A questionnaire base survey on the knowledge, attitude and practices about antimicrobial resistance and usage among the faculty and resident doctor of teaching tertiary care hospital, Chittoor, India

Background: 10million could die every year due to antibiotic resistant infections by 2050 unless the threat is addressed. Irrational use of antibiotic use is a global phenomenon. So, 50% all anti bionics are prescribed, sold are dispensed inappropriately, while 50% of patients are not taking antibiotics correctly (WHO 2004).Methods: This was a cross section study it was a conducted in RVS institute, tertiary care teaching hospital. Chittoor. The questionnaire was distributed along the faculty resident doctors and senior faculty of this RVS institute Where their knowledge, attitude, practice regarding antibiotic prescription and resistance was assessed by a five point likert scale, whose response ranged from strongly agree to disagree. Some questionnaire were of useful or nor useful and yes or no.Results: Irrational prescription of antibiotics is worldwide problem and also in India was known to most of the physicians in our institute (n=95%) of participants. 80% subjects answered that prescription writing influenced by senior faculty and medical representatives. 50% subjects answered that antimicrobial resistance is a problem in daily practice.80 % subjects answered that most of the antibiotics available as over the counter drugs (OTC).Conclusions: This study concludes, prescription writing influences by senior faculty and medical representatives. It’s important to monitor and auditing prescription writing based on WHO Antibiotic guidelines to prevent resistance. Strict vigilance of OTC sales of antibiotics to prevent resistance

Prescription pattern among mild to moderate COVID-19 patients in Tertiary care center; Anil Neerukonda Hospital,Vishakapatnam

Objectives:1.To study the various prescription pattern among mild to moderate COVID-19 patients in District Covid 19 hospital , Anil Neeru Konda hospital 2.Evaluate prescriptions of COVID 19 patients admitted in Covid care center of Anil Neerukonda hospital. Materials and methods: The institutional ethics committee of ANH approved the study protocol. The present study was a cross sectional descriptive study, conducted over a period of 5 months from April 2020 to August 2020. in District Covid care centre Anil Neerukonda Hospital , Vishakhap-atnam,Andhra Pradesh.Selection method: Total 188 patients of either sex who fulfilled our inclusion criteria were evaluated . Inclusion criteria: a)The prescription pattern data were collected from all the patients of either sex in the Covid care center of ANH , Visakhapatnam, in patients of Corona virus positive time period between April 2020 to August 2020.b)who were given consent to participate in the study and must have diagnosis of COVID -19 as defined by ICMR guidelines.Exclusion criteria:a)Patient below the age of 18 years and above 60 years b)Patient with other co morbidities like Diabetes mellitusc)Patient with renal failure.d)Patient with recent M.I.e)Patient with recent infections or major surgery f)Pregnant womenResults:A total 188 prescriptions were collected and analysed.Conclusion :This study clearly indicated that the usage of various drugs in the community for Covid-19. Based on different guidelines and personal experience of the physician choice of the drugs were made. In this study we did not deal with efficacy and outcomes of the various drugs, but only focus has been made on prescription pattern