Abstract

A CROSS-SECTIONAL STUDY ON ANTIMICROBIAL STEWARDSHIP AMONG IN-PATIENTS AT TERTIARY CARE TEACHING HOSPITAL

Prof. J. S. Venkatesh*, C. Akhil, Aparna M. Pillai, Archana M. Raj and Arunima Francis

Abstract

The appropriate use of antimicrobials has the potential to improve the efficacy, reduce the treatment-related costs, minimize drug related adverse events, and limit the potential for emergence of antimicrobial resistance. The objective of the study is to pursue knowledge about antimicrobial drugs used in the management and treatment of patients with various infectious diseases. Thus, review the emergence and evolution of the term „antimicrobial stewardship‟. Within the sample size the most number of antimicrobial were prescribed among 31 to 50 years age group (35.56%). About 63 cases that account for 32.47% where observed in age group of 51 to 70 years of age. Among the prescribed antimicrobial drug the most commonly prescribed drug was Ceftriaxone which belongs to the class of drugs called as Cephalosporin antibiotics. Out of 136 total PDDI found from our study 30 were major, 68 were moderate and 38 were minor in severity. Antimicrobial stewardship programs (ASPs) have the capability to decrease antimicrobial resistance, lower healthcare expenses, and minimize drug-related adverse effects, all while enhancing clinical outcomes. All these rapidly growing consequences implies the fact that there is an urgent need of implementation of antimicrobial stewardship programme to ensure the safe and efficient disease management to the patient. Most of the prescriptions were observed to be rational in accordance with the Indian Council of Medical Research (ICMR) treatment guidelines for common syndromes and National Formulary of India (NFI). Highest number of drugs were prescribed from Cephalosporin (Ceftriaxone) and nitroimidazole (Metronidazole) class of drugs.

Keywords: Antibiotics, antimicrobial resistance, antimicrobial stewardship program, global health.