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Abstract

PRESCRIBING PATTERN OF ANTIBIOTICS IN PEDIATRIC OUTPATIENT DEPARTMENT

E. Harikrishna, P. Manjula, D. Sudheer Kumar and P. Kishore*

ABSTRACT

Introduction: Antibiotics are one of the most widely prescribed drugs among pediatric patients. To prevent antimicrobial resistance, antibiotics must be prescribed rationally. The main objective of our study is to determine trend or prescribing pattern of antibiotics in pediatric out-patient department. Methods and materials: A prospective observational study was carried out for 1 month. A total number of 497 patients who visited outpatient department were included in the study. Results: Most of the patients were neonates (60%) followed by childrens of age 2yrs to 6 yrs, 6-12 yrs and infants. The most commonly observed disease condition was fever (133 patients, 26.76%) followed by cough with fever was seen in 114 children (22.93%), gastroenteritis (59 children, 11.87%), malaria (33 patients 6.63%), URTI in 27children (5.43%). A total of 1991 drugs were prescribed in 497 prescriptions and among them 27.37% (545) were antibiotics. Among 378 patients who received antibiotics, most of the patients were prescribed with combinations (57.75%). Most commonly prescribed combination drug was cefpodoxime+ potassium clavunate. Cephalosporins group was mostly prescribed antibiotic class followed by antiprotozoals and quinolones. Conclusion: Cephalosporins were most commonly prescribed drugs. The selection of antibiotic should be based on culture and sensitivity test to avoid the development of bacterial resistance; however prescription of antibiotic should be done in accordance with WHO guidelines and rational strategie.

Keywords: Pediatric, Antibiotics, Prescription pattern, Out-Patient.


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