A multicenter point-prevalence study: antimicrobial prescription frequencies in hospitalized patients in Turkey.
Ann Clin Microbiol Antimicrob
; 4: 16, 2005 Oct 03.
Article
em En
| MEDLINE
| ID: mdl-16202139
ABSTRACT
BACKGROUND:
Accurate information about prescribing patterns in hospitals is valuable in improving the quality of antimicrobial prescriptions.METHODS:
Data on the use of antimicrobial agents in eighteen tertiary care hospitals were collected on March 20th 2002.RESULTS:
One or more antimicrobials were ordered in 2900 (30.6%)of 9471 hospitalized patients. The reasons of hospitalization of the patients receiving antimicrobials were medical treatment (42.5%), elective surgery (39.6%), treatment of infectious disease (17.1%) and emergent surgical procedures (10.4%). The highest consumption frequencies were found in surgical (81.6%) and medical (55.2%) intensive care units. The 48.8% of antimicrobials were given for treatment and 44.2% for prophylactic use. The most common reasons for treatment were found as lower respiratory tract, urinary tract, surgical wound infections and febrile neutropenia. Antimicrobials were ordered empirically in 78.4% of patients. The proven infection ratio was found as 30.7%. The 56.4% and 13.4% of orders were evaluated as clinically and microbiologically appropriate respectively.CONCLUSION:
These results suggest that antimicrobial prescription and empirical treatment ratios were high and inappropriate at inpatient groups.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Uso de Medicamentos
/
Anti-Infecciosos
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Ann Clin Microbiol Antimicrob
Ano de publicação:
2005
Tipo de documento:
Article