Outpatient antibiotic prescription rate and pattern in the private sector in India: Evidence from medical audit data

The key objective of this research was to generate new evidence on outpatient antibiotic prescription rate and patterns in the private sector in India. We used 12-month period (May 2013 to April 2014) medical audit dataset from IQVIA (formerly IMS Health). We coded the diagnosis provided in the medi...

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Bibliographic Details
Published in:PloS one 2019-11, Vol.14 (11), p.e0224848
Main Authors: Farooqui, Habib Hasan, Mehta, Aashna, Selvaraj, Sakthivel
Format: Article
Language:English
Subjects:
Adolescent
Age
Age Distribution
Anti-Bacterial Agents - therapeutic use
Antibiotics
Antimicrobial agents
Biology and Life Sciences
Child
Child, Preschool
Classification
Common cold
Cough
Diagnosis
Drug Prescriptions
Drug resistance
Family physicians
Health aspects
Health economics
Health facilities
Health problems
Health surveillance
Humans
India
Infant
Infant, Newborn
Infections
Infectious diseases
Lung diseases
Medical Audit
Medical research
Medicine
Medicine and Health Sciences
Organic chemistry
Outpatients
Pediatrics
People and Places
Pharmacy
Population
Prescriptions
Prescriptions (Drugs)
Primary care
Private Sector
Public health
Respiratory tract diseases
Rhinopharyngitis
Studies
Tetracyclines
Trends
Young Adult
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Summary:The key objective of this research was to generate new evidence on outpatient antibiotic prescription rate and patterns in the private sector in India. We used 12-month period (May 2013 to April 2014) medical audit dataset from IQVIA (formerly IMS Health). We coded the diagnosis provided in the medical audit data to International Statistical Classification of Diseases and Related Health Problems (ICD-10) and the prescribed antibiotics for the diagnosis to Anatomic Therapeutic Chemical (ATC) classification of World Health Organization (ATC index-2016). We calculated and reported antibiotic prescription rate per 1,000 persons per year, by age groups, antibiotic class and disease conditions. Our main findings are-approximately 519 million antibiotic prescriptions were dispensed in the private sector, which translates into 412 prescriptions per 1,000 persons per year. Majority of the antibiotic prescriptions were dispensed for acute upper respiratory infections (J06) (20.4%); unspecified acute lower respiratory infection (J22) (12.8%); disorders of urinary system (N39) (6.0%); cough (R05) (4.7%); and acute nasopharyngitis (J00) (4.6%) and highest antibiotic prescription rates were observed in the age group 0-4 years. To conclude our study reports first ever country level estimates of antibiotic prescription by antibiotic classes, age groups, and ICD-10 mapped disease conditions.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0224848