{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T23:51:20Z","timestamp":1762300280976,"version":"build-2065373602"},"reference-count":40,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,1,28]],"date-time":"2023-01-28T00:00:00Z","timestamp":1674864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001411","name":"Indian Council of Medical Research, New Delhi","doi-asserted-by":"publisher","award":["65\/11\/2018\/BMS\/RUD\/NICED"],"award-info":[{"award-number":["65\/11\/2018\/BMS\/RUD\/NICED"]}],"id":[{"id":"10.13039\/501100001411","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Background: Drug utilisation studies are relevant for the analysis of prescription rationality and are pertinent in today\u2019s context of the increasing burden of antimicrobial resistance. Prescriptions for patients with diarrhoea or Acute Respiratory Infection (ARI) have been analysed in this study to understand the prescription pattern among various categories of prescribers in two tertiary care centers. Methods: This cross-sectional study was conducted from August 2019 to December 2020 in the medicine and pediatrics outpatient departments of two government teaching hospitals in West Bengal, India. A total of 630 prescriptions were evaluated against WHO standards. Prescriptions were assessed by a \u2018Rational Use of Medicine Consensus committee\u2019 approach. Results: The Fixed Dose Combination (FDC) was used in half of the patients (51%). Both the generic prescription (23.3%) and adherence to hospital formulary rates (36.5%) were low. The antibiotics prescription rate was high (57%), and it was higher for diarrhoea than ARI. Deviations from the standard treatment guidelines were found in 98.9% of prescriptions. Deviations were commonly found with prescriptions written by the junior doctors (99.6%). Conclusion: Irrational prescribing patterns prevail in tertiary care centers and indicate the necessity of awareness generation and capacity building among prescribers regarding AMR and its unseen consequences.<\/jats:p>","DOI":"10.3390\/tropicalmed8020088","type":"journal-article","created":{"date-parts":[[2023,1,30]],"date-time":"2023-01-30T11:19:53Z","timestamp":1675077593000},"page":"88","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Rationality of Prescriptions by Rational Use of Medicine Consensus Approach in Common Respiratory and Gastrointestinal Infections: An Outpatient Department Based Cross-Sectional Study from India"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3439-7475","authenticated-orcid":false,"given":"Debjit","family":"Chakraborty","sequence":"first","affiliation":[{"name":"ICMR\u2014National Institute of Cholera and Enteric Disease, Kolkata 700010, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1325-3501","authenticated-orcid":false,"given":"Falguni","family":"Debnath","sequence":"additional","affiliation":[{"name":"ICMR\u2014National Institute of Cholera and Enteric Disease, Kolkata 700010, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman","family":"Kanungo","sequence":"additional","affiliation":[{"name":"ICMR\u2014National Institute of Cholera and Enteric Disease, Kolkata 700010, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandip","family":"Mukhopadhyay","sequence":"additional","affiliation":[{"name":"ICMR\u2014National Institute of Cholera and Enteric Disease, Kolkata 700010, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nabanita","family":"Chakraborty","sequence":"additional","affiliation":[{"name":"ICMR\u2014National Institute of Cholera and Enteric Disease, Kolkata 700010, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rivu","family":"Basu","sequence":"additional","affiliation":[{"name":"R. G Kar Medical College & Hospital, Kolkata 700004, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Palash","family":"Das","sequence":"additional","affiliation":[{"name":"College of Medicine and Sagar Dutta Hospital, Kolkata 700058, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalpana","family":"Datta","sequence":"additional","affiliation":[{"name":"Medical College & Hospital, Kolkata 700073, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suman","family":"Ganguly","sequence":"additional","affiliation":[{"name":"West Bengal State AIDS Prevention & Control Society, Kolkata 700091, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prithwijit","family":"Banerjee","sequence":"additional","affiliation":[{"name":"College of Medicine and Sagar Dutta Hospital, Kolkata 700058, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nilima","family":"Kshirsagar","sequence":"additional","affiliation":[{"name":"Indian Council of Medical Research, New Delhi 110029, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shanta","family":"Dutta","sequence":"additional","affiliation":[{"name":"ICMR\u2014National Institute of Cholera and Enteric Disease, Kolkata 700010, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,28]]},"reference":[{"key":"ref_1","unstructured":"(2022, July 11). 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