Antibiotic consumption pattern in the neonatal special care unit before and after implementation of the hospital's antibiotic policy.
作者： A. Nitsch-Osuch , D. Kurpas , E. Kuchar , K. Życińska , T. Zielonka
DOI: 10.1007/5584_2014_32
关键词: Emergency medicine 、 Ampicillin 、 Antibiotic use 、 Antibiotics 、 Medicine 、 Consumption (economics) 、 Aminoglycoside 、 Antibiotic resistance 、 Special care unit
摘要: Current and detailed knowledge of antibiotic use is essential in order to implement strategies for reducing the overuse antibiotics. The objective our study was determine effectiveness implementation hospital policy (HAP) by assessing consumption Special Neonatal Care Unit (SNCU) Warsaw, Poland, before after this intervention. Antibiotic calculated daily defined doses (DDDs) per 100 patient-days DDDs admissions. antibiotics were ranked volume number antibiotics, which accounted 90 % total volume, respectively: DU90% DU100% (where DU stands drug use). Total increased slightly introduction HAP: DDDS 707.87 753.12 2011 2012, while DDDs/100 admissions 352.17 369.12 respectively. After HAP, an increase ampicillin aminoglycoside observed, along with a reduction rates (15 vs. 9 4 3, respectively). HAP resulted changes patterns, but general density remained same.
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T. Niwa, Y. Shinoda, A. Suzuki, T. Ohmori, M. Yasuda, H. Ohta, A. Fukao, K. Kitaichi, K. Matsuura, T. Sugiyama, N. Murakami, Y. Itoh, Outcome measurement of extensive implementation of antimicrobial stewardship in patients receiving intravenous antibiotics in a Japanese university hospital International Journal of Clinical Practice. ,vol. 66, pp. 999- 1008 ,(2012) , 10.1111/J.1742-1241.2012.02999.X
Cody Arnold, Decreasing antibiotic overuse in neonatal intensive care units: quality improvement research Proceedings (Baylor University. Medical Center). ,vol. 18, pp. 280- 284 ,(2005) , 10.1080/08998280.2005.11928083
Goran Palčevski, Vladimir Ahel, Vera Vlahović-Palčevski, Svetlana Ratchina, Vesna Rosovic-Bazijanac, L. Averchenkova, Antibiotic use profile at paediatric clinics in two transitional countries. Pharmacoepidemiology and Drug Safety. ,vol. 13, pp. 181- 185 ,(2004) , 10.1002/PDS.880
Otto Cars, Sigvard Mölstad, Arne Melander, Variation in antibiotic use in the European Union The Lancet. ,vol. 357, pp. 1851- 1853 ,(2001) , 10.1016/S0140-6736(00)04972-2
R. H. Clark, Reported Medication Use in the Neonatal Intensive Care Unit: Data From a Large National Data Set Pediatrics. ,vol. 117, pp. 1979- 1987 ,(2006) , 10.1542/PEDS.2005-1707
I. C. Gyssens, W. L. Blok, P. J. Broek, Y. A. Hekster, J. W. M. Meer, Implementation of an educational program and an antibiotic order form to optimize quality of antimicrobial drug use in a department of internal medicine European Journal of Clinical Microbiology & Infectious Diseases. ,vol. 16, pp. 904- 912 ,(1997) , 10.1007/BF01700557
Wenshuang Zhang, Xuzhuang Shen, Ulf Bergman, Yi Wang, Yuan Chen, Min Huang, Qiyi Zeng, Jinghai Wei, Quan Lu, Gang Wang, Li Deng, Xiaohong Wang, Kaihu Yao, Sangjie Yu, Yonghong Yang, Drug utilisation 90% (DU90%) profiles of antibiotics in five Chinese children's hospitals (2002–2006) International Journal of Antimicrobial Agents. ,vol. 32, pp. 250- 255 ,(2008) , 10.1016/J.IJANTIMICAG.2008.04.007
U. Bergman, C. Popa, Y. Tomson, B. Wettermark, T. R. Einarson, H. Åberg, F. Sjöqvist, Drug utilization 90% - a simple method for assessing the quality of drug prescribing European Journal of Clinical Pharmacology. ,vol. 54, pp. 113- 118 ,(1998) , 10.1007/S002280050431
Barbara J Stoll, Nellie Hansen, Avroy A Fanaroff, Linda L Wright, Waldemar A Carlo, Richard A Ehrenkranz, James A Lemons, Edward F Donovan, Ann R Stark, Jon E Tyson, William Oh, Charles R Bauer, Sheldon B Korones, Seetha Shankaran, Abbot R Laptook, David K Stevenson, Lu-Ann Papile, W Kenneth Poole, None, Late-Onset Sepsis in Very Low Birth Weight Neonates: The Experience of the NICHD Neonatal Research Network Pediatrics. ,vol. 110, pp. 285- 291 ,(2002) , 10.1542/PEDS.110.2.285
Stanley W. Chapman, Harold M. Henderson, New and emerging pathogens — multiply resistant Mycobacterium tuberculosis Current Opinion in Infectious Diseases. ,vol. 7, pp. 231- 237 ,(1994) , 10.1097/00001432-199404000-00016