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Published on: August 30, 2018
A multicenter point-prevalence study: antimicrobial prescription frequencies in hospitalized patients in Turkey
Gaye Usluer1, Ilhan Ozgunes, Hakan Leblebicioglu
1Department of Infectious Diseases, Osmangazi University, Faculty of Medicine, Eskisehir, Turkey. gusluer@ogu.edu.tr
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.
Insights
Hospital antimicrobial prescribing patterns show high rates of empirical use and inappropriate prescriptions, indicating a need for improved antimicrobial stewardship programs to enhance patient care quality.
Area of Science:
- Infectious Diseases
- Hospital Pharmacy
- Antimicrobial Stewardship
Background:
- Accurate data on hospital antimicrobial prescribing is crucial for enhancing prescription quality.
- Understanding prescribing patterns aids in optimizing antimicrobial use.
Purpose of the Study:
- To analyze antimicrobial prescribing patterns in tertiary care hospitals.
- To evaluate the appropriateness of antimicrobial use in hospitalized patients.
Main Methods:
- Data collected from eighteen tertiary care hospitals on March 20th, 2002.
- Analysis of antimicrobial agent usage in 9471 hospitalized patients.
Main Results:
- Antimicrobials were prescribed to 30.6% of patients, with high usage in intensive care units.
- Empirical antimicrobial orders were common (78.4%), with only 30.7% of proven infections.
- Clinical appropriateness was 56.4%, while microbiological appropriateness was only 13.4%.
Conclusions:
- Antimicrobial prescription rates and empirical treatment were high in hospitalized patients.
- A significant proportion of antimicrobial prescriptions were deemed inappropriate.
- Findings highlight the need for improved antimicrobial stewardship and prescribing practices.
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