Vol. 2, Issue 11, Part H (2016)

Abstract
Aim: To evaluate the pattern of antimicrobial utilization in indoor ward of surgery department.Methods: This prospective cross sectional study which was carried in the Department of General Surgery, Shadan Institute of Medical Sciences, Hyderabad, Telngana, India India, for the period of 9 months. 100 patients admitted in male and female indoor fulfilling inclusion criteria were included in the study. Antimicrobial utilization pattern among male and female patients was evaluated using quality indicators of drug use, recommended by WHO. Average number of antimicrobials per prescription, Percentage of antimicrobials prescribed by generic name, percentage of antimicrobials prescribed from essential drug list, and average dose of antimicrobial per prescription were calculated.Results: Out of 100 patients included, 55 (55%) were male and 45 (45%) were female patients. Most of the patients 40-50 years age group. Clinical diagnosis for which antimicrobials were prescribed among surgical indoor patients were GIT disorder 33(33%), Genito-urinary disorders 15 (15%), trauma 10 (10), Carcinoma 9 (9%), Lump 8 (8%), Plastic surgery 7 (7%), Hernia 6 (6%), Gangrene 5 (5%), Liver disease 3(3%), Cellulites 2 (2%), Cyst 1 (1%), Sarcoma 1 (1%). Total number of antimicrobials used was 13. Ceftriaxone was the maximally utilized antimicrobial, given to 120 patients. Mean number of antimicrobials prescribed per patient was 3.81±1.18. Total number of antimicrobials administered by IV route was 325 (81.25%), and by oral route 75 (18.75%). No severe ADR was reported during the study ADRs reported were headache (30%), nausea (25%), vomiting (10%) and rashes (3%).Conclusion: Prescribing indicators provide useful information in understanding general medicines prescribing patterns. Prescribing injectables was not common in surgery OPD in our institute and is a good practice. Prescriptions writing in generic name needs to be promoted and encouraged.