P-08 A restrospective analysis of empiric prescribing patern for Bacterial Vaginosis infections at The University of the West Indies Health Centre.
Author(s):
R Weathers , T Kennedy-Dixon , K Allen-Dougan , M Gossell-Williams
Year of Presentation:
2022
Objective: To identify the frequency with which antibiotics are used to treat Bacterial Vaginosis infections at the University Health Centre during the control period of September 2019 to October 2019.
Design and Methods: This descriptive retrospective study at the University of the West Indies Health Cetre analyzed medical records of patients from September 2019 to October 2019 who were diagnosed with Bacterial Vaginosis. Data extracted included demographics, details of drugs including dose and route of administration, frequency, and duration of treatment. The Centers for Disease Control and Prevention 2015 Treatment Guidelines for Bacterial Vaginosis were used to evaluate the appropriateness of the therapy. The data obtained was subjected to descriptive statistical analysis.
Results: A total of eighty-one encounters were identified, ages ranged from eighteen to sixty years old. Nitroimidazoles were the most commonly used antibiotics (43.6%) followed by Macrolides (30.2%), Fluoroquinolones (7.9%), Cephalosporins (7.1%),Penicillin (4.8%), and Tetracyclines (6.3%), with most patients prescribed one antibiotic (56.8%). The oral route was the most commonly used route of administration and duration of therapy for most patients was one (1) day. For 46.9% of the patients the prescribed antibiotics were appropriate.
Conclusion: There is a high rate of inappropriate antibiotic prescribing for the treatment of Bacterial Vaginosis at the University Health Centre. As such, interventions are needed to improve the empiric prescribing patterns.