nvasive candidiasis outbreak in a neonatal intensive care unit (NICU), a descriptive study from tertiary care teaching hospital of western part of Maharashtra

2019 ◽  
Vol 9 (2) ◽  
pp. 09-12
Author(s):  
Shilpa Putta ◽  
◽  
Neeta Jangale ◽  
Sushma Pednekar ◽  
Vijay Kulkarni ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Descriptive Study ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching

scholarly journals A STUDY ON PRESCRIBING PATTERN OF ANTIMICROBIAL AGENTS IN THE NEONATAL INTENSIVE CARE UNIT OF A TERTIARY CARE TEACHING HOSPITAL IN PUDUCHERRY, SOUTH INDIA

2016 ◽  
Vol 9 (5) ◽  
pp. 217
Author(s):  
Pandiamunian Jayabal ◽  
Kartik J Salwe ◽  
Somasundaram Ganesan ◽  
Bhanu Prakash Kolasani
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Teaching Hospital ◽  
Neonatal Intensive Care ◽  
Antimicrobial Agents ◽  
Tertiary Care ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Made In

ABSTRACTObjective: This study was done to evaluate the current prescribing and usage pattern of antimicrobial agents (AMAs) in the neonatal intensive careunit (NICU).Methods: A prospective, hospital-based, cross-sectional study (prescription audit) was carried out between May and August 2012 in the NICU of aTeaching Hospital. Data were collected by reviewing case records of all neonates admitted to the NICU during the study period.Results: A total of 120 case records were reviewed and 100 were eligible to be included in the study. Out of the 100, no antimicrobial prescriptionwas made in 35 case records. Remaining 65 (65%) were prescribed at least one AMA. 167 AMA prescriptions were made in total and averagenumber of AMAs utilized per neonate was 1.670. Cefotaxime (24.6%) was the most commonly prescribed AMA followed by amoxicillin (23.4%).Aminoglycosides (43.7%) were the commonly prescribed group of AMAs followed by penicillins (28.7) and cephalosporins (24.6%). Most of the AMAswere prescribed to non-bacteriologically proven infections (50.5%). Among the 167 AMA prescriptions, 104 (62.28%) were made in their brandnames and 63(37.72%) were made in their generic names.Discussion and Conclusion: This study highlights current usage of AMAs in the NICU of a tertiary care teaching hospital in Puducherry. AMAs werefound to be prescribed frequently without bacteriological evidence and in their brand names. This necessitates the need for motivating doctors toimprove AMA prescriptions with supportive bacteriological evidence and in generic names.Keywords: Antimicrobial agents, Neonatal intensive care unit, Generic drugs, Non-bacteriologically proven infections. 

scholarly journals Antibiotic utilization, sensitivity, and cost in the medical intensive care unit of a tertiary care teaching hospital in Nepal

2021 ◽  
Vol 9 ◽  
pp. 205031212110437
Author(s):  
Nirmal Raj Marasine ◽  
Shakti Shrestha ◽  
Sabina Sankhi ◽  
Nabina Paudel ◽  
Ashish Gautam ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Teaching Hospital ◽  
Medical Intensive Care Unit ◽  
Tertiary Care ◽  
Defined Daily Dose ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Antibiotic Utilization ◽  
Medical Intensive Care

Background: High utilization and irrational use of antibiotics in an intensive care unit increases microbial resistance, morbidity, mortality, and costs. Objective: This study aimed to evaluate the utilization, sensitivity and cost analysis of antibiotics used in the medical intensive care unit of a tertiary care teaching hospital of Nepal. Methods: A prospective cohort study was conducted on patients admitted to the medical intensive care unit at a tertiary care teaching hospital in central Nepal from July to September 2016. Antibiotic utilization, defined daily dose per 100 bed-days and the cost of antibiotics per patient were calculated. Descriptive statistics were performed using IBM-SPSS 20.0. Results: A total of 365 antibiotics were prescribed in 157 patients during the study period, with an average of 2.34 prescriptions per patient. Total antibiotic utilization in terms of defined daily dose per 100 bed-days was 49.5. Piperacillin/tazobactam (45.2%) was the most commonly prescribed antibiotic, and meropenem was the most expensive antibiotics (US$4440.70). The median (interquartile range) cost of antibiotics used per patient was US$47.67 (US$63.73). Escherichia coli, Acinetobacter, and Pseudomonas sp. were the common organisms isolated and were found to be resistant to some of the commonly used antibiotics. Conclusion: This study suggests that the utilization and cost of antibiotics are high in medical intensive care unit of the hospital and E. coli was resistant to multiple antibiotics. The findings highlight an urgent need for the implementation of antibiotic stewardship program in order to improve antibiotic utilization in such hospital settings.

Sign in / Sign up

Export Citation Format

Share Document