Özet:

INTRODUCTION: Antibiotic Resistance poses greater threat to the world. Irrational use of antibiotics is one major contributing factor for it. Evaluation of antimicrobial use with help of indicators and World Health Organization (WHO) classification of antibiotics as Access, Watch, and Reserve category. We aimed to evaluate the prescribing pattern of antibiotics using Access, Watch, and Reserve classification by World Health Organization and selected indicators for antimicrobial use in the hospitals. METHODS: 1000 prescriptions were analyzed during the study for antibiotic prescribing patterns. Antibiotic consumption was calculated using defined daily dose methodology. Prescribing pattern was evaluated using World Health Organization classification of antibiotics as Access, Watch, and Reserve category and using selected indicators (Hospital and Prescribing) for antimicrobial use in the hospitals. RESULTS: 1128 antibiotics were prescribed during the study.19-44 age group were prescribed with high number of antibiotics (n=510). Females were prescribed with high number of antibiotics (n=602). Azithromycin was most commonly consumed antibiotic (14.97 DDD/1000/day). Four antibiotics from Access category and five antibiotics from Watch category were prescribed in the study. Watch category of antibiotics were consumed high in number. There were no standard treatment guidelines in the hospital. 98.0% of antibiotics are consistent with the hospital formulary and prescribed in generic names. The average number of antibiotics prescribed was 1.12. The average duration of antimicrobial treatment was 5.24 days. The percentage of patients prescribed with antimicrobials for pneumonia in accordance to treatment guidelines was 13.28%. DISCUSSION AND CONCLUSION: There is irrational use of antibiotics. There is need for maintaining standard treatment guidelines in the hospital because it prevents irrational use of antibiotics.

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