Outpatient antibiotic prescription rate and pattern in the private sector in India: Evidence from medical audit data

Autor: Sakthivel Selvaraj, Habib Hasan Farooqui, Aashna Mehta
Jazyk: angličtina
Rok vydání: 2019
Předmět:
0301 basic medicine
Pulmonology
Antibiotics
Disease
Global Health
Pediatrics
Geographical Locations
0302 clinical medicine
Outpatients
Medicine and Health Sciences
Global health
Public and Occupational Health
030212 general & internal medicine
Young adult
Child
Medical Audit
Multidisciplinary
Antimicrobials
Drugs
Anti-Bacterial Agents
Child
Preschool
Medicine
Private Sector
Research Article
medicine.medical_specialty
Asia
Patients
Adolescent
medicine.drug_class
Science
030106 microbiology
India
Microbiology
Drug Prescriptions
Young Adult
03 medical and health sciences
Age Distribution
Antibiotic resistance
Microbial Control
medicine
Humans
International Statistical Classification of Diseases and Related Health Problems
Medical prescription
Pharmacology
business.industry
Infant
Newborn
Biology and Life Sciences
Infant
Private sector
Health Care
Age Groups
Antibiotic Resistance
People and Places
Respiratory Infections
Emergency medicine
Population Groupings
Antimicrobial Resistance
business
Zdroj: PLoS ONE, Vol 14, Iss 11, p e0224848 (2019)
PLoS ONE
ISSN: 1932-6203
Popis: The key objective of this research was to generate new evidence on outpatient antibiotic prescription rate and patterns in the private sector in India. We used 12-month period (May 2013 to April 2014) medical audit dataset from IQVIA (formerly IMS Health). We coded the diagnosis provided in the medical audit data to International Statistical Classification of Diseases and Related Health Problems (ICD-10) and the prescribed antibiotics for the diagnosis to Anatomic Therapeutic Chemical (ATC) classification of World Health Organization (ATC index-2016). We calculated and reported antibiotic prescription rate per 1,000 persons per year, by age groups, antibiotic class and disease conditions. Our main findings are-approximately 519 million antibiotic prescriptions were dispensed in the private sector, which translates into 412 prescriptions per 1,000 persons per year. Majority of the antibiotic prescriptions were dispensed for acute upper respiratory infections (J06) (20.4%); unspecified acute lower respiratory infection (J22) (12.8%); disorders of urinary system (N39) (6.0%); cough (R05) (4.7%); and acute nasopharyngitis (J00) (4.6%) and highest antibiotic prescription rates were observed in the age group 0-4 years. To conclude our study reports first ever country level estimates of antibiotic prescription by antibiotic classes, age groups, and ICD-10 mapped disease conditions.
Databáze: OpenAIRE
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