MONITORING ANTIBIOTIC USAGE AND ADHERENCE TO ANTIBIOTIC POLICY IN A SPINE SUPERSPECIALITY INSTITUTE-GOVERNMENT ORGANIZATION IN WESTERN INDIA

S. SONI¹*, S. KAPADIA², M. PANDYA³, D. PATHAK⁴, D. JOSHI⁵, J. KAPADIA⁶, K. HONEST⁷, S. CHRISTIAN^8
1Department of Microbiology, B.J. Medical College, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
²Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
³Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁴Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁵Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁶Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁷Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
⁸Department of Infection Control, Government Spine Institute, Civil Hospital, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
* Corresponding Author : drsumeetasoni@gmail.com

Received : 06-10-2019     Accepted : 26-10-2019     Published : 30-11-2019
Volume : 11     Issue : 11       Pages : 1733 - 1735
Int J Microbiol Res 11.11 (2019):1733-1735

Keywords : Antimicrobial Usage- AMU, Antimicrobial Resistance-AMR, Defined Daily Dosage-DDD, Prescribed Daily Dosage-PDD, Antibiotic Policy, Antimicrobial Stewardship
Academic Editor : Dr M.G. Rathod, Abdel Raheem M.A., Poonam Sharma, Yadav Ritu, Ibeh Nnanna Isaiah, Savita Kate
Conflict of Interest : None declared
Acknowledgements/Funding : Authors are thankful to Director, Government Spine Institute Ahmedabad. Authors are also thankful to Department of Microbiology, B.J. Medical College, Ahmedabad, 380016, Gujarat University, Navrangpura, Ahmedabad, 380009, Gujarat, India
Author Contribution : All authors equally contributed

Background: Resistance though a natural phenomenon of microbes, has seen an increase in prevalence and spread over the years largely due to inappropriate use of antibiotics both in health facilities and the community. The present study was conducted to know the usage of antibiotics and the adherence to antibiotic policy in a chronic health care setting. Methods: Antibiotic usage monitoring and the adherence to the antibiotic policy was done by the survey based on the predetermined criteria. All the indoor patients on antibiotics were monitored till the antibiotic was stopped on daily basis. The monthly analysis was done. Results: The major gaps in starting the antibiotic therapy without the culture and sensitivity testing done and hence the awareness to escalate and deescalate was also less. Conclusion: The present study has shown that Antibiotic usage monitoring has direct relationship to the Antimicrobial resistance development. Hence Antimicrobial Stewardship Programme to optimize antimicrobial therapy administered to patients and to reduce the antimicrobial resistance

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