1Dept. of Pharmacology, S.S. Instt. of Medical Sciences & Research Centre, Davangere- 577005, Karnataka, Email: rajsurpur@yahoo.in.
2Dept. of Microbiology, S.S. Instt. of Medical Sciences & Research Centre, Davangere- 577005, Karnataka, Email: rajsurpur@yahoo.in.
3Dept. of Anatomy,, S.S. Instt. of Medical Sciences & Research Centre, Davangere- 577005, Karnataka, Email: dranithamr@aol.in.
4Dept. of Forensic Medicine,, S.S. Instt. of Medical Sciences & Research Centre, Davangere- 577005, Karnataka, Email: drvijayanath_v@yahoo.in.
Cases treated in urology unit are mainly infections of Urinary Tract (upper and lower) and cases of Acute Renal Failure and Chronic Renal Failure including complications during hemodialysis. Similarly some of the cases are even being treated in medicine unit. A prospective cross sectional study was conducted for 15 months in Basaveshwar Teaching and General Hospital, Gulbarga. WHO prescribing indicators and patient care indicators were used. Cephalosporins were used maximally (80 to 90% including all the generation of Cephalosporins).Ciprofloxacin, Metronidazole and Ampicillin + Cloxacillin were next choice. NSAID's were commonly used in the Urology unit. In medicine unit Amikacin was used, which was absolutely contraindicated. Diuretics-Fruesemide was used 70% in Urology unit & 100% in medicine unit. Average cost of drugs per day/patient, Urology unit = Rs. 100 to 150/-, Whereas for the same it was Rs.200 to 300 in medicine unit +800 for hemodyalysis in either of the units.
Irrational prescriptions are harmful and may lead to number of problems like, Increased cost of therapy, Therapeutic failure, adverse drug reactions, Dangerous drug interactions and Inappropriate treatment.
Urinary Tract Infection, Cephalosporins, Cost
