查谟和克什米尔某三级医院肺部病房抗生素处方模式

Mohd Altaf Dar, Mudasir Maqbool, Irfat Ara
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摘要

背景世界人口增长、污染和过度拥挤都导致了呼吸道感染的增加。抗抗生素的强毒细菌正在增加,而且传播速度很快。一般来说,下呼吸道感染只会引起轻微症状,但会导致严重的发病率和死亡率。公众和专业人士对许多LRTI的长期性质的认识的提高可以带来更好的抗生素管理。该研究的目的是评估查谟和克什米尔一家三级护理医院肺部病房患者的抗生素处方模式。方法在查谟和克什米尔一家三级护理医院的肺部病房进行了一项为期六个月的前瞻性观察性研究,研究了一个地点的抗生素使用模式。根据纳入和排除标准,共有355名患者被考虑进行评估。哮喘、支气管炎、肺炎、慢性阻塞性肺病(COPD)以及普通感冒和咽炎等急性呼吸道感染都包括在研究中。结果在我们的研究中,355名患者中有230名(64.79%)为男性,125名(35.21%)为女性。肺结核的病例数最高(157例,44.22%),其次是COPD 91例(25.63%),肺炎46例(12.95%),胸腔积液43例(12.11%),支气管扩张18例(5.07%)。研究结果显示,最常见的处方抗生素是头孢菌素类、大环内酯类、甲硝唑、青霉素类、氨基糖苷类、多西环素类、氟喹诺酮类,最后是碳青霉烯类。结论在全球范围内,由于人口增长、污染、城市化和过度拥挤,呼吸系统疾病呈上升趋势。耐多种药物的病原菌数量迅速增加。然而,如果不加以治疗,下呼吸道感染可能导致严重的发病率和死亡率。如果更多的人意识到LRTI的长期性质,抗生素的理解和明智使用可能会得到改善。为了了解抗生素治疗的危险性和优势,还需要进一步的研究。对轻微的病毒性呼吸道感染使用抗生素可能会导致社区中抗生素耐药性病毒的发展。
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Prescription Pattern of Antibiotics in Pulmonary Ward of a Tertiary Care Hospital, Jammu and Kashmir
BACKGROUND World population growth, pollution and overcrowding have all contributed to an increase in respiratory infections. Antibiotic resistant virulent bacteria are on the rise, and they're spreading quickly. As a general rule, lower respiratory tract infections cause only minor symptoms but can lead to significant morbidity and mortality. Improvements in public and professional awareness of the long-term nature of many LRTIs could lead to better antibiotic stewardship. The objective of the study was to assess the prescription pattern of antibiotics in patients in a pulmonary ward of a tertiary care hospital, Jammu and Kashmir. METHODS A six-month prospective observational study in a pulmonary ward of a tertiary care hospital in Jammu and Kashmir looked at antibiotic use patterns in a single location. According to the inclusion and exclusion criteria, a total of 355 patients were considered for evaluation. Asthma, bronchitis, pneumonia, chronic obstructive lung disease (COPD), and acute respiratory infections such as the common cold and pharyngitis were all included in the study. RESULTS In our study, 230 (64.79%) of the 355 patients were males, while 125 (35.21%) were females. Pulmonary Tuberculosis had the highest number of cases observed (157 patients, 44.22 percent), followed by COPD 91 patients (25.63 percent), pneumonia 46 patients (12.95 percent), Pleural effusion cases 43 patients (12.11 percent), and Bronchiectasis cases 18 patients (5.07 percent). The findings revealed that the most commonly prescribed antibiotics were Cephalosporins, Macrolides, Metronidazole, Penicillins, Aminoglycosides, Doxycycline, Fluoroquinolones, and finally Carbapenems. CONCLUSIONS Globally, respiratory illnesses are on the rise due to a growth in population, pollution, urbanization and overcrowding. There is a rapid increase in the number of multi-drug-resistant pathogenic bacteria. However, lower respiratory tract infections can cause severe morbidity and mortality if left untreated. Understanding and judicious use of antibiotics may be improved if more people are aware of the long-term nature of LRTIs. In order to understand the dangers and advantages of antibiotic treatment, further research is needed. There is a risk that the use of antibiotics for minor viral respiratory infections could lead to the development of antibiotic-resistant viruses in the community.
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