MENU
Anatomy
Anesthesiology
Biochemistry
Biomedical Informatics
Biophysics
Cell Biology
Clinical Cases
Dentistry
Dermatovenerology
Emergency Medicine
Family Medicine
Forensic Medicine
Gynecology and Obstetrics
Histology and Embryology
History of Medicine
Human Genetics
Hygiene
Infectious Diseases
Internal Medicine
Medical Deontology and Philosophy
Medical Psychology
Microbiology and Immunology
Neurology
Occupational Medicine
Oncology
Ophthalmology
Orthopaedics
Otorhinolaryngology
Pathology
Pathophysiology
Pediatrics
Pharmacology and Experimental Toxicology
Physical and Rehabilitation Medicine
Physiology
Psychiatry
Radiology
Social Medicine
Surgery
Toxicology
Research papers
Clinical research paper
Preclinical research paper
Sponsored articles
Archive » 2013 » 1 » | Archive » Medical field » Research papers » Clinical research paper » Archive » Medical field » Fields » Infectious Diseases » Archive » Medical field » Fields » Microbiology and Immunology » Archive » Medical field » Fields » Pharmacology and Experimental Toxicology »

Measurements of the Hospital Antibiotic Usage among Adults

 
Abstract:

This post is also available in: enEnglish slSlovenščina (Slovenian)

BACKGROUNDS. Antibiotics are antibacterial agents that are used for empirical, oriented and prophylactic treatment of various infectious diseases. Although the majority of antibiotics is prescribed outside hospitals, hospitals remain foci of formation of bacterial resistance. Despite numbers of research were made around the world we still do not know what should the optimal usage of antibiotics in hospitals be like.

METHODS. In this retrospective study we included medical documentation of adult patients hospitalized at the Department of Infectious Diseases Ljubljana between 1. 1. and 31. 12. 2009 with the discharge diagnosis involving one of the top five infectious anatomical diagnosis. We calculated the consumption of antibiotics in defined, recommended and prescribed daily doses. We compared calculated results with the results obtained from the regular monitoring of the antibiotic consumption.

RESULTS. Two thousand three hundred and forty-nine adult patients were treated at the Department of Infectious Diseases Ljubljana in 2009. Eighty-three percent of all hospitalizations were due to infectious diseases. Average length of stay was 16.63 days. One hundred and fifty-seven hospitalizated patients were included in the study, 147 recieved antibiotical treatment (93.6 %). Overall consumption of the antibiotics was 316.08 DDD/100 patient-days. It differed from
the consumption estimated with regular monitoring by 18 % (266.7 DDD/100 patient-days). Prescribed antibiotic treatment was in accordance with Slovenian recommendations in 134 patients (83.75 %).

CONCLUSIONS. With our methodology based on discharge diagnosis and length of hospitalization we were able to determine the overall consumption and structure of prescribed antibiotics in adult hospital wards. In all cases, there were large discrepancies between defined and recommended and defined and prescribed daily doses.

Authors:
Senica Ajda, Škedelj Jerica, Čižman Milan

Keywords:
consumption of antibiotics in hospitals, defined daily dose – DDD, recommended daily dose, prescribed daily dose, patient days form

Cite as:
Med Razgl. 2013; 52: 3–14
© 2020 Društvo Medicinski razgledi | Na vrh strani / To top ↑