E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research 


A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners

Piyush Misra, Neha Tyagi, Prashant Upadhyay.

Abstract
Background: Antimicrobial resistance is defined as the ability of microorganism (bacteria, fungus, virus, or parasite) to resist the effects of a drug to inhibit microorganism growth, which is becoming a major concern worldwide particularly in developing country like India.

Aim and Objectives: The aim of this study was to identify, compare, and assess the appropriateness of antimicrobials prescribed in a rural tertiary care hospital and those prescribed by rural private practitioners and to assess the average cost of antimicrobials per prescription.

Materials and Methods: A cross-sectional study was conducted, in which a total of 2003 prescriptions were analyzed from outpatient department (OPD) of rural tertiary and prescriptions from nearby chemist shops for prescription pattern, cost, and appropriateness.

Results: It was identified that most of the antimicrobial containing prescriptions in both private and public health sector were prescribed by MBBS doctors (56.33%). In Government Medical College (GMC) OPDs, antimicrobials were prescribed mostly for gastrointestinal infection (25.75%) and beta lactams (45.23%) followed by fluoroquinolones (27.10%) were the most commonly prescribed. While among rural private practitioners, gastrointestinal infections (33.50%) followed by fever (27.70%) were the most common clinical conditions, for which antimicrobials were prescribed and 13.40% prescriptions contained more than one antimicrobial. About 43.37% of antimicrobials prescribed in OPDs of GMC and 56.20% antimicrobials prescribed by private practitioners were found to be inappropriate which was statistically significant.

Conclusion: The study concluded that around half of the prescriptions analyzed were inappropriate and so there is a strict need of supervising the antimicrobials prescribing patterns, consumption, and it’s dispensing from the pharmacy shops.

Key words: Rural Private Practitioners; Antimicrobial Prescription; Appropriateness; Cost; Rural Tertiary Hospital


 
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How to Cite this Article
Pubmed Style

Misra P, Tyagi N, Upadhyay P. A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. Natl J Physiol Pharm Pharmacol. 2022; 12(10): 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022


Web Style

Misra P, Tyagi N, Upadhyay P. A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. https://www.njppp.com/?mno=111538 [Access: December 03, 2022]. doi:10.5455/njppp.2022.12.09424202213092022


AMA (American Medical Association) Style

Misra P, Tyagi N, Upadhyay P. A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. Natl J Physiol Pharm Pharmacol. 2022; 12(10): 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022



Vancouver/ICMJE Style

Misra P, Tyagi N, Upadhyay P. A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. Natl J Physiol Pharm Pharmacol. (2022), [cited December 03, 2022]; 12(10): 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022



Harvard Style

Misra, P., Tyagi, . N. & Upadhyay, . P. (2022) A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. Natl J Physiol Pharm Pharmacol, 12 (10), 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022



Turabian Style

Misra, Piyush, Neha Tyagi, and Prashant Upadhyay. 2022. A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. National Journal of Physiology, Pharmacy and Pharmacology, 12 (10), 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022



Chicago Style

Misra, Piyush, Neha Tyagi, and Prashant Upadhyay. "A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners." National Journal of Physiology, Pharmacy and Pharmacology 12 (2022), 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022



MLA (The Modern Language Association) Style

Misra, Piyush, Neha Tyagi, and Prashant Upadhyay. "A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners." National Journal of Physiology, Pharmacy and Pharmacology 12.10 (2022), 1675-1681. Print. doi:10.5455/njppp.2022.12.09424202213092022



APA (American Psychological Association) Style

Misra, P., Tyagi, . N. & Upadhyay, . P. (2022) A comparative study to assess prescription pattern, cost, and appropriateness of antimicrobial usage in a rural government tertiary care hospital and rural private practitioners. National Journal of Physiology, Pharmacy and Pharmacology, 12 (10), 1675-1681. doi:10.5455/njppp.2022.12.09424202213092022