Prescribing Patterns of Antibiotics in Tertiary Care Hospital of Abbottabad, Khyber Pakhtunkhwa

Background: The antibiotic resistance is on a rise globally due to irrational use. This survey evaluated the prescribing patterns of antibiotics in tertiary care hospital in Abbottabad. Study type, settings and duration: This observational, descriptive, and prospective study was carried out in divisions of Gynecology, General Medicine, Pediatric Surgery, Orthopedics and Pulmonology, Tertiary Care Hospital, Abbottabad, KPK from 2019 to 2020. Methodology: An antibiotic prescribing pattern survey was carried out among the patients of hospital. Medical case sheets of patients and drug charts were used to record in standardized performa. Results: Total 203 patients on antibiotics were included in the study. Antibiotics prescribed in Gynae Department were UTIs 57%, LSCS 35%, NVD 20%, wound infection 16.6%, DandC 10%, SVD 10%, RTIs 6.6%, Extraction 6.6%, Stitch removal 6.6%, Hysterectomy 5%, Ectopic Pregnancy 5% post ovectomy 3.3% Uterine bleeding 3.3%, and most common dosage form:, Tablets: 56.6%,Capsules: 40%, Syrups:3.33% in Pead's Department URTI 62%, Cold and fever 10%, Eye Infection 8%, LRTI 6%, in dosage form: Syrups: 82%. Drops: 12%, Injection: 4%, Tablet: 2%. In Surgical ward Ceftro:35%,Titan:20%, Grasil:20%, Flagyl:10%, Kefzol:5%, Ampiclox:5%, Bestrix:5%. In General OPD, RTI 48%, Wound Infection 18%, fever 14%, UTIs 8.33%, Pneumonia 1.66% the most prescribed dosage form, Injection:28%, Syrup:12%, Drops:8.0% Tablets: 8.0%, Capsules: 6.0%. In orthopedic ward: Grasil:22.2%, Amikacin:19.3%, Oxidil:18.8%, Titan:11.11%, Cefbactam:11.11%, Kefzol:10%, Sulperazone:5.55%,, Augmentin:5.55%, Gentacin:2.7%, Most prescribed dosage form: Injection:100%,Tablets, Capsules and Syrup 0%. In Pulmonary disease department Respiratory tract infection 55% and in Bronchitis are 35%. Most commonly prescribed dosage form: Injection:50%, Tablets:45%, Capsules:5%, Syrup, and Drops 0%. Mainly Augmentin was prescribed as a combination therapy. Most antibiotics were prescribed for 5-7 days. Conclusion: The survey indicates that the use of antibiotic in tertiary care hospital is very high and is not rational.