ArticlePharmacy practice2014
High prescription of antimicrobials in a rural district hospital in India.
Article in Pharmacy practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 28 citations in OpenAlex.
- Article
- Patterns of antibiotic use for acute respiratory infections in under-three-year-old children in India: A cross-sectional study.Journal of global health · 2023Article
- Antibiotic prescription from qualified sources for children with fever/cough: cross-sectional study from 59 low- and middle-income countries.EClinicalMedicine · 2023Article
- Compliance to antibiotic therapy at paediatric out-patient clinic.Journal of family medicine and primary care · 2022Article
- Marketing and Distribution System Foster Misuse of Antibiotics in the Community: Insights from Drugs Wholesalers in India.Antibiotics (Basel, Switzerland) · 2022Article
- Evaluation of the Clinical Use of Ceftriaxone among In-Patients in Selected Health Facilities in Uganda.Antibiotics (Basel, Switzerland) · 2021Article
- Antibiotic use for acute respiratory infections among under-5 children in Bangladesh: a population-based survey.BMJ global health · 2021Article
- Infectious disease blocks in district hospitals to augment India's resolve to contain antimicrobial resistance.The Indian journal of medical research · 2021Article
- Antibiotic Prescribing to Patients with Infectious and Non-Infectious Indications Admitted to Obstetrics and Gynaecology Departments in Two Tertiary Care Hospitals in Central India.Antibiotics (Basel, Switzerland) · 2020Article
- Antibiotic Prescribing by Informal Healthcare Providers for Common Illnesses: A Repeated Cross-Sectional Study in Rural India.Antibiotics (Basel, Switzerland) · 2019Article
- Perioperative antibiotic prescribing in surgery departments of two private sector hospitals in Madhya Pradesh, India.Perioperative medicine (London, England) · 2019Article
- Article
- Observational
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe World Health Organization (WHO) recommends surveillance of antibiotic use as part of the strategy to fight against antimicrobial resistance. However, there is little information about the antibiotic consumption in developing countries, especially in rural areas.
objectiveThe objective of this study was to describe the antimicrobial consumption in a rural hospital in India.
methodsThe study was performed in a district hospital situated in Anantapur, Andhra Pradesh. In accordance with WHO recommendations, we used the defined daily dose (DDD) methodology to measure the antibiotic use during one year (from 1st August 2011 to 1st August 2012). The antibiotic use was measured using DDDs/100 admissions and DDDs/100 patient-days for inpatients, and DDDs/100 visits for outpatients.
resultsDuring the study period, there were 15,735 admissions and 250,611 outpatient visits. Antibiotics were prescribed for 86% of inpatients and 12.5% of outpatients. Outpatient prescriptions accounted for 2/3 of the overall antibiotic consumption. For inpatients, the total antibiotic use was 222 DDDs/ 100 patient-days, 693 DDDs/ 100 admissions and the mean number of antibiotics prescribed was 1.8. For outpatients, the total antibiotic use was 86 DDDs/ 100 outpatient visits and the mean number of antibiotics prescribed was 1.2. The most common antibiotics prescribed were aminopenicillins and 3rd generation cephalosporins for inpatients, and tetracyclines and quinolones for outpatients. In a sample of patients with diarrhoea or upper respiratory tract infections (URTI), the proportion of patients who received antibiotics was 84% (95% confidence interval [CI], 67-93) and 52% (95% CI, 43-62), respectively.
conclusionIn this rural setting, the use of antimicrobials was extremely high, even in conditions with a predominantly viral aetiology such as diarrhoea or URTI.
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