Survey about the use of clarithromycin in an ENT outpatient department of a tertiary hospital
- PMID:28508178
- DOI: 10.1007/s00405-017-4607-7
Survey about the use of clarithromycin in an ENT outpatient department of a tertiary hospital
Abstract
We undertook this survey about the use of clarithromycin in the Ear, Nose, and Throat (ENT) Outpatient Department of Fudan University Hospital to understand its utilization patterns and rational use. A survey of prescriptions given to outpatients was carried out, and detailed information of the patients, including age, sex, diagnosis, combined medication, and other information, was recorded in Excel spreadsheets. The rationale for each prescription was evaluated retrospectively. Based on our analysis, 82.5% of the clarithromycin prescriptions were for the treatment of rhinosinusitis. It was found that the parameters for the diagnosis of this condition were surprisingly broad and should have been more specific. In addition, the clarithromycin dosage regimen varied in clinical practice. For chronic rhinosinusitis, the duration of treatment was between 8 and 16 days, which was not sufficient. Moreover, clarithromycin was prescribed along with considerable numbers of pharmacotherapeutic anti-allergic drugs. Our survey indicated that improvements in the quality of clarithromycin prescriptions in otolaryngology outpatients should be made. Furthermore, the importance of medical education to patients should be emphasized. In addition, the interaction between clarithromycin and other anti-allergic drugs requires further investigation.
Keywords: Antibiotics; Clarithromycin; Drug interactions; Drug utilization; Otolaryngology outpatients; Prescriptions.
Similar articles
- Drug utilization of clarithromycin for gastrointestinal disease treatment.Zhou Q, Zhu LL, Yan XF, Pan WS, Zeng S.Zhou Q, et al.World J Gastroenterol. 2008 Oct 21;14(39):6065-71. doi: 10.3748/wjg.14.6065.World J Gastroenterol. 2008.PMID:18932287Free PMC article.
- Diagnosis and management of pediatric sinusitis: A survey of primary care, otolaryngology and urgent care providers.Newton L, Kotowski A, Grinker M, Chun R.Newton L, et al.Int J Pediatr Otorhinolaryngol. 2018 May;108:163-167. doi: 10.1016/j.ijporl.2018.02.039. Epub 2018 Feb 27.Int J Pediatr Otorhinolaryngol. 2018.PMID:29605347
- Prescribing pattern of analgesics in orthopedic in-patient department at tertiary care hospital in Guwahati, Assam, Northeast India.Choudhury DK, Bezbaruah BK.Choudhury DK, et al.Indian J Pharmacol. 2016 Jul-Aug;48(4):377-381. doi: 10.4103/0253-7613.186207.Indian J Pharmacol. 2016.PMID:27756947Free PMC article.
- Evaluation of rational nonsteroidal anti-inflammatory drugs and gastro-protective agents use; association rule data mining using outpatient prescription patterns.Pattanaprateep O, McEvoy M, Attia J, Thakkinstian A.Pattanaprateep O, et al.BMC Med Inform Decis Mak. 2017 Jul 4;17(1):96. doi: 10.1186/s12911-017-0496-3.BMC Med Inform Decis Mak. 2017.PMID:28676124Free PMC article.
- Maximal medical therapy for chronic rhinosinusitis: a survey of otolaryngology consultants in the United Kingdom.Sylvester DC, Carr S, Nix P.Sylvester DC, et al.Int Forum Allergy Rhinol. 2013 Feb;3(2):129-32. doi: 10.1002/alr.21084. Epub 2012 Oct 4.Int Forum Allergy Rhinol. 2013.PMID:23038084
References
MeSH terms
Substances
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources
Research Materials
Miscellaneous