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Informative Article | Paediatrics | India | Volume 12 Issue 8, August 2023
A Prospective Observational Study of Current Prescription Practice for Respiratory Tract Infections with Evaluation of Signs and Symptoms in Pediatric Patients
Nitin Ladumor | Aesha Kakadiya | Priyanka Kosambi | Vrutika Paneriya | Dr Steffi John | Dr Jignesh Patel
Abstract: Introduction: According to research, children are one of the groups of people who are most vulnerable to infectious diseases. Children and infants make up a big portion of India's population, making them more susceptible to illness. The most common ailment among them is respiratory illness. A significant contributor to morbidity and mortality are RTIs. The two types of respiratory tract infections are upper and lower respiratory tract infections. Background: According to the World Health Organization (WHO), respiratory infections account for 6% of the total global disease burden. Around 6.6 million, under- five aged children years die each year worldwide. Method: The prospective observational study was conducted over a period of 6 months. Result: A total of 150 prescriptions were analysed in the study, in which, 101(67.33%) were male and 49(32.66%) were female. The pediatric populations between the age group 1 month to 4 years were more prone to respiratory tract infections. In this study, the most commonly diagnosed disease was unspecified URTI. A total of 830 drugs were prescribed. Among the 150 prescription 67 prescriptions prescribed antibiotics. And the most prescribed antibiotic was amoxicillin + potassium clavulanate 39(37.14%). Bronchodilators were prescribed in 79 cases out of 150 prescriptions. Levosalbutamol 50 (50.51%) is the most frequently administered bronchodilator. 37 out of 150 cases required the prescription of steroids. In 118 cases out of 150 were antihistamines prescribed. which contains 37 (43.53%) chlorpheniramine malate and phenylephrine HCl. Prescribed supportive medications that frequently include vitamins, saline nasal spray, antacids, and herbal remedies. The 150 patients were evaluated, and the most prevalent symptoms and signs were discovered to be the common cold and cough (97.33%). Conclusion: The present study was conducted to analyses the drug prescribing pattern in thepediatric department of multispecialty hospital using CDC indicators. Males were more prone to respiratory tract infections and the majority of children in this study were in the age group of 1 month to 4 years. Amoxicillin+ clavulanic acid was the most prescribed antibiotic and paracetamol was the most commonly prescribed antipyretics drug. a mostly prescribed bronchodilator is levosalbutamol. highly prescribed steroids were prednisolone. herbal products (dried ivy leaf extract cough syrup) have also been effective. The average number of drugs prescribed was 5.5. Cough and cold, fever, breathlessness, poor oral intake and wheezing sound is the most commonly seen sign and symptoms.
Keywords: respiratory tract infections, Upper respiratory tract infection (URTI) Lower respiratory tract infection (LRTI) Pediatric, Antibiotic prescribed
Edition: Volume 12 Issue 8, August 2023,
Pages: 1189 - 1196