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Pattern of drug utilization in acute tonsillitis in a teaching hospital in Nepal

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Abstract

Objective

A prospective study was undertaken to find out the baseline data on prescribing patten of drugs in acute tonsillitis.

Methods

Prescriptions far acute tonsillitis were collected outside the ENT-OPD over a period of 6 months and were analyzed.

Results

The average number of drugs per prescription was 3.24. Ninety five percent of the prescriptions contained antimicrobial agents (AMA with an average of 1.03 AMAs per prescription. AMA was the most commonly prescribed (31.81%) group of drugs followed by analgesics and antipyretics (20.70%). Amoxicillin (38.80%) and azithromycin (20.63%) were the most commonly prescribed AMAs. Erythromyein was prescribed in 11(6.73) patients while penicillin was not at all prescribed. Culture and sensitivity test was advised only in 14.75% of cases. Cough expectorants were the most commonly used fixed dose combination. Of the total drugs used, 96.9% were prescribed by brand names. The duration of therapy was not mentioned for 35.60% of the drugs prescribed. the iatyprtyriate and over use off antimicrobil agents make treatment east effective.

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References

  1. Anonymous (1989): Reserve antibiotics, WHO drug Information, 3: 163–6.

  2. Anonymous (1991): Health Department Victoria. Antibiotic Guidelines. 6th Edition Melbourne: Victorian Postgraduate Medical foundation.

  3. Anonymous (1996): Acute Respiratory infection. Health and Nutrition phase-I. Nepal Multiple Indicator Surveillance, HMG Nepal – UNICEF collaboration, Kathmandu, Nepal, pp. 49 - 50.

  4. Aronoff S. C., Klinger J. D., O’brien C. A., Jaffe A. C, Blummer J. L. (1984): A double blind study of sultamicillin and potassium penicillin V in the treatment of childhood streptococcal pharyngitis. J. Antimicrob. Chemo. 14: 261–5.

    Article  CAS  Google Scholar 

  5. Breese B. B. Disney F. A., Talpey W., Green J. L. Tobin J. (1974): Streptococcal infections in children Am J. Dis. Child. 128: 457–60.

    PubMed  CAS  Google Scholar 

  6. Coleman B. H. (1995): Hall & Coleman’s Disease of the Nose, Throat and Ear and Head and Neck. Churchill Livingstone, Oxford University Press, pp. 97’98.

  7. Dunea G. (1977): Shopping bag syndrome. Br. Med. J 2: 240–1.

    Article  PubMed  CAS  Google Scholar 

  8. Feigin R. D. & Cherry M. D. (1987): Text Book of Pediatric Infectious Diseases. WB Saunder Co. Philadelphia, pp. 1305–16.

    Google Scholar 

  9. Gau D. W., Horn R. F. H., Solomon R. M., Johnson P., Leigh D. A. (1972): Streptococcal tonsillitis in general practice: A comparison of cephalexin and penicillin therapy. 208: 276–81.

    CAS  Google Scholar 

  10. Gerber M. A., Spadaccini L. J., Wright L. L., Deutsch L., and Kaplan E. L. (1985): Twice daily penicillin in the treatment of streptococcal pharyngitis. Am. J. Dis. Child. 139: 1145–48.

    PubMed  CAS  Google Scholar 

  11. Kafle K. K. and Khannal (1995): Prescribing practice at private sector in Nepal. J. Inst. Med. 17: 147–8.

    Google Scholar 

  12. Kunin C. M., Tupasi T., Crainge W. A. (1973): Use of antibiotics a brief exposition of the problem and some tentative solution. Ann. Int. Med. 79: 555–60.

    PubMed  CAS  Google Scholar 

  13. Laporte J. R. (1985): Towards a healthy use of Pharmaceuticals. Development Dialogue 2: 48–55.

    PubMed  Google Scholar 

  14. Melrose D. (1987): Bitter pills: medicines and the third world poor. Oxford OXFAM.

    Google Scholar 

  15. MacDougall G., and Denoholm S. W. (1995): Audit of treatment of tonsillar and peritonsillar sepsis in an Ear, Nose & Throat unit. J. Laryng. Otology. 109: 531–3.

    CAS  Google Scholar 

  16. Perez C. R., Munoz O., Gutierrez G. (1992): Patrones de prescription terapeutica in infection respiratoria ageuda Y diarrea aguda en dos instituciones de salud (IMSS, SSA); IV: characteristicas de la prescripcion medica. Gac. Med. Mex. 128: pp. 531.

    Google Scholar 

  17. Ricard P. C, Hector G., Onofre M., Hortensia R., Patricia T., Vita L., Gonzalo G. (1996): Improving physician prescribing patterns to treat Rhinopharyngitis intervention strategies in two health system of Mexico. Soc. Sci. Med. 42 (8): 1185–94.

    Article  Google Scholar 

  18. Soumnerai S. B. and Ross -Degman D. (1990): Drug prescribing in pediatrics: challenges for quality improvement. Pediatrics, 86: pp.782.

    Google Scholar 

  19. Uppal R., Sarkar U., Giriappanayar C. R., and Kochar V. (1993): Antimicrobial drug use in primary health care. J. Clin. Epidemiol. 46: 671–3.

    Article  PubMed  CAS  Google Scholar 

  20. World Health Organization (1989): Case management of acute respiratory infection in children for developing countries. Manual for doctors and other Senior Health Workers. Acute Respiratory infections control program.

  21. Zwar N. A., Gordon J. J. and Fisher S. (1994): Antibiotic and benzodiazepine prescribing by general practitioner trainees. Med. J. Aust. 161: 491–3.

    PubMed  CAS  Google Scholar 

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Rehan, H.S. Pattern of drug utilization in acute tonsillitis in a teaching hospital in Nepal. Indian J Otolaryngol Head Neck Surg 55, 176–179 (2003). https://doi.org/10.1007/BF02991947

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