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Table 7 DDDs/1000 hospitalization days of the antimicrobials being prescribed at the BVH and their comparison across the selected wards

From: Investigation of antimicrobial use at a tertiary care hospital in Southern Punjab, Pakistan using WHO methodology

Sr. No. Antimicrobial Route WHO DDD CDU ENT Gynecology M 1 M 2 Nephrology Orthopedics S4 Skin Urology Total Mean
1 Amikacin 0.5 g Parenteral 1 g --- --- --- --- --- --- 1.92 --- --- 2.38 4.3 2.15 g
2 Ampicillin 0.5 g Parenteral 2 g --- 10.51 --- --- --- --- --- --- --- --- 10.51 10.51 g
3 Amoxiclav 0.625 g Oral 1 g 2.48 2.60 --- 0.85 2.40 22.20 --- 8.13 81.28 --- 119.94 17.13 g
4 Amoxiclav 1.2 g Parenteral 3 g 0.5 3.63 --- 6.52 3.39 89.8 --- 9.82 209.0 --- 322.66 46.09 g
5 Cefoperazone + Sulbactam 1 g Parenteral 4 g --- --- --- --- --- --- 3.33 --- --- 16.13 19.46 9.73 g
6 Cefotaxime 0.25 g Parenteral 4 g 0.28 2.62 1.62 --- --- 1.74 --- 0.03 --- 0.32 6.61 1.1 g
7 Cefotaxime 1 g Parenteral 4 g 1.93 17.42 16.61 --- --- 20.6 --- 0.32 --- 2.68 59.56 9.92 g
8 Ceftriaxone 0.25 g Parenteral 2 g 3.11 0.23 --- 1.64 0.99 --- 3.10 3.18 2.68 1.27 16.2 2.02 g
9 Ceftriaxone 1 g Parenteral 2 g 18.4 7.38 --- 9.78 11.84 --- 14.61 28.27 37.24 5.82 133.34 16.7 g
10 Ciprofloxacin 0.4 g Parenteral 0.5 g 9.37 14.54 --- 3.2 2.36 45.95 3.89 1.63 56.56 30.19 167.69 18.6 g
11 Ciprofloxacin 0.5 g Oral 1 g 1.67 3.40 --- 0.73 0.57 18.14 1.02 0.37 22.72 12.78 61.4 6.82 g
12 Clarithromycin 0.25 g Oral 0.5 g 3.55 --- --- --- 0.16 --- --- --- --- --- 3.71 1.85 g
13 Clarithromycin 0.5 g Oral 0.5 g 2.30 --- --- 0.02 --- --- --- --- --- --- 2.32 1.16 g
14 Clarithromycin 0.5 g Parenteral 1 g 2.92 --- --- 0.13 0.04 --- --- --- --- --- 3.09 1.03 g
15 Gentamicin 0.12 g Parenteral 0.24 g --- 2.74 --- --- --- --- --- 1.67 --- --- 4.41 2.2 g
16 Metronidazole 0.4 g Oral 2 g 1.21 1.13 4.43 0.5 0.47 2.56 0.20 2.49 4.29 0.1 17.38 1.73 g
17 Metronidazole 1 g Parenteral 1.5 g 2.65 6.56 44.74 4.7 2.95 13.60 1.87 14.13 15.15 1.05 107.4 10.74 g
18 Moxifloxacin0.4 g Parenteral 0.4 g 2.30 --- --- 0.82 0.24 33.25 --- --- --- 1.05 37.66 7.53 g
19 Moxifloxacin 0.4 g Oral 0.4 g 1.88 --- --- 0.54 --- 18.14 --- --- --- 0.53 21.09 5.28 g
20 Vancomycin 0.5 g Parenteral 2 g --- --- --- 1.05 1.35 7.93 --- --- --- --- 10.33 3.5 g
  1. WHO World Health Organization, DDD Defined daily dose, CDU Chest Disease Unit, ENT Ear Nose Throat, M1 Medical 1, M2 Medical 2, S4 Surgical 4