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Title : A RETROSPECTIVE REVIEW OF ANTIBIOTIC UTILIZATION IN ADULT MEDICAL WARDS OF A PRIMARY CARE HOSPITAL IN ETHIOPIA
Authors : Zenaw Tessema, Chalachew Teshale, Segewkal Hawaze
Abstract : Inappropriate antibiotic use results emergence of resistance, preventable morbidity and mortality and resource wastage. Institution based retrospective cross sectional study was conducted using patient cards and prescription registration books to assess antibiotics utilization pattern in adult medical wards of Finote Selam Hospital (FSH). 30 cases per quarter were selected from the documented cards, based on Joint Commission on Accreditation of Health Organizations (JCAHO) sample size recommendation. Out of 130 cards reviewed, ceftriaxone (31.02%), amoxicillin (14.29%) and gentamicin (13.88%) were commonly prescribed. Combined antibiotics were used in 17.50% of cases and 18.77% of prescribed antibiotics were inappropriately indicated. 53.88% of prescribed antibiotics were administered through the intravenous route. Average number of antibiotics per encounter was 1.22 and 97.1% of antibiotics were prescribed with generic name. 58% of antibiotics were prescribed from Essential Drug List (EDL). Correct frequency and duration were specified in 88.16% and 42.04% of the antibiotics respectively. Duration, dosage form, route and frequency were not specified in 57.96%, 10.20%, 8.57% and 6.53% of antibiotics respectively. Not specifying dosage form, route, and duration; prescription habit deviating from EDL and improper indication were problems identified. Good generic prescription habit, low level poly-pharmacy and specifying frequency were the good practices observed.

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