Evidence map›Paper›PMID 36828504›Full record

ArticleTropical medicine and infectious disease2023

Rationality of Prescriptions by Rational Use of Medicine Consensus Approach in Common Respiratory and Gastrointestinal Infections: An Outpatient Department Based Cross-Sectional Study from India.

Debjit Chakraborty, Falguni Debnath, Suman Kanungo, Sandip Mukhopadhyay, Nabanita Chakraborty, Rivu Basu, Palash Das, Kalpana Datta, Suman Ganguly, Prithwijit Banerjee and 2 more

Open access · goldAbstract read
In one paragraph

Article in Tropical medicine and infectious disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 1 country.

Debjit ChakrabortyICMR-National Institute of Cholera and Enteric Disease, Kolkata 700010, India.ORCID 0000-0003-3439-7475
Falguni DebnathICMR-National Institute of Cholera and Enteric Disease, Kolkata 700010, India.ORCID 0000-0003-1325-3501
Suman KanungoICMR-National Institute of Cholera and Enteric Disease, Kolkata 700010, India.
Sandip MukhopadhyayICMR-National Institute of Cholera and Enteric Disease, Kolkata 700010, India.
Nabanita ChakrabortyICMR-National Institute of Cholera and Enteric Disease, Kolkata 700010, India.
Rivu BasuR. G Kar Medical College & Hospital, Kolkata 700004, India.
Palash DasCollege of Medicine and Sagar Dutta Hospital, Kolkata 700058, India.
Kalpana DattaMedical College & Hospital, Kolkata 700073, India.
Suman GangulyWest Bengal State AIDS Prevention & Control Society, Kolkata 700091, India.
Prithwijit BanerjeeCollege of Medicine and Sagar Dutta Hospital, Kolkata 700058, India.
Nilima KshirsagarIndian Council of Medical Research, New Delhi 110029, India.
Shanta DuttaICMR-National Institute of Cholera and Enteric Disease, Kolkata 700010, India.
National Institute of Cholera and Enteric Diseases · INCollege of Medicine & Sagore Dutta Hospital · INIndian Council of Medical Research · INMedical College and Hospital, Kolkata · INR. G. Kar Medical College and Hospital · INWest Bengal State Council of Technical Education · IN

Funding

Indian Council of Medical Research 65/11/2018/BMS/RUD/NICED
6 · The paper itself

Abstract

backgroundDrug utilisation studies are relevant for the analysis of prescription rationality and are pertinent in today's context of the increasing burden of antimicrobial resistance. Prescriptions for patients with diarrhoea or Acute Respiratory Infection (ARI) have been analysed in this study to understand the prescription pattern among various categories of prescribers in two tertiary care centers.

methodsThis cross-sectional study was conducted from August 2019 to December 2020 in the medicine and pediatrics outpatient departments of two government teaching hospitals in West Bengal, India. A total of 630 prescriptions were evaluated against WHO standards. Prescriptions were assessed by a 'Rational Use of Medicine Consensus committee' approach.

resultsThe Fixed Dose Combination (FDC) was used in half of the patients (51%). Both the generic prescription (23.3%) and adherence to hospital formulary rates (36.5%) were low. The antibiotics prescription rate was high (57%), and it was higher for diarrhoea than ARI. Deviations from the standard treatment guidelines were found in 98.9% of prescriptions. Deviations were commonly found with prescriptions written by the junior doctors (99.6%).

conclusionIrrational prescribing patterns prevail in tertiary care centers and indicate the necessity of awareness generation and capacity building among prescribers regarding AMR and its unseen consequences.

Indexed as

acute respiratory infectionantibiotics prescription rateantimicrobial resistancediarrhoeaprescription patternrational use of medicine

Identifiers

PMID36828504
PMCPMC9964058
OpenAlexW4318499367

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.