Abstract
PRESCRIPTION PATTERN OF BRONCHOPNEUMONIA IN PAEDIATRICS IN TERITARY CARE HOSPITAL

Dr. Shaheda Siddiqui*, Dr. Sana Amreen, Khatija Saifuddin, Juweriya Tabassum, Syeda Afreen Nikhat and Dr. U. Narayan Reddy

ABSTRACT

Background: Pneumonia is an inflammation of the lung parenchyma caused by virus, bacteria, or fungi, in the alveoli (tiny air sacs) of infective origin and characterized by consolidation. Bronchopneumonia, or lobular pneumonia, is a type of pneumonia that causes inflammation in the bronchi. Aims and Objectives: Calculating the incidence of bronchopneumonia, studying the prescribing patterns of bronchopneumonia in pediatrics including the use of antibiotics according to the pathogens involved in the occurrence of the disease, educating parents about the importance of immunization (or) vaccination, finding the incidence after immunization against pathogen, identifying the predictors for developing bronchopneumonia. Hypothesis testing: Significance between age and gender: Null hypothesis: There is NO significant difference between the age groups of paediatrics population in occurrence of bronchopneumonia Alternative hypothesis: There is significant difference between the age groups of paediatrics population in occurrence of bronchopneumonia. Significance between use of antibiotics: Null hypothesis: There is NO significant difference in usage of antibiotics in treatment of bronchopneumonia. Alternative hypothesis: There is NO significant difference in usage of antibiotics in treatment of bronchopneumonia. METHODS: In-patients of paediatrics department diagnosed with bronchopneumonia. Statistical analysis: Incidence rate, Standard Deviation, Chi square test. Results: The incidence rate of bronchopneumonia-41% Incidence of bronchopneumonia after immunization-44.5% Teatment- Antibiotics, anti pyretics, secrelolytic agents, anti-histamines, bronchodialators, nebulisation and oxygen inhalation. Conclusion: In conclusion, our study reveals the prescription pattern of antibiotics and other drugs for bronchopneumonia along with incidence rate and risk factors. Antibiotics are widely prescribed for the treatment of bronchopneumonia especially monocef (2nd generation cephalosporins) was used habitually. Along with antibiotics, anti pyretics, anti-histamines, mucosecrolytic agents were also used. Resistance of antibiotics was seen in 71 patients. The utilization rates and resistance of antibiotics prescribed in paediatrics are matter of great concern and need to be urgently addressed by use of guidelines, protocols, educational initiatives and antibiotic restriction policies at all levels of health care. Educational programmes should be conducted for the awareness of importance of immunization and risk factors of bronchopneumonia for the patient attendees in paediatrics.

Keywords: Incidence, bronchopneumonia, severity of disease, immunization, prescription pattern, observational study.


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