Prescribing pattern of antibiotics among paediatric patients admitted in a tertiary care hospital: A prospective study

Authors

  • Rajshekar Shirguppi Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA. https://orcid.org/0009-0008-3304-7338
  • Shankar V. Bhat Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA. https://orcid.org/0009-0004-2368-502X
  • J. Sujan Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA. https://orcid.org/0009-0000-1845-2070
  • Chetan B Savant Associate Professor, Department of Pharmacology, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.
  • T. Chaitanyakumar Assistant Professor, Department of pharmacy practice, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.
  • Preeti V Kulkarni Head and Professor, Department of Pharmacy Practice, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.
  • Vinod Ratageri Head and Professor, Department of Peadiatrics, Karnataka Medical College and Research Institute, Hubballi, Karnataka, INDIA.
  • Janaki R. Torvi Professor, Department of Pharmacology, Karnataka medical college and research institute, Hubballi, Karnataka, INDIA.
  • Venkatrao Kulkarni Principal, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Abstract

BACKGROUND: The inappropriate use of antibiotics in children for viral infections or when the infection is not clearly established is a significant global health issue. This practice contributes to the growing problem of antimicrobial resistance (AMR). Thus, understanding prescribing pattern of antibiotics is essential. OBJECTIVE: To analyse the antibiotic prescribing pattern in paediatric patients of a tertiary care hospital and to analyse consequences associated with the therapy. METHODOLOGY: This study was a six-month prospective observational study carried out in the paediatric department of a tertiary care hospital (Karnataka Medical College & Research Institute, Hubballi). RESULTS: A total of 251 cases were evaluated, with males comprising the majority (65.33%) and the ‘childhood’ age group population accounting for 73.65% of cases. Respiratory disorders represented the most prevalent diagnosis (35.05%). Overall, 541 antibiotic prescriptions were recorded, with ceftriaxone being the most frequently utilized agent (29.75%). the highest sensitivity was observed for imipenem (14.74%) and meropenem (14.34%), whereas cefuroxime (13.94%) and cefazolin (13.54%) demonstrated the highest resistance rates. CONCLUSION: The report finds that pediatric hospital admissions are driven mainly by respiratory infections and that antibiotics more often broad-spectrum agents are frequently started empirically with limited culture confirmation, leading to delays in targeted therapy and contributing to adverse reactions, longer stays, higher costs, and rising antimicrobial resistance.

Keywords: Paediatrics, antibiotics, prescribing pattern, antibiotic resistance, sensitivity and resistance

Keywords:

pediatrics, antibiotic resistance, Antibiotic sensitivity test, antibiotic prescription practice

DOI

https://doi.org/10.22270/jddt.v16i9.7970

Author Biographies

Rajshekar Shirguppi, Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA.

Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA.

Shankar V. Bhat, Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA.

Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA.

J. Sujan , Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA.

Interns, Doctor of Pharmacy, Soniya Education Trust’s College of Pharmacy, Dharwad, Karnataka, INDIA.

Chetan B Savant, Associate Professor, Department of Pharmacology, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Associate Professor, Department of Pharmacology, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

T. Chaitanyakumar, Assistant Professor, Department of pharmacy practice, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Assistant Professor, Department of pharmacy practice, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Preeti V Kulkarni, Head and Professor, Department of Pharmacy Practice, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Head and Professor, Department of Pharmacy Practice, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Vinod Ratageri, Head and Professor, Department of Peadiatrics, Karnataka Medical College and Research Institute, Hubballi, Karnataka, INDIA.

Head and Professor, Department of Peadiatrics, Karnataka Medical College and Research Institute, Hubballi, Karnataka, INDIA.

Janaki R. Torvi, Professor, Department of Pharmacology, Karnataka medical college and research institute, Hubballi, Karnataka, INDIA.

Professor, Department of Pharmacology, Karnataka medical college and research institute, Hubballi, Karnataka, INDIA.

Venkatrao Kulkarni, Principal, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

Principal, Soniya Education Trust’s College of Pharmacy Dharwad, Karnataka, INDIA.

References

1. Strouse PJ, Trout AT, Offiah AC. Editors’ notebook: what is ‘pediatric’? Pediatric radiology. 2022 Nov;52(12):2241-2. https://doi.org/10.1007/s00247-022-05484-7 PMid:36018347 PMCid:PMC9411830

2. Olayinka AT, Jimoh O, Ejembi J, Ige OT, Lamido Z, Ibrahim A, Aganabor V, Olayinka B. Antimicrobial prescription pattern in a tertiary hospital. Sahel Med. J. 2020 Apr 1;23(2):103-8. https://doi.org/10.4103/smj.smj_17_18

3. Baidya S, Hazra A, Datta S, Das AK. A study of antimicrobial use in children admitted to pediatric medicine ward of a tertiary care hospital. Indian J Pharmacol. 2017 Jan 1;49(1):10-5. https://doi.org/10.4103/0253-7613.201034 PMid:28458416 PMCid:PMC5351220

4. Sviestina I, Mozgis D. Antimicrobial usage among hospitalized children in Latvia: A neonatal and pediatric antimicrobial point prevalence survey. Medicina. 2014 Jan 1;50(3):175-81. https://doi.org/10.1016/j.medici.2014.08.005 PMid:25323546

5. van Saene R, Fairclough S, Petros A. Broad-and narrow-spectrum antibiotics: a different approach. Clin Microbiol Infect. 1998 Jan 1;4(1):56-7. https://doi.org/10.1111/j.1469-0691.1998.tb00338.x PMid:11864237

6. Alekaw H, Derebe D, Melese WM, Yismaw MB. Antibiotic prescription pattern, appropriateness, and associated factors in patients admitted to pediatric wards of TibebeGhion Specialized Hospital, Bahir Dar, North West Ethiopia. Infect Drug Resist. 2022 Jan 1:6659-69. https://doi.org/10.2147/IDR.S380897 PMid:36411756 PMCid:PMC9675323

7. Tripathi KD. Essentials of medical pharmacology. JPBMP; 2018 Oct 31.

8. Mathew R, Sayyed H, Behera S, Maleki K, Pawar S. Evaluation of antibiotic prescribing pattern in pediatrics in a tertiary care hospital. Avicenna j. med. 2021 Jan;11(01):15-9. https://doi.org/10.4103/ajm.ajm_73_20 PMid:33520784 PMCid:PMC7839261

9. Mukherjee S, Sen S, Era N, Biswas A, Datta K, Tripathi SK. Antibiotic usage pattern among inpatients of a paediatric ward in a tertiary care hospital in Eastern India. Int J Res Med Sci. 2015 Dec;3(12):3681-6. https://doi.org/10.18203/2320-6012.ijrms20151422

10. Malpani AK, Waggi M, Rajbhandari A, Kumar GA, Nikitha R, Chakravarthy AK. Study on prescribing pattern of antibiotics in a pediatric out-patient department in a tertiary care teaching and non-teaching hospital. IJOPP 2016 Oct;9(4):253. https://doi.org/10.5530/ijopp.9.4.7

11. Chacko CT, Fatima N, Mathias NJ. A PROSPECTIVE OBSERVATIONAL STUDY ON PRESCRIBING PATTERN OF ANTIBIOTIC IN PAEDIATRICS.

12. Shrestha S, Shakya S. Prescribing pattern of antibiotics in pediatric hospital in Nepal. World J PharmRes. 2021 May 26;10(9):901-16.

13. Kumar R, Teli A, Dang VS, Rawat M, Dubey S, Praveen H. Exploring Antibiotic Prescription Practices in Pediatric Population: A Tertiary Care Hospital Perspective. PSARJ. 2024 Apr 8;6(1):1-0.

Published

2026-09-15
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How to Cite

1.
Shirguppi R, Bhat SV, Sujan J, Savant CB, Chaitanyakumar T, Kulkarni PV, et al. Prescribing pattern of antibiotics among paediatric patients admitted in a tertiary care hospital: A prospective study. J. Drug Delivery Ther. [Internet]. 2026 Sep. 15 [cited 2026 Sep. 15];16(9):52-9. Available from: https://jddtonline.info/index.php/jddt/article/view/7970

How to Cite

1.
Shirguppi R, Bhat SV, Sujan J, Savant CB, Chaitanyakumar T, Kulkarni PV, et al. Prescribing pattern of antibiotics among paediatric patients admitted in a tertiary care hospital: A prospective study. J. Drug Delivery Ther. [Internet]. 2026 Sep. 15 [cited 2026 Sep. 15];16(9):52-9. Available from: https://jddtonline.info/index.php/jddt/article/view/7970