Vol. 8, Issue 7 (2019)

Objective: To assess the prescription pattern of antibiotics in lower respiratory tract infection in adults at RMMCH teaching hospital.

Methods: It was a Prospective observational study done in Department of Medicine, A tertiary care teaching hospital in Chidambaram, Tamil Nadu. The patient data was collected by using well designed patient data collection form and their prescription were recorded and analysed.

Results: Total 80 subjects were enrolled into the study among that 52 were male and 28 female. The patients are divided into 7 age trends. The study shows that maximum number of patients 23 (28.75%) were between age group of 50-59 yrs. Majority of patients included in the study had chronic obstructive pulmonary disease with acute exacerbation 18 (22.5%). Followed by Asthma with acute exacerbation 16 (20%), Bronchitis 15 (18.75%), old tuberculosis with sequelae 12 (15%), Bronchiectasis 11 (13.75%) and Pneumonia 8 (10%). All the patients were prescribed with antibiotics. 41 patients received single antibiotic, 36 patients received two antibiotics and 3 patients received three antibiotics.

Conclusion: Lower respiratory tract infection is the most common infectious disease. Chronic obstructive pulmonary disease with acute exacerbation comprises the greater portion in adults. Most commonly prescribed antibiotics were a single drug category cefotaxime 20. Followed by two drugs combination category was Ceftriaxone with Azithromycin 11. And three drugs combination category was Ampicillin + Amikacin + Levofloxacin 2.