Pediatric Upper Respiratory Tract Infection. Prescribing Pattern and Health Economics
(Sprache: Englisch)
It is necessary to ascertain current prescribing of antibiotics for upper respiratory tract infections (URTIs) to address potential overuse. Hence, the objective of this study is to analyse the current prescription patterns and the economics of drugs used...
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It is necessary to ascertain current prescribing of antibiotics for upper respiratory tract infections (URTIs) to address potential overuse. Hence, the objective of this study is to analyse the current prescription patterns and the economics of drugs used in the treatment of URTI. For this, a prospective observational study was carried out in the out-patient department of paediatrics. Children of 1 month to 18 years, diagnosed with URTI by the physician, were included in the study. The demographic details, drugs prescribed, dose, duration of therapy, cost of drug therapy were all noted from the out-patient record. The cost of individual drugs was analysed and the health economic analysis of drugs was performed.
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Text Sample:Chapter III. LITERATURE REVIEW:
Indian Scenario:
Antibiotic prescriptions were inappropriate in acute self-limiting upper respiratory tract infection. Antibiotics are over prescribed for paediatric URTIs. Doctors should be educated on more appropriate and cost effective prescribing.
Non-specific URTI is the most common condition among the respiratory tract infection (RTI). Polypharmacy is prevalent in the OPD of paediatrics. The prescribers should be trained as per the guideline for the management of RTI. The parents and the physicians should be sensitized that antibiotics, cough syrup, antihistamines are not always helpful in the treatment of RTI and vitamins and minerals, digestive enzymes and liver syrup have no role in the treatment of RTIs. An essential drug list for a hospital and problem-based basic training in pharmacotherapy should be advocated. Availability, accessibility, and affordability of drugs of good quality; drug information centres; drug use evaluation and drug bulletins should be provided to the users and the prescribers. "Hospital May Be Hazardous To Health". So to escape medication errors constant scrutiny of medications and prescribing and dispensing must be done regularly.
In India, approximately 35% of population comprises of children below 12 years which is a very large number. Hence, provision of good health care to them indirectly reflects on the healthcare set-up of the country. Rational drug utilization needs training of health professionals in treatment guidelines and prescriber education to ensure appropriate therapy. There is a need for education of both parents and doctors regarding the limited help of antibiotics or other drugs for this self-limiting condition. Regular studies such as this are the need of the hour to study drug prescribing practices so that appropriate feedback and awareness is generated. Moreover, the prescribing patterns reflects the ability of prescriber in terms of choosing such drugs which
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are accessible, affordable, safe, effective and give maximum benefit to patients. Thus, to ensure the rationality of drug prescription time to time monitoring, evaluation is absolutely essential as changes in health related behaviour usually take longer to achieve.
Misuse/overuse of antibiotics is a major public health issue that affects both the community as well as the individuals. Unless the infection in children prove to be bacterial, use of antibiotics for URTIs is inappropriate. Antibiotic misuse, especially in pediatrics could lead to bacterial resistance and other undesirable side effects. The minimal antibiotic and injections usage reflects judicious choice on the part of the prescriber. This serves as an evidence based study on the rational use of antibiotic in URTIs in pediatric outpatient clinic.
Inappropriate use of antibiotics for treating RTIs which are mainly due to virus and do not require antibiotic treatment are practiced. Results warrant interventional strategies to promote rational use of antibiotics and to decrease the emerging antibiotic resistance. Standard treatment guidelines for the treatment of respiratory tract infections should developed and implemented.
Infections of the upper respiratory tract including nose, the para nasal sinuses, adenoids, tonsils, nasopharynx and eustachian tube is the most frequently occurring illness of childhood. Most instances of URTI are of viral origin and resolve spontaneously. Antibiotic treatment is needed only if symptoms persist for 10-14 days. There is a need of rational prescription of medicines to minimize medicinal error in children. The pattern of prescriptions in URTI in children aged 1 to 14 years were analyzed and evaluated for the rationality of drug usage. The data from the outpatient record of each patient was collected in a separate proforma and subjected to descriptive statistical analysis using Microsoft Excel. The study included only one prescription per patient. Utilization of different
Misuse/overuse of antibiotics is a major public health issue that affects both the community as well as the individuals. Unless the infection in children prove to be bacterial, use of antibiotics for URTIs is inappropriate. Antibiotic misuse, especially in pediatrics could lead to bacterial resistance and other undesirable side effects. The minimal antibiotic and injections usage reflects judicious choice on the part of the prescriber. This serves as an evidence based study on the rational use of antibiotic in URTIs in pediatric outpatient clinic.
Inappropriate use of antibiotics for treating RTIs which are mainly due to virus and do not require antibiotic treatment are practiced. Results warrant interventional strategies to promote rational use of antibiotics and to decrease the emerging antibiotic resistance. Standard treatment guidelines for the treatment of respiratory tract infections should developed and implemented.
Infections of the upper respiratory tract including nose, the para nasal sinuses, adenoids, tonsils, nasopharynx and eustachian tube is the most frequently occurring illness of childhood. Most instances of URTI are of viral origin and resolve spontaneously. Antibiotic treatment is needed only if symptoms persist for 10-14 days. There is a need of rational prescription of medicines to minimize medicinal error in children. The pattern of prescriptions in URTI in children aged 1 to 14 years were analyzed and evaluated for the rationality of drug usage. The data from the outpatient record of each patient was collected in a separate proforma and subjected to descriptive statistical analysis using Microsoft Excel. The study included only one prescription per patient. Utilization of different
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Autoren-Porträt von Kousalya Prabahar
Kousalya Prabahar is a devoted educationist enthusiastic in providing quality education to aspiring individuals - backed by a Ph.D in Pharmacy Practice. The author is currently working as Assistant Professor in the Department of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, Kingdom of Saudi Arabia.
Bibliographische Angaben
- Autor: Kousalya Prabahar
- 2017, 52 Seiten, 7 Abbildungen, Maße: 15,5 x 22 cm, Kartoniert (TB), Englisch
- Verlag: Anchor Academic Publishing
- ISBN-10: 3960671377
- ISBN-13: 9783960671374
Sprache:
Englisch
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