Survey Antibiotics in the Outpatient Treatment of Upper Respiratory Tract Infections
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Abstract
Aim: (1) Survey on the current situation of antibiotic prescription (2) Assess the safety–reasonability of antibiotic prescription.
Subject and Method: A retrospective descriptive study on 300 outpatient prescriptions at Vo Truong Toan University Hospital in 2023 with the diagnosis of upper respiratory tract infection. Several factors associated with unknown antibiotics were analyzed by the logistic regression model.
Result: Cephalosporin antibiotics account for the highest proportion (42.8%), followed by fluoroquinolones (32.8%). Recorded prescriptions with interactions were 113 prescriptions (37.7%). In the total number of prescriptions (n=113), antibiotic interactions occurred according to: the level of drug interactions to Medscape includes close monitoring (75.8%). Next is the mild level (19.4%) and the severe level is (4.8%). The level of drug interactions according to Drugs.com includes the low level (61.8%). Next is the medium level (37.5%) and the dangerous level (0.7%). The most frequent interaction pairs are ciprofloxacin plus methylprednisolone (64/300 prescriptions), levofloxacin plus methylprednisolone (8/300 prescriptions) and ciprofloxacin plus tramadol (9/300 prescriptions).
Conclusion: The most commonly used antibiotic is cephalosporin, which has many pairs of drug interactions that require close monitoring from treating physicians and clinical pharmacists.
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References
I. DiPiro JT, G.C. Yee, L.M. Posey (2020), Pharmacotherapy: a pathophysiologic approach, McGraw Hill,
II. Hashmi H., NA Sasoli, A. Sadiq, A. Raziq, F. Batool, S. Raza, Q. Iqbal, S. Haider, S. Umer Jan, MA Mengal, AM Tareen, A. Khalid, F. Saleem ( 2021), "Prescribing Patterns for Upper Respiratory Tract Infections: A Prescription-Review of Primary Care Practice in Quetta, Pakistan and the Implications", Front Public Health, 9, 787933.
III. Higashi T., S. Fukuhara (2009), "Antibiotic prescriptions for upper respiratory tract infection in Japan", Intern Med, 48, (16), 1369-75.
IV. Infectious Diseases Society of America (2012), "IDSA clinical practice guideline for acute bacterial rhinosinusitis in children and adults", Clin Infect Dis, 54, (8), e72-e112.
V. Shulman ST., AL. Bisno, H.W. Clegg, MA. Gerber, E.L. Kaplan, G. Lee, J.M. Martin, C. Van Beneden (2012), "Clinical Practice Guideline for the Diagnosis and Management of Group A Streptococcal Pharyngitis: 2012 Updated by the Infectious Diseases Society of America", Clinical Infectious Diseases, 55, (10), e86-e102.