Abstract

AN EVALUATION OF DRUG UTILIZATION PATTERN IN DIABETES ASSOCIATED INFECTIONS

P. Mounika*, Yogananda R. and Bharathi D. R.

Abstract

Objectives: The goal of the study was to assess antibiotic prescribing pattern in the management of infections in diabetes patients and to estimate the prevalence of infections in diabetic patients. The present study aims at improving the patient’s health care. Materials and Methods: A prospective observational study was carried out for a period of six months at General Medicine department of Basaveshwara Medical College & Hospital, Chitradurga. Results: Out of 187 Patients 102 were females and 85 were males. Majorly the age groups between 46-60years are admitted with Diabetes. The prevalence of infections in diabetic patients was 67(35.83%). Among 67 patients, 32 and 35 were infected males and females respectively. 24 patients were more prevalent with Diabetic foot followed by 23 with cellulitis, 19 with UTI and 1 patient with Diabetic foot with cellulitis. 65(97.01%) were prescribed with class of Cephalosporin’s followed by Proton pump inhibitors, Betalactam Antibiotics and other class of drugs. 65.67% were Ceftriaxone, 17.91% were Cefaperazone, 8.95% were Cefuroxime, 55.22% were pipericillin+Clavulanic acid, 35.82% were Amoxicillin+clavulanic acid, 7.46% were Doxycycillin, 25.37% were Amikacin, 7.46% were Gentamicycin, 19.40% were Metranidazole, 23.88% were Nitrofurantoin, 5.77% were Trimethaprime+sulphamethaxazole, 46.26% were Clindamycin, 8.955% were Ofloxocin, 22.38% were Azithromycin. Conclusion: The prescribing pattern could be improved by reducing the number of drugs per prescription. Prescription indicators recommended by the WHO can help the Health Care Centres to obtain better organization and improve health care attention to the public. Thus the present study may be propitious for the physicians for optimizing rational use of drugs to reduce or prevent the drug related problems and also to improve the quality of life and better patient care.

Keywords: Diabetes Mellitus, Infections, Antibiotics, Prescription Pattern.