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Observational Analysis of Antimicrobial Agent Utilization Pattern in the Community-Acquired Pneumonia at A Tertiary Care Facility

M. Yadav, Mani Bharti, A. Nigam, Yofesh Goyal, S. Nautiyal

Journal of medical sciences and health, 2024

130 participants · 1 citation

Abstract

Introduction: The escalation of community-acquired pneumonia cases amidst the COVID-19 pandemic has engendered a concerning phenomenon characterized by the unwarranted utilization of antimicrobial agents. Aims: To analyze the utilization trends of antimicrobial agents within the cohort of hospitalized individuals diagnosed with community-acquired pneumonia (CAP). Material and methods: A prospective observational study was conducted for 6 months within the Department of Medicine to investigate patients diagnosed with CAP. Detailed records of drug prescriptions were meticulously recorded, with subsequent computation of both the Daily Defined Dose (DDD) and Antibiotics Consumption Index (ACI). A dataset comprising information from 130 patients was meticulously examined and subsequent analysis conducted. Descriptive statistical analyses were undertaken to utilize both Microsoft Excel and SPSS software version 27. Results: The predominant empirical therapy for antibacterial agents was found to be amoxicillin-clavulanic acid, utilized by 73 (56.2%) patients, succeeded by levofloxacin, administered to 33 (25.4%) patients. Following culture and sensitivity testing, the most frequently employed antibacterial agents for definitive therapy included levofloxacin for 33 (25.4%) patients. Notably, the highest Antibiotics Consumption Index (ACI) value recorded was 14.4 for amoxicillin-clavulanic acid in empirical therapy, while in definitive therapy, levofloxacin exhibited an ACI of 14.8.…

How strong is the evidence?

Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 130 participants or records.

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