Critical evaluation of antimicrobial use - A Turkish university hospital example
Introduction: Antimicrobials are being used unnecessarily for different reasons. The aims of this study were: assessment of the quality of antimicrobial use and determination of the factors related to correct use. Method: Antimicrobial practice at Dicle University Hospital (DUH) was evaluated with...
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| Format: | Article |
| Language: | English |
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The Journal of Infection in Developing Countries
2013-11-01
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| Series: | Journal of Infection in Developing Countries |
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| Online Access: | https://jidc.org/index.php/journal/article/view/2921 |
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| author | Salih Hosoglu Zafer Parlak Mehmet Faruk Geyik Yilmaz Palanci |
| author_facet | Salih Hosoglu Zafer Parlak Mehmet Faruk Geyik Yilmaz Palanci |
| author_sort | Salih Hosoglu |
| collection | DOAJ |
| description | Introduction: Antimicrobials are being used unnecessarily for different reasons. The aims of this study were: assessment of the quality of antimicrobial use and determination of the factors related to correct use.
Method: Antimicrobial practice at Dicle University Hospital (DUH) was evaluated with a point prevalence approach. Using a standardized data collection form, the patients’ data (clinic, epidemiology, laboratory and antimicrobial use) was collected. Possible influential factors on antimicrobial use were examined.
Results: In the surveillance study 1,350 inpatients were evaluated; 461 (34.1%) of them were using antimicrobials for treatment and 187 (13.9%) for prophylaxis. Antimicrobial indication was found in 355 of 461 patients (77.0%), and the number of antimicrobials was 1.8 per patient in the treatment group. The most common reason for antimicrobial use was community-acquired infection (57.9%). Pneumonia (20.4%), skin and soft tissue infections (9.11%) and urinary tract infections (7.9%) were the most common infectious diseases. Positive culture results were available for 39 patients (8.5.0%) when antimicrobial treatment started. All steps of antimicrobial use were found appropriate in 243 patients (52.7%).
In multivariate analyses, clinical manifestation of infection at the beginning (p<0.001), presence of leukocyte counting (p<0.001) and prescription by an infectious disease specialist were found significantly positive factors for wholly appropriate antimicrobial use. Hospitalization with a diagnosis other than infection was found a significantly negative factor for appropriate antimicrobial use (p=0.001).
Conclusion: The quality of antimicrobial use could be improved with better clinical and laboratory diagnosis and consultation with infectious diseases specialists
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| format | Article |
| id | doaj-art-9a5a939783754be9a4cc995a48f6e3ce |
| institution | Kabale University |
| issn | 1972-2680 |
| language | English |
| publishDate | 2013-11-01 |
| publisher | The Journal of Infection in Developing Countries |
| record_format | Article |
| series | Journal of Infection in Developing Countries |
| spelling | doaj-art-9a5a939783754be9a4cc995a48f6e3ce2025-08-20T03:52:42ZengThe Journal of Infection in Developing CountriesJournal of Infection in Developing Countries1972-26802013-11-0171110.3855/jidc.2921Critical evaluation of antimicrobial use - A Turkish university hospital exampleSalih Hosoglu0Zafer Parlak1Mehmet Faruk Geyik2Yilmaz Palanci3Dicle University, School of Medicine, Diyarbakir, TurkeyDicle University, School of Medicine, Diyarbakir, TurkeyDüzce University Hospital, Düzce, TurkeyDicle University, School of Medicine, Diyarbakir, TurkeyIntroduction: Antimicrobials are being used unnecessarily for different reasons. The aims of this study were: assessment of the quality of antimicrobial use and determination of the factors related to correct use. Method: Antimicrobial practice at Dicle University Hospital (DUH) was evaluated with a point prevalence approach. Using a standardized data collection form, the patients’ data (clinic, epidemiology, laboratory and antimicrobial use) was collected. Possible influential factors on antimicrobial use were examined. Results: In the surveillance study 1,350 inpatients were evaluated; 461 (34.1%) of them were using antimicrobials for treatment and 187 (13.9%) for prophylaxis. Antimicrobial indication was found in 355 of 461 patients (77.0%), and the number of antimicrobials was 1.8 per patient in the treatment group. The most common reason for antimicrobial use was community-acquired infection (57.9%). Pneumonia (20.4%), skin and soft tissue infections (9.11%) and urinary tract infections (7.9%) were the most common infectious diseases. Positive culture results were available for 39 patients (8.5.0%) when antimicrobial treatment started. All steps of antimicrobial use were found appropriate in 243 patients (52.7%). In multivariate analyses, clinical manifestation of infection at the beginning (p<0.001), presence of leukocyte counting (p<0.001) and prescription by an infectious disease specialist were found significantly positive factors for wholly appropriate antimicrobial use. Hospitalization with a diagnosis other than infection was found a significantly negative factor for appropriate antimicrobial use (p=0.001). Conclusion: The quality of antimicrobial use could be improved with better clinical and laboratory diagnosis and consultation with infectious diseases specialists https://jidc.org/index.php/journal/article/view/2921antimicrobial usequality evaluationrelatedfactors |
| spellingShingle | Salih Hosoglu Zafer Parlak Mehmet Faruk Geyik Yilmaz Palanci Critical evaluation of antimicrobial use - A Turkish university hospital example Journal of Infection in Developing Countries antimicrobial use quality evaluation relatedfactors |
| title | Critical evaluation of antimicrobial use - A Turkish university hospital example |
| title_full | Critical evaluation of antimicrobial use - A Turkish university hospital example |
| title_fullStr | Critical evaluation of antimicrobial use - A Turkish university hospital example |
| title_full_unstemmed | Critical evaluation of antimicrobial use - A Turkish university hospital example |
| title_short | Critical evaluation of antimicrobial use - A Turkish university hospital example |
| title_sort | critical evaluation of antimicrobial use a turkish university hospital example |
| topic | antimicrobial use quality evaluation relatedfactors |
| url | https://jidc.org/index.php/journal/article/view/2921 |
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