An audit of drug utilization patterns, rationality, and cost analysis of antimicrobial medicines in a tertiary care teaching hospital in central suburban India

Background: Antimicrobial medicine (AMM) utilization patterns and rational drug use are important topics in, today’s world wrought with AMM resistance, irrational prescription of antibiotics, and lack of proper training such as, stewardship programmes for medical graduates and general practitioners. Our objective was to perform an audit of the, antimicrobial drug utilization pattern, evaluate the rationality of drug use, and perform a cost analysis of these drugs. Methods: An observational cross-sectional study design was implemented. The study location was a tertiary care, teaching hospital in suburban central India. Patients were recruited from the general medicine and general surgery, departments., Results: Out of 189 patients, the average age was 45.714 years and 67.725% were females. A total of 595 AMMs, were prescribed to 189 patients with an average of 3.148±1.578 drugs per patient. 6.5% drugs prescribed were, generic, 95% prescribed were included in the national essential medicine list, and 90% of patients prescriptions were, rational. The total expenditure on AMMs was ?726043.610, with a median expenditure of ?987.320., Conclusions: Drug utilization patterns vary between medicine and surgery departments. They also vary between, different institutions within the same country. Creating a structured standardized training program to uniformly train, healthcare professionals in conservative antibiotic prescription practices is needed. This study hopefully paves the, way for future studies to target critical areas in AMM prescription and to prospectively assess the impact of a, structured antibiotic stewardship program on AMM utilization patterns

First record of the bat Mimon crenulatum (E. Geoffroy, 1801) (Mammalia: Chiroptera) in the state of Rio de Janeiro, Southeastern Brazil

O presente estudo relata uma extensão da distribuição geográfica do morcego filostomídeo Mimon crenulatum. Este é o primeiro registro desta espécie para o Estado do Rio de Janeiro, Sudeste do Brasil. Os morcegos foram capturados em duas unidades de conservação de Mata Atlântica de baixada. Dados sobre ecologia e morfometria são apresentados, e comparados a dados registrados para outras localidades. A ocorrência desta espécie de morcego na região, apesar de nova, é consistente com informações sobre sua história natural presentes na literatura.

First record of the bat Mimon crenulatum (E. Geoffroy, 1801) (Mammalia: Chiroptera) in the state of Rio de Janeiro, Southeastern Brazil

The present study reports an extension of the geographic range of the phyllostomid bat Mimon crenulatum. This is the first record of this species in the state of Rio de Janeiro, Southeastern Brazil. Bats were captured in two conservation units of the Atlantic Forest. Data on the ecology and morphometry of the individuals are presented and compared with data recorded for other localities. The occurrence of this bat species in the region, though new, is consistent with information on its natural history found in the literature.

O presente estudo relata uma extensão da distribuição geográfica do morcego filostomídeo Mimon crenulatum. Este é o primeiro registro desta espécie para o Estado do Rio de Janeiro, Sudeste do Brasil. Os morcegos foram capturados em duas unidades de conservação de Mata Atlântica de baixada. Dados sobre ecologia e morfometria são apresentados, e comparados a dados registrados para outras localidades. A ocorrência desta espécie de morcego na região, apesar de nova, é consistente com informações sobre sua história natural presentes na literatura.