A STUDY ON PRESCRIBING PATTERNS AND EFFICACY OF ANTIBIOTICS IN ORTHOPAEDIC DEPARTMENT IN A TEACHING HOSPITAL

In Orthopaedic department, surgery constitutes the major manipulations and requires guided antibiotic prescription. Programs designed to encourage appropriate antibiotic prescriptions in health care institutions are an important element in quality of care, infection control. The irrational prescription of antimicrobial agents leads to resistance and economic burden that requires serious attention for the better compliance. Objectives: To assess the prescription pattern and efficacy of commonly prescribed antibiotics in Orthopaedic department. Materials and Methods: A prospective observational study which was carried out for a period of six months at Orthopaedic department of Basaveshwara Medical College Hospital, Chitradurga. A total of 119 subjects were included as per study criteria. Results: Among 119 subjects 73.94% were males and 26.06% females. Maximum number of subjects, 37.81% were found between 41-60 years. Prescription patterns of antibiotics shows that 38.07% of Cephalosporins followed by Aminoglycosides 34.40%, Penicillins 15.13%, Flouroquinolones 4.12%, Oxizolidinones 4.12%, Nitriimidazoles 3.66% and Macrolide 0.45%. The efficacy status shows that 44.53% subjects being continued with primary complaints after second follow-up. Conclusion: The research concludes that Cephalosporins and Aminoglycosides takes part more in the current prescription market of Orthopaedic subjects. Efficacy of antibiotics is good in 55.47% of the study population.