Shaik Shafiya Begum

The aim of this study is to find the usage of antimicrobials in hospital section and to study the frequency of morbidity and mortality. The present study was undertaken to screen rational use of antimicrobials in inpatient department (IPD). Prescriptions from medicine, surgery, obstetrics (OBG) were collected over a period of nine months. Prescriptions containing antimicrobial drugs were analyzed for appropriateness in dose, dosage, duration of therapy. In our study we found that, out of 362, 179 were males and 189 were females. In that most commonly Cephalosporinns 142 (39.22%), Quinolones 128 (35.35%), Antiprotozoal 63 (17.40%) followed by Macrolides, Aminoglycosides, Penicillines, and Anthelmentics were prescribed. Our findings indicate an urgent need for the establishment of proper guidelines, dissemination of information to practitioners and supervision of antimicrobial usage in low income countries like India. Irrational and unnecessary drug use can be expensive and harmful leading to resistance. Key words: Antimicrobials, Prescription, Health Care

Tuberculosis is a contagious infection caused by air borne bacteria Mycobacterium tuberculosis. Tuberculosis is a growing health problem in the developing world. India accounts for one-fifth of the global TB incident cases, each year nearly two million people in India develop TB1. This was a retrospective record based survey carried at AH & RC (Adichunchanagiri Hospital & Research Centre) Tertiary care teaching hospital, B.G Nagara. Twelve month data of all TB patients i.e. from Sep-09 to Aug-10 that were diagnosed in the Directly Observed Treatment Short Course Centre was taken, which included 120 diagnosed patients. Out of 120 patients diagnosed, the male to female ratio was 2.5:1, and 29 were from age group of 40 to 49 years. Pulmonary TB cases were more i.e. 85 (75.83%) when compared to extra pulmonary i.e. 35 (29.17%), new smear positive cases were 62 (51.67%) and new smear negative cases were 58 (48.33%). Total 67 (55.83%) patients were categorized in CAT-I, 25 (20.83%) patients in CAT-II and 28 (23.33%) in CAT-III.The Treatment Completion Rate (TCR) and rate of cure was not known since all patients were transferred to their nearest peripheral RNTCP/DOTS Centers, and those centers failed to provide proper feedback. So, for transferred TB cases a better system of follow up should be done in order to know about the TCR and rate of cure. Key Words: RNTCP/DOTS centre, Category, Tuberculosis, TCR (Treatment Completion Rate).