Utilization Rate of Antibiotics in Governmental Hospitals Out-Patient Clinics and Primary Health Care Centers in Al-Nasiriya City At 2017
Keywords:Antibiotic, over prescription, bacterial resistance
AbstractBackground: Antibiotic over prescription is a worldwide problem. It represents a major factor
for the development of bacterial resistance and treatment failure. Treating those resistant
bacterial infections requires expensive and limited antibiotics.
Objectives: Measure the extent of antibiotic prescription in hospitals out-patient clinics and
primary health care centers.
Materials and Methods: An observational cross-sectional analytical study was carried out on
688 patients of both genders and different ages according to Dobson's formula, excluded patients
with TB. The study was done in almost all the out-patient clinics in Al-Nasiriya governmental
hospitals including (Al-Hussein Teaching Hospital, Bint Al-Huda Teaching Hospital and AlHabboobi Teaching Hospital) along with fifteen randomly selected primary health care centers
from the 2nd of January, 2017 to the 1st of October, 2017. The prevalence of the problem (46%)
took from the research pilot study. Statistical Package for Social Sciences (SPSS) was used for
analysis, P value less than 0.05 was considered as significant.
Results: The results showed a high prescription rate of antibiotics (61%), cephalexin was the
most frequently prescribed antibiotic (18.9%), while nitrofurantoin, amikacin and doxycycline
were the least prescribed drugs with a prevalence of (0.2%) each.
Conclusion: A high prescription rate was an obvious result in this study. Giving the fact that
cephalexin was the most prescribed antibiotic.
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