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Titre du document / Document title

Antibiotic prescribing practices in primary and secondary health care facilities in Uttar Pradesh, India

Auteur(s) / Author(s)

KUMAR R. (1) ; INDIRA K. (2) ; RIZVI A. (3) ; RIZVI T. (3) ; JEYASEELAN L. (4) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Department of Pediatrics, King George's Medical University, Lucknow, INDE
(2) Department of Internal Medicine, Amrita Institute of Medical Sciences, Kochy, INDE
(3) Maseeha Cancer Foundation, Lucknow, INDE
(4) Department of Biostatistics, Christian Medical College, Vellore, INDE

Résumé / Abstract

Background: Emerging antibiotic resistance in common pathogens is a worldwide problem known to be related to inappropriate overuse of antibiotics. Wide variability in antibiotic use throughout the world is because of various factors, including socio-cultural differences. Objective: To study the rate of antibiotic prescribing for common outpatient illnesses and the various disease, patient, physician and health facility characteristics, which influence this in primary and secondary healthcare settings in Uttar Pradesh. Methods: After sampling of health facilities -both private and government, rural and urban, a cross-sectional survey of prescriptions for patients presenting with runny or blocked nose, cough, sore throat, diarrhoea or fever without localizing symptoms was conducted. Information on disease, patient, physician and facility characteristics was collected. Outcome factors: antibiotic prescription and group of antibiotic prescribed. No intervention was made. Results: Overall antibiotic prescription rate was 81·8%. It was significantly higher in urban private than in government settings, and higher in rural than in urban settings. Presence of fever prompted antibiotic use across all strata. Lower age of patients and higher socioeconomic status were associated with higher antibiotic use. Patient requests for antibiotics were very rare. Specialist practices with staff with higher qualifications and better opportunities for updating knowledge were associated with lower antibiotic prescribing. Government health-facilities with larger staff complement and better infrastructure was associated with lower prescribing rates. The most common antimicrobial agents used were the penicillin, sulfonamides and fluoroquinolones. Injection use paralleled antibiotic use. Conclusions: These data on overprescribing of antibiotics can be used to design educational programs for physicians working in these settings.

Revue / Journal Title

Journal of clinical pharmacy and therapeutics    ISSN  0269-4727 

Source / Source

2008, vol. 33, no6, pp. 625-634 [10 page(s) (article)] (31 ref.)

Langue / Language

Anglais

Editeur / Publisher

Blackwell, Oxford, ROYAUME-UNI  (1987) (Revue)

Mots-clés anglais / English Keywords

Asia

;

India

;

Urban environment

;

Urban area

;

Rural environment

;

Rural area

;

Uttar Pradesh

;

Nursing home

;

Health

;

Secondary

;

Primary

;

Medical prescription

;

Antibiotic

;

Mots-clés français / French Keywords

Asie

;

Inde

;

Secteur médicalisé

;

Milieu urbain

;

Zone urbaine

;

Milieu rural

;

Zone rurale

;

Uttar Pradesh

;

Maison médicalisée

;

Santé

;

Secondaire

;

Primaire

;

Prescription médicale

;

Antibiotique

;

Mots-clés espagnols / Spanish Keywords

Asia

;

India

;

Medio urbano

;

Zona urbana

;

Medio rural

;

Zona rural

;

Uttar Pradesh

;

Casa de cuidado

;

Salud

;

Secundario

;

Primario

;

Prescripción médica

;

Antibiótico

;

Mots-clés d'auteur / Author Keywords

antibiotic prescribing practices

;

government

;

health facility

;

private

;

rural

;

urban

;

Localisation / Location

INIST-CNRS, Cote INIST : 17816, 35400018447798.0070

Nº notice refdoc (ud4) : 20838991



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