Incidence & Drug Use in Chronic Suppurative Otitis Media (Csom) In Opd E.N.T at Teritary Care Teaching Hospital

Abstract

Background: The aim of this study was to evaluate the incidence& drug use CSOM in outpatient Department of Otolaryngology in a tertiary care teaching hospital. Methods: Observational study conducted at the M.G.M. medical college and hospital, NaviMumbai.A period of 6 months. Results: A total of around 300 patients prescription were collected over a period of 6 months out of these 112 patients were suffering from CSOM, so data analysed for these patients of CSOM. The number of male and female patients were 48(42.85) and 64(57.14) respectively. The CSOM infections were more common in the age group of 11-40 yr who accounted for 74.10% (112) of the total patients. Total no. of drugs prescribed 276. Mean no. of drugs per prescriptions3.13. Route of drug administration-Oral route 181 (65.57%) Topical route 95(34.42%)were prescribed. Total no. of antibiotics prescribed165(59.78%),most commonly prescribed drug was Paracetamol+Anhydrasecaffine+Phenylehrine+ Chlorpheneramine Maleate 71(25.72%) , Chloramphenicol+ Polymyxin-B sulphate+ Dexmethasone 53(19.20%), Amoxicillin + Clavulanic acid 46 (16.66%) prescribed.Drugs prescribed by brand name were 100%. The average cost per prescription was Rs.137.50. Conclusion: The present study showed that combination of Paracetamol + Anhydrase caffine + Phenylehrine + Chlorpheneramine Maleate, Chloramphenicol+ Polymyxin-B sulphate+ Dexmethasone, amoxicillin +clavulanic acid, were mostly commonly prscribed. Prescriptions by brand name are matters of concern.