Abstract: Antimicrobial resistance is a globally major concern. In developing countries like Afghanistan overuse, misuse, low-quality medicine, self-medication, and irrational use of anti-infection agents are common which may cause antimicrobial resistance. To have Information about anti-infectives prescribing patterns in medical clinics is significant in improving the nature of antimicrobial prescriptions. This cross-sectional study was conducted on the use of antimicrobial agents in teaching hospitals of Kabul University of Medical Sciences which is a tertiary care hospital in Kabul, Afghanistan. Data were collected from the medical records department, all in-patients which they admitted during two months from January-February were included. In our study, we found that 519 (85.5%) of 607 patients who were admitted to the hospital received at least one anti-infectives. The average number of anti-infectives per hospitalization was 1.4. Cephalosporins were found to be the majority being 61.3% of the total anti-infectives prescribed, this was followed by Nitroimidazole (15.7%), Fluoroquinolones (9.7%), Penicillins (7.2%), and Aminoglycosides (1.8%). Antimicrobials were ordered empirically in 99% of patients. The percentage of generic prescriptions was 99%. The most antimicrobial prescription was empirically and overuse of ceftriaxone among of anti-infectives medicines is a major concern therefore, educational program regarding antimicrobial resistance is necessary for physicians.
Keywords: Anti-microbial, utilization, Kabul, teaching hospitals.
Title: Anti-microbial utilization in teaching hospitals of Kabul University of Medical Sciences
Author: Ershad Ahmad Mushkani, Fahima Hamidy
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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