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Antibiotic prescribing trends in patients with upper respiratory tract infections reporting to tertiary care hospitals of Lahore.
Pak J Pharm Sci. 2020 Jul; 33(4(Supplementary)):1879-1888.PJ

Abstract

To estimate the antibiotic utilization and treatment compliance in URTIs reported to tertiary care hospitals of Lahore. A cross-sectional study was conducted by including 423 prescription files from public and private hospitals of Lahore. Descriptive statistics were used to estimate percentage frequencies. The reporting frequency of URTIs, tonsillitis, pharyngitis and otitis media, was higher in public hospitals (JH; 27.4%, LGH; 25.8%) compared to private (NHMC;16.3%, DHMC;15.1%) hospitals in patients aged 21-40 years. Patients aged 18-40 years (59%) received most antibiotics. Broad spectrum antibiotics (95%) were prescribed in both public (JH; 27.4%, LGH;25.9%) and private hospitals (NHMC;16.3%, DHMC;14.8%) - co-amoxiclave (30%) in penicillin class, ceftriaxone (15.4%) and cefixime (11.6%) in cephalosporin class, levofloxacin (11.3%) in quinolone class and clarithromycin (10.4%) in macrolide class, in tonsillitis, pharyngitis and otitis media. The diagnosis that received most antibiotics included tonsillitis (30%), pharyngitis (29.1%) and otitis media (11.1%). Superior treatment compliance was observed in public hospitals compared to private hospitals. The highest treatment non-compliance was observed in laryngitis (36.4%), otitis media (34%) and pharyngitis (26%). 1st line and over all treatment compliance was superior in public hospitals - sore throat, tonsillitis, sinusitis, otitis media and pharyngitis received the most appropriate choices.

Authors+Show Affiliations

Ullah K
National Hospital & Medical Centre DHA, Lahore, Pakistan.
Baloch M
Faculty of Pharmacy & Health Sciences, University of Baluchistan, Quetta, Pakistan.
Khan AA
Faculty of Pharmacy & Health Sciences, University of Baluchistan, Quetta, Pakistan.
Saeed H
University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.
Islam M
University College of Pharmacy, University of the Punjab, Allama Iqbal Campus, Lahore, Pakistan.

MeSH

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsChildChild, PreschoolCross-Sectional StudiesDrug PrescriptionsFemaleHumansInfantMaleMiddle AgedOtitis MediaPenicillinsPharyngitisPractice Patterns, Physicians'Respiratory Tract InfectionsSinusitisTertiary Care CentersYoung Adult

Pub Type(s)

Journal Article

Language

eng

PubMed ID

33612473

Citation

Ullah, Kalim, et al. "Antibiotic Prescribing Trends in Patients With Upper Respiratory Tract Infections Reporting to Tertiary Care Hospitals of Lahore." Pakistan Journal of Pharmaceutical Sciences, vol. 33, no. 4(Supplementary), 2020, pp. 1879-1888.
Ullah K, Baloch M, Khan AA, et al. Antibiotic prescribing trends in patients with upper respiratory tract infections reporting to tertiary care hospitals of Lahore. Pak J Pharm Sci. 2020;33(4(Supplementary)):1879-1888.
Ullah, K., Baloch, M., Khan, A. A., Saeed, H., & Islam, M. (2020). Antibiotic prescribing trends in patients with upper respiratory tract infections reporting to tertiary care hospitals of Lahore. Pakistan Journal of Pharmaceutical Sciences, 33(4(Supplementary)), 1879-1888.
Ullah K, et al. Antibiotic Prescribing Trends in Patients With Upper Respiratory Tract Infections Reporting to Tertiary Care Hospitals of Lahore. Pak J Pharm Sci. 2020;33(4(Supplementary)):1879-1888. PubMed PMID: 33612473.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Antibiotic prescribing trends in patients with upper respiratory tract infections reporting to tertiary care hospitals of Lahore. AU - Ullah,Kalim, AU - Baloch,Marvi, AU - Khan,Ayaz Ali, AU - Saeed,Hamid, AU - Islam,Muhammad, PY - 2021/2/22/entrez PY - 2021/2/23/pubmed PY - 2021/10/21/medline SP - 1879 EP - 1888 JF - Pakistan journal of pharmaceutical sciences JO - Pak J Pharm Sci VL - 33 IS - 4(Supplementary) N2 - To estimate the antibiotic utilization and treatment compliance in URTIs reported to tertiary care hospitals of Lahore. A cross-sectional study was conducted by including 423 prescription files from public and private hospitals of Lahore. Descriptive statistics were used to estimate percentage frequencies. The reporting frequency of URTIs, tonsillitis, pharyngitis and otitis media, was higher in public hospitals (JH; 27.4%, LGH; 25.8%) compared to private (NHMC;16.3%, DHMC;15.1%) hospitals in patients aged 21-40 years. Patients aged 18-40 years (59%) received most antibiotics. Broad spectrum antibiotics (95%) were prescribed in both public (JH; 27.4%, LGH;25.9%) and private hospitals (NHMC;16.3%, DHMC;14.8%) - co-amoxiclave (30%) in penicillin class, ceftriaxone (15.4%) and cefixime (11.6%) in cephalosporin class, levofloxacin (11.3%) in quinolone class and clarithromycin (10.4%) in macrolide class, in tonsillitis, pharyngitis and otitis media. The diagnosis that received most antibiotics included tonsillitis (30%), pharyngitis (29.1%) and otitis media (11.1%). Superior treatment compliance was observed in public hospitals compared to private hospitals. The highest treatment non-compliance was observed in laryngitis (36.4%), otitis media (34%) and pharyngitis (26%). 1st line and over all treatment compliance was superior in public hospitals - sore throat, tonsillitis, sinusitis, otitis media and pharyngitis received the most appropriate choices. SN - 1011-601X UR - https://www.unboundmedicine.com/medline/citation/33612473/Antibiotic_prescribing_trends_in_patients_with_upper_respiratory_tract_infections_reporting_to_tertiary_care_hospitals_of_Lahore_ DB - PRIME DP - Unbound Medicine ER -