A Prospective Study on Prsecribing Pattern of Antibiotics in Treating Respiratory Tract Infections at Disharge and Follow Up

Abstract

Introduction: Respiratory tract infections are the infectious diseases that causes the upper respiratory tract infections and lower respiratory tract infections. Upper respiratory tract infections[URTIs] are common cold , laryngitis ,pharyngitis, acute rhinitis , acute otitis, sinusities  and lower respiratory infections[LRTIs] are pneumonia ,asthma, chronic obstructive pulmonary disease[COPD], bronchitis .  Pneumonia is the most common infectious disease which effects the lower respiratory tract than the upper respiratory tract infections. Medication likeantibiotics are most frequently used to treat infectious conditions. Penicillin and beta- lactam antibiotics are more used to treat respiratory tract infections.s

Objectives: To study the prescribing pattern of antibiotics in treating respiratory tract infections.To analyse the efficacy of antibiotics in treating respiratory tract infections with other diseases.To assess the rationality of antibiotics prescribed.

Methods:It is a Prospective Observational Study, The study will be conducted for a period of 6 months,                   Study will be conducted at Pulmonology department in LALITHA SUPER SPECIALITY HOSPITAL at Guntur,sample size of 150 patients, Data analysis will be done by using chi square  statistical methods, Patients with age group 18-68 years. In- patients  and out-patients are included.   Both male and female patients are included .  Patient with upper and lower respiratory tract diseases are included.      . Patient with age <18 years and above >68 years,Pregnant and lactating women are excluded.

Results: The age distribution of patients show that maximum number of were found between 48-57yrs and minimum patients were found between 18-27yrs when it comes to the gender distribution of patients show that 94 were males and 56 were females,which means mostly men are affected when compared to females in the present study majority of study population that is diagnosed with LRTIS when compared with URTIS.

Out of 150 cases 38.6% of patients were suffered with Pneumonia and 8% were suffered with the sinusitis and most prescribed antibiotics were amoxicillin-potassium clavulanate[60%]and less prescribed antibiotics were Azithromycin [3.3%].

Conclusions: The main aim of the study was to analyse the prescribing pattern of antibiotics in respiratory tract infections and this study involved both in-patients and out patients. In this study we collected 150 samples of respiratory tract infections and concluded that lower respiratory tract infections are more when compared to upper respiratory tract infections. The most frequently used antibiotics are penicillin and beta-lactam antibiotics,cephalosporin, quinolones ,macrolide antibiotics are used.