Pattern of drug utilization in acute tonsillitis in a teaching hospital in Nepal
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A prospective study was undertaken to find out the baseline data on prescribing patten of drugs in acute tonsillitis.
Prescriptions far acute tonsillitis were collected outside the ENT-OPD over a period of 6 months and were analyzed.
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.
Key WordsDrug Utilization Antimicrobial use Acute Tonsillitis
- 1.Anonymous (1989): Reserve antibiotics, WHO drug Information, 3: 163–6.Google Scholar
- 2.Anonymous (1991): Health Department Victoria. Antibiotic Guidelines. 6th Edition Melbourne: Victorian Postgraduate Medical foundation.Google Scholar
- 3.Anonymous (1996): Acute Respiratory infection. Health and Nutrition phase-I. Nepal Multiple Indicator Surveillance, HMG Nepal – UNICEF collaboration, Kathmandu, Nepal, pp. 49 - 50.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.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.Google Scholar
- 11.Kafle K. K. and Khannal (1995): Prescribing practice at private sector in Nepal. J. Inst. Med. 17: 147–8.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.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
- 18.Soumnerai S. B. and Ross -Degman D. (1990): Drug prescribing in pediatrics: challenges for quality improvement. Pediatrics, 86: pp.782.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.Google Scholar