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Ramya, A.
- Assessment of Appropriate use of Antibiotics in Paediatric Department of A Tertiary Care Teaching Hospital
Authors
1 Dept. of Pharmacy Practice, School of Pharmaceutical Sciences, Vels University (VISTAS), Velannagar, PV Vaithyalingam Road, Pallavaram, Chennai-600117, Tamil Nadu, IN
Source
Research Journal of Pharmacy and Technology, Vol 10, No 2 (2017), Pagination: 381-384Abstract
Aim and objective: To determine the appropriate antibiotic therapy in paediatrics and evaluate the appropriateness of antibiotic treatment.
Methods: A prospective study of 9 months duration was carried out from Aug 2015-April 2016. A total 200 prescriptions were collected. The data was collected using specially designed data entry form and appropriateness is assessed with the help of IAP and NICE guidelines.
Results: Out of 200 patients, 14 were in the age group <1 year, 80 were in between 1-3 years of age, 74 were in the age group of 3-8 years and above 8-12 years were 32. Among study population the disease LRTI was the most common diagnosis in 0-1 year (Infant), AGE was the most common diagnosis in the age group 1-3 years, LRTI was mostly found in the age group of 3-8 years and 8-12 years. Significant difference was found in the age group of patient and disease encountered [p= 0.0008]. The third generation cephalosporin, Cefixime (32%) was mostly used, followed by Metronidazole (25%) and Amoxicillin (16%). The Gentamicin(3%) was given to the least patients.
Conclusion: The study concludes that over 200 prescriptions, it was found that most of the antibiotic therapy in the drug regimen is appropriate to the above mentioned guidelines, only slight variation in the drug regimen seen. It shows that the antibiotic therapy in pediatric ward is appropriate to the guidelines.
- The Role of Leukotriene Receptor Antagonist as an add on therapy to β2-Agonists in Acute Asthma
Authors
1 School of Pharmaceutical Sciences, Vels University (VISTAS), Pallavaram, Tamil Nadu, IN
2 Department of Surgery, ESIC hospital, Chennai, Tamil Nadu, IN
Source
Research Journal of Pharmacy and Technology, Vol 12, No 4 (2019), Pagination: 1974-1978Abstract
Objective:This study was designed to determine the role of leukotriene receptor antagonist as an add on therapy to β2-agonists in acute asthma. Methods: A prospective study carried out in ESIC hospital in which the total number of 100 patients were enrolled. The study has two arms, the group A treated with salbutamol alone and the group B treated with salbutamol and montelukast. The symptomatic changes and variation in pulmonary function test (PFT), pulse rate (PR), respiratory rate (RR) were compared between both the group. The data were collected, compiled, analysed with statistical tools (SPSS – Microsoft Version 6). Results: In comparison of force expiratory volume % (FEV1 PRED) between the group A and group B, after 24 hours significant change was noticed in group B. The results of forced expiratory volume/forced vital capacity (FEV1/FVC%) shows a significant difference after 24 hours of the treatment with salbutamol in group A and salbutamol plus leukotriene receptor antagonist (Montelukast) from the baseline measurement. Base line asthma score shows p value (p = 0.58). But after 48 hours, significant change was noticed in both groups. p value was significant (p = 0.05). In group B, asthma score was significantly improved with passage of time. Conclusion: The study revealed the effectiveness of leukotriene receptor antagonist in preventing many types of aggravated asthmatic responses. Once-daily treatment with 10 mg of montelukast, as compared with β2-agonists, provided significant protection against severe broncho-constriction. Parameters strongly confirmed the role of leukotriene receptor antagonist when in addition added with β2-agonists.Keywords
Leukotriene Receptor Antagonist, Acute Asthma, β2-Agonists.References
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