EVALUATION OF PRESCRIBING PATTERN OF ANTIBIOTICS FOR URINARY TRACT INFECTION IN A TERTIARY CARE HOSPITAL: A PROSPECTIVE STUDY

Dr. Irene T. Ivan*, Dr. Jenin Vincent Parambi, Dr. Mariya Thomas Chacko, Dr. Tima Babu, Dr. Hanna Simon and Hemalatha Selvaraj

ABSTRACT

Introduction: Urinary tract infections are one of the most common infectious disease seen worldwide and can lead to secondary infections. Most urinary tract infections are treated with broad spectrum antibiotics and sensitivity testing is done only for a limited number of people. Analysing antibiotics prescribing pattern is important to understand emerging antibiotic resistance seen in urinary tract infections causing organism. Objective: To study and analyse the prescription pattern of antibiotics used in the treatment of urinary tract infection. Methods: A prospective observational study was conducted for a period of 6 months using the data collected from the patient medical records in a tertiary care hospital. Results: We found that out of 114 cases, the most commonly prescribed antibiotic was Amikacin (26.31%) followed by Ceftriaxone (21.92%). Culture sensitivity testing was done only in 17.54% and the rest were treated empirically. The most common organism isolated was E. coli (45%) followed by Klebsiella pneumonia (25%). Dual therapy was seen among 37.71% of the sample population and the rest were treated with mono therapy. Conclusion: In this study, Aminoglycosides and Cephalosporins were most commonly prescribed. E.coli was the most prominent organism found in the study. Present findings suggest that periodic monitoring of antibiotic sensitivity pattern is necessary to provide optimal therapy. This is in correlation with the findings of the past studies.

Keywords: Antibiotics, Urinary tract infections, Prescription pattern, Sensitivity.