Abstract
Background: Prescriptions should be assessed to know the attitude of the physicians towards their prescribing, their therapeutic knowledge upgrading need/requirement and to ensure rationality in the prescription. There is no clear indication of antimicrobials given to approximately half of the hospitalized patients, for its use, choice and duration of therapy. The systematic assessment and feedback on usage patterns and rationality of antimicrobials may greatly help physicians in prescribing rationally. Objective: To assess the prescribing patterns and rationality of antimicrobial agents in the patients of gynecology department.Methods: Drug data of all the antimicrobial drugs prescribed, dose frequency, route of administration and dose were recorded. Results: A total of 220 patients were admitted to the in-patient and out-patient department during the study period. 47% were in-patients and 53% were out-patients. 46 patients were on Monotherapy, 77 patients on two drug therapy, 48 patients were on combination therapy of three drugs. A total of 61 prescriptions were irrational and 159 prescriptions were found to be rational out of 220 prescriptions. Conclusions: Antimicrobials are over used, particularly for minor infections, misused for viral infections and underused due to financial concerns. Our finding indicates an urgent need for the establishment of proper guidelines and supervision of antibiotic usage.
