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. 2020 Oct-Dec;45(4):554-557.
doi: 10.4103/ijcm.IJCM_26_20. Epub 2020 Oct 28.

Prescription Audit of Treatment of Diarrhoea and Pneumonia Amongst Paediatrician In Bhopal

Devendra Gour  1 , Manju Toppo  1 , Dinesh Kumar Pal  1 , Harshima Sawlani  1 , Shipra Verma  1 , Akhil R Nair  1 , Sudarshan Kushwah  1
Affiliations

Prescription Audit of Treatment of Diarrhoea and Pneumonia Amongst Paediatrician In Bhopal

Devendra Gour et al. Indian J Community Med. 2020 Oct-Dec.

Abstract

Background: A prescription by a doctor may be taken as a reflection of physician's attitude to the disease. Inappropriate prescription has always been a serious problem in developing countries.

Objectives: The objective was to observe the current prescription practices for the management of diarrhea and pneumonia in Bhopal.

Settings and design: This was a cross-sectional study.

Materials and methods: The study was conducted at the clinics and hospitals of Bhopal over 4 months. The prescription of under-5 children with a diagnosis of acute respiratory tract infection and/or acute gastroenteritis attending the outpatient departments was included in the study. Data were recorded and analysis was done.

Statistical analysis used: Epi Info was used for statistical analysis.

Results: A total of 513 prescriptions of pneumonia and 417 of diarrhea were observed under the study. Among pneumonia, signs were mentioned on 15.6%, 74% as cold and cough with 95.5% prescriptions with antimicrobials. Seventy-three percent of diarrhea prescriptions did not mention any signs. Oral rehydration salt and zinc were prescribed in majority of the prescriptions along with around 64% use of antibiotics as well for the treatment of diarrhea.

Conclusion: There is a huge need of improvement in prescribing patterns in areas of complete prescriptions with clinical features, follow-up advice along with rational choice of drugs with dose, and duration.

Keywords: Antibiotics; diarrhea; oral rehydration salt; pneumonia; prescription.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Drugs prescribed for the treatment of pneumonia
Figure 2
Figure 2
Classification of diarrhea as mentioned on the prescription
See this image and copyright information in PMC

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