Prescription Pattern of Antibiotic among the Specialist Doctors in Different area of Bangladesh

Abstract

Antibiotics prescribing by physicians have gained due importance across the globe, mainly because of an increase in antibiotic usage, prevalence of infections and drug resistances. A survey on prescribing pattern of antibiotics was done for a period of up to 10 months in the different area of Bangladesh. This retrospective study was designed to observe the adherence of the prescribing practices of antibiotics among different specialist doctors. The objective of this study was to investigate the prescribing patterns of antibiotics in the outpatient hospital and Prescription were obtained from patients visiting private and public hospital in different area of Bangladesh. Here the evaluation of the prescription pattern was based on the percentages of antibiotics prescribed in different specialist doctors, percentage of prescribed antibiotics which included in EDL.A total of 1600 prescriptions were analyzed during the study period. From 1600 prescription found that the percentage of antibiotic containing 776 and the Percentages from total prescription was 48.5% and Percentage of different specialist among all Antibiotic containing prescription shows that Medicine accommodate the highest area of (45.61%) and then the Dermatology (11.47%), Gynecology (10.44%), Orthopedics (10.31%), ENT (8.25%), Pediatric (6.96%) and Gastro-liver (6.96%) as the number of medicine related prescription is high in this study. There also evaluation of the Percentage distribution of prescription those followed EDL 51.67% and not followed 48.33%.From the study we found that the shares of antibiotic among different pharmaceutical companies in Square pharmaceutical limited 24.87%,in Incepta pharmaceutical limited 19.97%, Beximco pharmaceutical limited 19.32%, in Opsonin pharma Ltd 12.76%, in Renata ltd 9.03%, ACI ltd 4.38%,in Eskayef Bangladesh ltd 3.22%, Healthcare pharma ltd 3.61% ,in Drug international ltd 1.68%, in popular pharmaceutical ltd 0.77% and in Aristopharma ltd 0.5%. From this research, it is observed that physicians prescribed antibiotics rationally in some cases but needs to ensure in all cases of prescription otherwise irrational use leads to the spread of bacterial resistance to antibiotics and related health problems.