Evaluation of Antibiotic Prescription Practices among General Surgeons in Nagpur
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 6
Abstract
The prescribing habits of the individual doctor are quite stable, and changes usually occur slowly and as a result of various influences, including scientific papers, specialist recommendations, meetings, colleagues, patients, and drug companies. The In the present study we studied prescription practices among general surgeons in Nagpur. This prospective observational study was conducted in the department of general surgery at NKP Salve Institute of Medical Sciences & Lata Mangeshkar Hospital Nagpur. Various Surgeons in Nagpur were surveyed on antibiotic prescription practices in the treatment of Routine surgical conditions. A one page questionnaire was delivered to the surgeons via Emails & Handouts. Data was analysed using SPSS software version 15.0. The results of this study is Seventy seven percent of respondents selected Ceftriaxone as the first choice antibiotic in patients with Appendicitis followed by ceftriaxone plus metronidazole (11%) and ciprofloxacin plus metronidazole (11%). Ceftriaxone is the drug of choice in inguinal hernia, Hydrocele and phimosis. In benign breast disease choice of drug is ceftriaxone (91.6%) and cefotaxime (8.4%). In malignant breast disease choice of drug is ceftriaxone (44.4%), cefotaxime (44.4%) and cefoperazone (11.1%). In cholecystitis choice of drug is ceftriaxone plus sulbactum (88.8%) and cefoperazone plus sulbactum (11.1%). In benign anorectic conditions choice of drug is ceftriaxone (91.6%). In perforation peritonitis & Intestinal obstruction choice of drug is ceftriaxone plus metronidazole. In conclusion the result of our observational study is failure to apply evidence based guidelines to our clinical practice. This indirectly increases the costs as well as increases the chance of resistance to higher antibiotics. Keywords: prescription practices, antibiotic, surgeons.
Authors and Affiliations
Vijay P Agrawal, Murtaza Akhtar
Keywords
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