Prescription auditing and antibiotic resistance pattern at SGRH New Delhi.
Wattal, C; Joshi, S.; Sharma, A.; Prasad, J.K. and Oberoi, J.K. (2002) Prescription auditing and antibiotic resistance pattern at SGRH New Delhi. In: XXVI National Congress of the IAMM at NIMHANS, 20-22 Nov 2002, Bangalore, India.
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Aim: To analyse the correlation of prescribing habits and development of antibiotic resistance over 7 years. Methods: Prescription auditing of the antibiotics consumed from our hospital pharmacy and resistance of E. coli and S. aureus to various antibiotics was analysed from Jan 1995 to Dec 2001. Results: Resistance to b lactams has been high (80-90%) in E coli; whereas in S.aureus the resistance has gone up from 60% to 98%. Oxacillin resistance has increased from 20% to 50%, while Clindamycin resistance has remained between 20-25%. The use of Coamoxyclav has increased since '98, after which an increase in resistance of E coli and S aureus to the same has been noted. Resistance to Gentamicin in E coli is presently 70% as compared to 30% in '95, while S.aureus resistance has increased from 22% to 50%. Amikacin is the most widely prescribed aminoglycoside. Prescription auditing has helped formulation of antibiotic policy.
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