Utilization pattern and controlling system of antibiotics in tertiary care hospital in Nepal. (Record no. 1770)
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| fixed length control field | 02690nam a22002537a 4500 |
| 003 - CONTROL NUMBER IDENTIFIER | |
| control field | OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20230824130529.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 130806b xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE | |
| Description conventions | NLM |
| 060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER | |
| Classification number | THS-00331 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Alam, Kadir. |
| 9 (RLIN) | 1929 |
| 245 ## - TITLE STATEMENT | |
| Title | Utilization pattern and controlling system of antibiotics in tertiary care hospital in Nepal. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | c2011. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xii, 161p. : |
| 500 ## - GENERAL NOTE | |
| General note | Thesis Report. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | ABSTRACT: Antibiotic policy in many developed countries reported to be successful in reducing the irrational use of antibiotics and antibiotic resistance. The study was aimed to study utilization of antibiotics and understand the controlling system of antibiotics at tertiary care hospitals in Nepal using Donabedian model of quality of medical care. Combinations of quantitative and qualitative methods were used in this study. Utilization pattern of antibiotics revealed that about 44% and 29% of admitted patients received antibiotics in Western Regional Hospital (WRH) and Manipal Teaching Hospital (MTH) with the mean number of antibiotics 2.25±1.14 and 1.84±0.915 respectively. Overall, antibiotic use in WRH (68.45 DDD/100 bed-days) was 3 fold higher than MTH (22.21 DDD/100 bed- days). The mean cost of antibiotics was NRs. 1007.78 ($14) in WRH and NRs. 892.88 ($12.8) in MTH. E. coli showed 100% resistance to Nalidixic acid, Erythromycin, Cotrimoxazole and Cephalexin in WRH. About 40% and 32% of treatment of enteric fever were inappropriate in WRH and MTH respectively. Structure components ( Organizational, Personnel, Policy or guideline and Surveillance) were slightly better in the private hospitals than public hospitals because of existence of semi-functional and scattered policy and guideline. Process components were also relatively better in private hospitals because of good prescribing process and existence of their own hospital pharmacy. The study found the huge communication gap between healthcare professionals on National Surveillance program and lack of awareness on national drug policy. Hence, we strongly recommend the implementation of antibiotic policy recommended by the expert well as national drug policy. We also recommend the proper compilation and dissemination of national surveillance data. <br/><br/> Keywords: Antibiotics Utilization / Controlling System / Antibiotic Policy / Rational Use of Medicine / Nepal |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Antibiotics Utilization. |
| 9 (RLIN) | 2265 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Controlling System. |
| 9 (RLIN) | 2266 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Antibiotic Policy. |
| 9 (RLIN) | 2267 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Rational Use of Medicine. |
| 9 (RLIN) | 2268 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Nepal. |
| 9 (RLIN) | 362 |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a> |
| Link text | Visit NHRC Library |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Source of classification or shelving scheme | National Library of Medicine |
| Koha item type | Thesis Report |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Shelving location | Date acquired | Inventory number | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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| National Library of Medicine | Nepal Health Research Council | Nepal Health Research Council | Reference | 08/06/2013 | 331 | THS00331/ALA/2011 | THS-00331 | 08/06/2013 | 08/06/2013 | Thesis Report |