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Study of Process Compliance for Rationalization of Usage of Restricted Antimicrobials in a Tertiary Care Hospital in India


  • Deepti Choudhari
  • 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 compliance.
  • 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