Volume :
4
Issue :
3
Abstract :
Antibiotics are the most extensively used drugs in hospital settings. Wide ranges of antibiotics are available to treat various types of infections. Though the choice of antibiotics prescribed depends upon the clinical interest, culture sensitivity, age and gender, their extensive use may lead to the poor therapeutic outcome in terms of both health and economic. The present study was conducted over a period of eight months guidelines by the department of clinical pharmacy at the rural and urban government hospitals of Nallajerla, Venkataramannagudem, Tadepalligudem, Tanuku, Peravali, and Dwarkatirumala of West Godavari District, Andhra Pradesh. A total of 250 cases were reviewed to evaluate the prescribing habits of physicians in the treatment of various types of infections. The result found that the majority of the patients were treated with quinolones (36.55%) and the major root of drug administration employed was oral route. This study noticed that there was prescription pattern of antibiotics used in urban and rural hospitals. 250 patients were prescribed antibiotics; 128 were males (51.2%) and 122 were females (48.8%). Median duration of hospitalization was 10 days. 390 antibiotics were prescribed and the most common were ciprofloxacin, amoxicillin, metronidazole, ampicillin, aminoglycosides, macrolide antibiotics and cephalosporin and Sulfonamides. Excessive and inappropriate use of antibiotics contributes to the development bacterial resistance which is becoming a severe problem in the internal medicine ward. Formulation of a policy for hospital antibiotic use and an educational programme especially for junior doctors is required.