000 a
999 _c16314
_d16314
003 OSt
005 20220210104624.0
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040 _aAIKTC-KRRC
_cAIKTC-KRRC
100 _916018
_aVachhani, Parth
245 _aProspective study of the impact of microbiological cultures on antibiotic prescribing pattern in a tertiary care hospital
250 _aVol.13(3)
260 _aM P
_bInnovare Academic Sciences Pvt Ltd
_c2021
300 _a26-29p.
520 _aObjective: Antibiotics are frequently prescribed because of clinical suspicion of infection, while the results of the microbiological analysis are still awaited.This study was undertaken to assess the impact of microbiological culture results on the antibiotic prescribing pattern. Methods: This prospective observational study was conducted on 400 patients of either sex and any age with positive microbiological culture results. Empirical antibiotic therapy details were recorded and change in empirical antibiotic therapy after positive culture results was also recorded. Assessment of sensitivity resistance pattern of microorganisms was also performed. Results: In the study, male: female ratio was 1.01:1. The majority of patients i.e. 94 (24.50%) were in the 46 y to 60 y of age group. Definitive antibiotic therapy was initiated in 103 patients (25.75%) out of 400 patients. The highest number of changes in antibiotic therapy was done in urinary tract infections (63.95%) and septicemia (32.61%) cases. Klebsiella (34.25%), E. coli (32%) and Staphylococcus aureus (14.75%) were commonly isolated microorganisms. Cephalosporins (77.75%) and aminoglycosides (47%) were commonly used in empirical antibiotic therapy,while nitrofurantoin (47.57%) and penicillins (22.33%) were commonly used in definitive antibiotic therapy. Definitive antibiotic therapy was associated with a reduced duration of hospital stay as compared to empirical antibiotic therapy (p<0.0001).Conclusion: Antibiotic prescribing is infrequently influenced by microbiological culture results. Adjustment of the antimicrobial therapy according to microbiological culture results can decrease the duration of hospital stay as well as can decrease the spread of antimicrobial resistance.
650 0 _94639
_aPHARMACEUTICS
700 _916019
_aSingh, Anil
773 0 _dBhopal Innovare Academic Sciences Pvt Ltd
_tInternational journal of pharmacy and pharmaceutical science
_x2656-0097
856 _uhttps://www.innovareacademics.in/journals/index.php/ijpps/article/view/40341/24442
_yClick here
942 _2ddc
_cAR