Study of Process Compliance for Rationalization of Usage of Restricted Antimicrobials in a Tertiary Care Hospital in India
Agency : Rationalizaition; Restricted Antimicrobials; Tertiary Care Hospital; Rationalizaition of Usage
Objective : This study was done to monitor judicious use of restricted anti microbial agents in a health care organization and develop ways to
improve policy practice
Background : Antibiotics are life saving drugs. Irresponsible
and erratic use of these life-saving instruments has resulted in the
development of drug resistance in many organisms .
Methodology : Retrospective and
concurrent audit of restricted antibiotics usage and rationalization
forms. Review of RAB usage survey/audit forms. Interaction,
interviews and questionnaire with medical and
paramedical professionals was conducted. Literature review and comparisons with international standards was also done.
Findings : 255 RAm prescribed to 144 patients
during March 2010.
Of the 255 prescriptions documentation of justification for RAm usage is
done for only 55 prescriptions which constitute only 21.5 %. No documentation
of justification for addition of Ram prescriptions was found.
Recommendations : Improvement
in compliance policy needs revision
& amendments and
implementation of restrictive and educative methods with feedback should
be made compulsory. Inclusion of RAm
usage compliance as performance & quality Indicator should also be there.
study was done to monitor judicious use of restricted anti microbial agents in a health care organization