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Antibiotic prescription patterns for treating respiratory infections across intensive care unit (ICUs) in India

Rajesh Swarnakar, Nikita Jalan, Deepak Muthreja, Babaji Ghewade, Smaran Claudius, Sushant Meshram, Aditi Joshi, Virendra Singh, Nishtha Singh, Suryakant Tripathi, Anand Srivastava, P.A. Mahesh, B.S. Jayaraj, Prasad Chelluri, Yusra Iqbal, Murali Mohan B V, P.H. Manjunath, Girija Nair, Amit Khomane, Sapna Madas, Niranjan Kulkarni, Sneha Limaye, Sundeep Salvi, Shrikant Ambalkar
European Respiratory Journal 2016 48: PA2641; DOI: 10.1183/13993003.congress-2016.PA2641
Rajesh Swarnakar
1Pulmonary Medicine, Getwell Hospital & Research Institute, Nagpur, MaharashtraIndia
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Nikita Jalan
2Academic Institute, Chest Research Foundation, Pune, MaharashtraIndia
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Deepak Muthreja
1Pulmonary Medicine, Getwell Hospital & Research Institute, Nagpur, MaharashtraIndia
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Babaji Ghewade
3Pulmonary Medicine, Jawaharlal Nehru Medical College, Wardha, MaharashtraIndia
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Smaran Claudius
3Pulmonary Medicine, Jawaharlal Nehru Medical College, Wardha, MaharashtraIndia
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Sushant Meshram
4Pulmonary Medicine, BJ Medical College, Pune, MaharashtraIndia
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Aditi Joshi
4Pulmonary Medicine, BJ Medical College, Pune, MaharashtraIndia
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Virendra Singh
5Pulmonary Medicine, Asthma Bhavan, Jaipur, MaharashtraIndia
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Nishtha Singh
5Pulmonary Medicine, Asthma Bhavan, Jaipur, MaharashtraIndia
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Suryakant Tripathi
6Pulmonary Medicine, King George's Medical University, Lucknow, Uttar PradeshIndia
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Anand Srivastava
6Pulmonary Medicine, King George's Medical University, Lucknow, Uttar PradeshIndia
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P.A. Mahesh
7Pulmonary Medicine, JSS Medical College, Mysore, KarnatakaIndia
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B.S. Jayaraj
7Pulmonary Medicine, JSS Medical College, Mysore, KarnatakaIndia
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Prasad Chelluri
8Pulmonary Medicine, Shadan Institute of Medical Science, Hyderabad, Andhra PradeshIndia
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Yusra Iqbal
8Pulmonary Medicine, Shadan Institute of Medical Science, Hyderabad, Andhra PradeshIndia
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Murali Mohan B V
9Pulmonary Medicine, Narayana Hrudayalaya, Bangalore, MaharashtraIndia
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P.H. Manjunath
9Pulmonary Medicine, Narayana Hrudayalaya, Bangalore, MaharashtraIndia
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Girija Nair
10Pulmonary Medicine, DY Patil University School of Medicine, Navi Mumbai, MaharshtraIndia
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Amit Khomane
10Pulmonary Medicine, DY Patil University School of Medicine, Navi Mumbai, MaharshtraIndia
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Sapna Madas
2Academic Institute, Chest Research Foundation, Pune, MaharashtraIndia
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Niranjan Kulkarni
2Academic Institute, Chest Research Foundation, Pune, MaharashtraIndia
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Sneha Limaye
2Academic Institute, Chest Research Foundation, Pune, MaharashtraIndia
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Sundeep Salvi
2Academic Institute, Chest Research Foundation, Pune, MaharashtraIndia
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Shrikant Ambalkar
11Clinical Microbiology, King's Mill Hospital, Nottinghamshire, United Kingdom
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Abstract

BACKGROUND: Respiratory infections are a major challenge in ICUs across India. An audit of antibiotic prescribing patterns is an important indicator of the quality and standard of clinical practice. We aimed to assess the antimicrobial prescribing practices for treating respiratory tract infections in ICUs across 5 states in India.

METHODOLOGY: Prospective multicentre, observational study was conducted across 9 sites of Respiratory Research Network of India. On obtaining written consent for participation, patient who were prescribed antibiotics were included in the study. Information was captured on the Questionnaire consisting of demographics, diagnosis & antibiotic prescription patterns.

RESULTS: Prescription of 361 patients admitted over a period of 6 months were analysed. The mean age was 53.94 years (±17.99). 65% patients were males. 35% were females. The infections included Pneumonia (43%), Obstructive Airway Disease - OAD (37.8%), Respiratory Failure - RF (16.9%), Pleural Disease (13%), Tuberculosis (13%), Acute Respiratory Distress Syndrome - ARDS (8%), Bronchiectasis (5%), Interstitial Lung Disease (2.2%) and others (5%). The prescribed antibiotics for pneumonia, OAD, RF and ARDS has been mentioned as

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CONCLUSION: Penicillin and Cephalosporin are the most widely prescribed antibiotics for respiratory infections among patients admitted to the ICU's In India.

  • Treatments
  • Pneumonia
  • ARDS (Acute Respiratory Distress Syndrome)
  • Copyright ©the authors 2016
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Antibiotic prescription patterns for treating respiratory infections across intensive care unit (ICUs) in India
Rajesh Swarnakar, Nikita Jalan, Deepak Muthreja, Babaji Ghewade, Smaran Claudius, Sushant Meshram, Aditi Joshi, Virendra Singh, Nishtha Singh, Suryakant Tripathi, Anand Srivastava, P.A. Mahesh, B.S. Jayaraj, Prasad Chelluri, Yusra Iqbal, Murali Mohan B V, P.H. Manjunath, Girija Nair, Amit Khomane, Sapna Madas, Niranjan Kulkarni, Sneha Limaye, Sundeep Salvi, Shrikant Ambalkar
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2641; DOI: 10.1183/13993003.congress-2016.PA2641

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Antibiotic prescription patterns for treating respiratory infections across intensive care unit (ICUs) in India
Rajesh Swarnakar, Nikita Jalan, Deepak Muthreja, Babaji Ghewade, Smaran Claudius, Sushant Meshram, Aditi Joshi, Virendra Singh, Nishtha Singh, Suryakant Tripathi, Anand Srivastava, P.A. Mahesh, B.S. Jayaraj, Prasad Chelluri, Yusra Iqbal, Murali Mohan B V, P.H. Manjunath, Girija Nair, Amit Khomane, Sapna Madas, Niranjan Kulkarni, Sneha Limaye, Sundeep Salvi, Shrikant Ambalkar
European Respiratory Journal Sep 2016, 48 (suppl 60) PA2641; DOI: 10.1183/13993003.congress-2016.PA2641
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