Antibiotikum-felhasználás elemzése kórrajzok alapján.

Translated title of the contribution: Analysis of antibiotic use based on case histories

I. Almási, B. Kasza, G. Baranyai, Z. Vesztergombi, G. Ternák

Research output: Contribution to journalArticle

Abstract

Type and dose of antibiotics, length and purpose of therapy was retrospectively collected from case histories of the 2230 patients who were discharged from a district general hospital between January 1 and 31, 1995. The suitability of each antibiotic for its stated purpose was compared with the current therapeutic recommendations, guidelines and literature. 24.6% of patients received antibiotics. 83.9% of the 728 courses was monotherapy, 16.1% was combined therapy. 82.7% of the 852 prescriptions was empiric, 7.5% directed against an identified microorganism and 9.8% was prophylactic. 596 microbiological samples of 272 (49.5%) patients were sent to the laboratory. Infections of lower and upper airways, urinary tracts, wounds and abdominal organs were most frequently diagnosed. Majority of utilized antibiotics were broad spectrum beta lactams. 5.3% of patients suffered from hospital acquired infections. 23.8% of prescriptions were determined as unnecessary. Problems of inappropriate antibacterial spectrum (11.0% of prescriptions), negligence of pharmacokinetics (6.1%), long duration of therapy (7.2%) and underdosing (6.1%) were also frequent. Authors emphasize the importance of the monitoring drug utilisation, the introduction of hospital diagnostic and therapeutic protocols in order to improve the antibiotic usage.

Original languageHungarian
Pages (from-to)1473-1477
Number of pages5
JournalOrvosi Hetilap
Volume137
Issue number27
Publication statusPublished - Jul 7 1996

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Anti-Bacterial Agents
Prescriptions
Drug Utilization
Therapeutics
District Hospitals
Malpractice
beta-Lactams
Cross Infection
Urinary Tract
General Hospitals
Pharmacokinetics
Guidelines
Wounds and Injuries
Infection

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Almási, I., Kasza, B., Baranyai, G., Vesztergombi, Z., & Ternák, G. (1996). Antibiotikum-felhasználás elemzése kórrajzok alapján. Orvosi Hetilap, 137(27), 1473-1477.

Antibiotikum-felhasználás elemzése kórrajzok alapján. / Almási, I.; Kasza, B.; Baranyai, G.; Vesztergombi, Z.; Ternák, G.

In: Orvosi Hetilap, Vol. 137, No. 27, 07.07.1996, p. 1473-1477.

Research output: Contribution to journalArticle

Almási, I, Kasza, B, Baranyai, G, Vesztergombi, Z & Ternák, G 1996, 'Antibiotikum-felhasználás elemzése kórrajzok alapján.', Orvosi Hetilap, vol. 137, no. 27, pp. 1473-1477.
Almási I, Kasza B, Baranyai G, Vesztergombi Z, Ternák G. Antibiotikum-felhasználás elemzése kórrajzok alapján. Orvosi Hetilap. 1996 Jul 7;137(27):1473-1477.
Almási, I. ; Kasza, B. ; Baranyai, G. ; Vesztergombi, Z. ; Ternák, G. / Antibiotikum-felhasználás elemzése kórrajzok alapján. In: Orvosi Hetilap. 1996 ; Vol. 137, No. 27. pp. 1473-1477.
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