Evidences on Irrational Anti-Microbial Prescribing and Consumption among COVID-19 Positive Patients and Possible Mitigation Strategies: A Descriptive Cross Sectional Study

Authors

  • Monira Parveen Lecturer, Department of Pharmacology, Dhaka Dental College, Dhaka, Bangladesh
  • Md Maruf Ahmed Molla Medical Officer, Department of Virology, National Institute of Laboratory Medicine & Referral Center, Dhaka, Bangladesh
  • Mahmuda Yeasmin Medical Officer, Department of Virology, National Institute of Laboratory Medicine & Referral Center, Dhaka, Bangladesh
  • Tasnim Nafisa Medical Officer, Department of Virology, National Institute of Laboratory Medicine & Referral Center, Dhaka, Bangladesh
  • Arifa Akram Barna Assistant Professor, Department of Virology, National Institute of Laboratory Medicine & Referral Center, Dhaka, Bangladesh
  • Asish Kumar Ghosh Lecturer, Department of Virology, Dhaka Medical College, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/bjid.v7i00.50155

Keywords:

COVID-19; anti-microbial resistance; AMR; Bangladesh

Abstract

Background: Increased antimicrobial consumption has increased the burden on worsening situation of antimicrobial resistance throughout the world.

Objective: The purpose of this study was to assess the practice of irrational antibiotic prescribing and consumption among COVID-19 positive patients of Bangladesh and its possible impact on existing AMR.

Methodology: This was a cross-sectional study conducted among SARS-CoV-2 positive patients from a tertiary COVID-19 PCR testing center in Dhaka between 10th July 2020 and 20th July 2020. A validated questionnaire was used to gather data. Ethical approval was obtained. A total of 100 participants through random sampling was selected.

Results: A total of 100 COVID-19 RT-PCR positive patients were participated in this study: 96% had mild symptoms, fever (81.0%) was the most common presenting symptoms, 45.0% patients did not consult with physicians even after knowing their positive test results and reported self medicating with antibiotics, and 36.0% were treated with multiple antibiotics and antiviral at a time. Azithromycin (46.0%), Ivermectin (22.0%) and doxycycline (21.0%) were the antibiotics most used, which were mainly obtained from local retail pharmacies.

Conclusion: Practice of irrational antibiotic prescribing and self medication is relatively high among COVID-19 positive participants.

Bangladesh Journal of Infectious Diseases, October 2020;7(suppl_2):S3-S7

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Published

2020-11-08

How to Cite

Parveen, M., Molla, M. M. A., Yeasmin, M., Nafisa, T., Barna, A. A., & Ghosh, A. K. (2020). Evidences on Irrational Anti-Microbial Prescribing and Consumption among COVID-19 Positive Patients and Possible Mitigation Strategies: A Descriptive Cross Sectional Study. Bangladesh Journal of Infectious Diseases, 7(00), S3-S7. https://doi.org/10.3329/bjid.v7i00.50155

Issue

Vol 7, Supplementary Issue-2 (2020): Pandemic COVID19

Section

Original Articles

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Copyright on any research article in the Bangladesh Journal of Infectious Diseases is retained by the author(s).

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Articles in the Bangladesh Journal of Infectious Diseases are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)

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