ongoing monitoring and evaluation in improving health outcomes in hospital settings.

22) Performance:
Performance is a key concept in evaluating the effectiveness of antibiotic prescribing practices and adherence to guidelines. Monitoring performance against established metrics helps healthcare teams identify areas for improvement, reduce errors, and ultimately enhance patient safety and treatment outcomes.

23) Discussion:
Discussion in the study encompasses the interpretation of findings and their implications in the context of existing literature. Engaging in discussion allows researchers to contextualize their results, highlight areas for further research, and develop actionable strategies to address issues in antibiotic prescribing.

24) Developing:
Developing refers to the process of improving healthcare practices through ongoing research and education. In the context of antibiotic prescribing, it emphasizes the need for continuous updating of knowledge and skills among healthcare professionals to ensure safe, effective medication usage in patient care.

25) Knowledge:
Knowledge signifies the understanding and awareness gained through research and clinical practice. In the realm of antibiotic prescribing, knowledge is crucial for healthcare providers to make informed decisions regarding drug selection, dosage, and adherence to best practices in patient management.

26) Swelling:
Swelling may refer to physical symptoms observed in patients that could indicate infections or complications requiring antibiotic treatment. Identifying key symptoms like swelling aids in the diagnosis and guides healthcare providers in appropriate treatment decisions regarding antibiotic use.

27) Quality:
Quality pertains to the standard of care provided to patients in terms of effective treatment and prescription practices. Emphasizing quality in antibiotic therapy ensures that patients receive optimal care, minimizing errors and adverse reactions while promoting successful health outcomes.

28) Account:
Account in the context of the study may refer to documenting and reporting findings related to antibiotic prescriptions. Keeping an accurate account of prescribing practices is essential for evaluating compliance with guidelines and improving healthcare delivery in clinical settings.

29) Sharman (Sarma, Sharma, Sarman):
Sharma is mentioned as a reference in comparing findings with past studies. Citing prior research, such as that conducted by Sharma, adds credibility to the current study and illustrates the evolution of antibiotic prescribing patterns over time within similar contexts.

30) Nidhi:
Dr. Nidhi represents an individual acknowledged for their contributions in the research setting. Recognizing individuals involved in research emphasizes the collaborative nature of academic studies and highlights the support of various professionals in advancing healthcare knowledge.

31) Doubt:
Doubt arises in the context of uncertainty regarding appropriate antibiotic use and the potential for resistance. Addressing doubt through education and research is vital for healthcare professionals to make informed decisions and enhance antibiotic stewardship in clinical practice.

32) Fever:
Fever is a common symptom of infection that often necessitates antibiotic treatment. Understanding the relationship between fever and underlying diseases guides healthcare professionals in their decision-making process when prescribing antibiotics to address bacterial infections effectively.

33) Ravi (Ravin):
Ravi refers to another researcher whose work provides a comparative basis for understanding the prevalence and practices around antibiotic usage. Citing researchers like Ravi aids in establishing a broader context for the current study's findings and implications.

34) Pain:
Pain often accompanies diseases and infections, defining treatment approaches that may include antibiotics. Acknowledging the patient experience of pain ensures that healthcare providers consider holistic approaches to treatment and effective management strategies in prescribing antibiotics.

35) Pur:
Poor health conditions may increase the necessity for antibiotics as patients often present with more severe infections. Understanding the socio-economic factors contributing to poor health outcomes is essential for addressing healthcare disparities and ensuring access to appropriate treatment options.

36) Life:
Life represents the ultimate goal of healthcare: to improve and sustain patient health and well-being. In the context of antibiotic prescribing, the focus is on enhancing the quality of life through effective treatment while considering the implications of antibiotic resistance and patient safety.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Antibiotic prescription patterns and WHO compliance in JandK hospital.’. Further sources in the context of Science might help you critically compare this page with similair documents:

Ethical committee approval, Route of administration, Tertiary care hospital, Sensitivity Testing, WHO Drug Use Indicators, Patient demographic, Medication error, Research Outcome.

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