Antibiotic utilization at the university hospital after introducing an antibiotic policy (CROSBI ID 119543)
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Vlahović-Palčevski, Vera ; Morović, Miro ; Palčevski, Goran
engleski
Antibiotic utilization at the university hospital after introducing an antibiotic policy
Objective. Antibiotic formulary restrictions are among the most popular methods to control antibiotic utilization in hospitals. The aim of the present survey was to investigate the influence of “ reserve antibiotic” on antimicrobial utilization at the University Hospital Center (UHC) Rijeka. Methods. At the UHC Rijeka “ reserve antibiotic” was implemented in July 1997. The antimicrobial drug consumption was monitored 6 months prior and 6 months after the introduction of the method. Antimicrobial consumption was measured in defined daily doses (DDDs) according the major clinics. Results. “ Reserve antibiotic” has led to a decrease in total antibiotic consumption at the UHC Rijeka (45, 9 DDDs/100 bed days vs. 32, 9 DDDs/100 bed days). Antibiotic utilization decreased in the second semester at most clinics: at the Clinic for Infectious diseases 41%, at the Anesthesiology and Intensive Care Unit 30%, at the Clinic for Internal medicine 18%, and at the Surgical Clinic 12%. At the Clinic for Gynecology and Obstetrics the antibiotic utilization remained the same while at the Pediatric Clinic an increase of 28% in antibiotic utilization was noted. Conclusion. Our study indicates that restriction of usage of some antibacterials is a successful method to decrease antibiotic consumption and a way to bring cost savings and helps prevent emergence of resistance in hospitals. Also, to improve antimicrobials prescribing additional methods such as education are required.
Antibiotics; Antimicrobial utilization; Reserve antibiotic
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