PATTERN OF ANTIBIOTIC USE IN DERMATOLOGY CLINIC: AN AWARE BASED CROSS-SECTIONAL STUDY IN A TERTIARY CARE HOSPITAL IN SOUTH INDIA
Main Article Content
Keywords
AWaRe, antibiotic, antimicrobial resistance, dermatology, outpatient, tertiary care hospital, India
Abstract
Antimicrobial resistance (AMR) is a steadily worsening and silent pandemic, posing a great challenge to public health for effective disease control. The Access, Watch, Reserve (AWaRe) classification of antibiotics was launched by World Health Organisation (WHO) as a part of Global Action Plan on AMR to optimise antibiotic use. Antibiotics should be ideally prescribed from Access group to curb resistance. Monitoring antibiotic prescribing data will help to develop evidence-based guidelines to promote rational antimicrobial therapy. This study assessed the pattern of antibiotic use in dermatology clinic in a tertiary care hospital using WHO AWaRe classification.
Methods
We conducted a cross-sectional study on 112 outpatients who received antibiotics in dermatology clinic using a consecutive sampling method. After obtaining informed consent, prescriptions written by dermatologist were observed and data was entered in the predesigned semi-structured case proforma. Data analysis was done using SPSS IBM 27 software.
Results
A total of 180 antibiotics were prescribed for 12 different dermatological disorders. As per WHO AWaRe tool, 73(69.5%) of antibiotics belonged to Access group, followed by Watch 31(29.5%) and Reserve group 1(1%). Doxycycline 33(29.5%) was the most commonly prescribed antibiotic followed by amoxicillin-clavulanic acid 28(25.0%).
Conclusion
Our study findings align with the target set by WHO that by the year 2023, at least 60% of overall antibiotic use should be from Access group to combat rising resistance and preserve their efficacy. This study will help in generating guidelines for rational antibiotic prescribing policy in hospitals and ultimately benefit patients to receive optimal drug therapy.
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Dr. Devika Hari
MBBS Intern, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Devika Jayachandran
MBBS Intern, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Devika Sajeevan
MBBS Intern, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Deyon Benny
MBBS Intern, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Divya Rani
MBBS Intern, Government Medical College, Thiruvananthapuram, Kerala, India.
Dr. Chintha Sujatha
Professor, Department of Community Medicine, Government Medical College, Kollam, Kerala, India.