Evaluating Pattern of Prescribing Antibiotics in Surgical Wards of Shahid Rahnemon Hospital Compared to Standard Methods in 2015

Abstract

Introduction: Antibiotics are regarded as one of the most widely consumed drugs, which have abundantly contributed to the treatment of diseases, though their incorrect prescription as well as indiscriminate use can cause such complications as drug resistance and failure in patients’ treatment. Therefore, this study aimed to evaluate the pattern of prescribing antibiotics in surgical wards of Shahid Rahnemon Hospital compared to standard Methods. Methods: This is an analytical study conducted on 154 patients undergoing surgey in 4 surgery wards (General surgery, urology, neurosurgery and orthopedics) of Shahid Rahnemon hospital in Yazd in 2015. In order to glean the study data, a researcher-made data collection form was applied. The collected data were analyzed using SPSS software (ver-19) applying descriptive statistics (frequency and perrentage) and Chi-square test. Results: 24% of patients had consumed Ceftriaxone, 72.1 % Keflin and 3.9% had recievd Cefazolin. The prescribed dose results showed 87% of compatibility with the guidelines. Regarding the prescription method, 86.4% compatiblity was reported with the guidelines. In total, 68.8% of the prescribed antibiotics were matched with managed care instruction of number (8) in terms of their type. Conclusion: The present study findings revealed that in 68.8% of the operations, the prescribed antibiotics were compatible with the guidelines in all the cases. Hence, taking antibiogram bacteria isolated from patients into account, developing standard treatment guidelines, and possibly providing oral forms of antibiotics can be effective in rationalizing the use of injectable antibiotics.

Keywords

• Antibiotic
• Antibiotic resistance
• Hospital
• Patient
• Standard