Ternak Gabor, Almasi Istvan, Rakoczi Eva
Disaster-Medicine and Oxyology, Department of Infectiology, School of Medicine, University of Pecs, Pecs, Hungary.
Wien Klin Wochenschr. 2008;120(9-10):299-302. doi: 10.1007/s00508-008-0972-y.
The prudent use of antibiotics is considered a very important issue in hospitals throughout Europe. The project ABS International developed a questionnaire to survey antibiotic-related structures and services in the hospitals of participating countries. This article describes the situation in Hungary.
Questionnaires were sent to all the hospitals in Hungary, which numbered 182 at the time of the survey. A total of 68 hospitals, accounting for 37.4% of all hospitals, returned the answered questionnaires. These 68 hospitals accounted for 52.4% of the hospital beds available in Hungary at the time of the survey. The answers were stratified according to the function and position of the hospitals and analyzed by calculating means, medians and standard deviations of various parameters.
The cumulative maturity figure for Hungary was 3.42+/-0.55. The lowest cumulative figures were found in chronic-care hospitals and the highest in the university hospitals. Significant differences were found in the availability of diagnostic services. The level of control of antibiotic consumption was similar between hospitals. The availability of bedside microbiological tests, such as legionella antigen detection, was rated as poor. Resources dedicated for antibiotic officers were very minor.
Antibiotic stewardship cannot be conducted without appropriate resources (time, financing) provided by hospital management or the authorities. The technical background (microbiology, organizations, etc.) on which to build is already available in Hungarian hospitals.
合理使用抗生素在欧洲各地的医院中被视为一个非常重要的问题。ABS国际项目开发了一份问卷，以调查参与国医院中与抗生素相关的结构和服务。本文描述了匈牙利的情况。
向匈牙利所有医院发送了问卷，调查时匈牙利共有182家医院。共有68家医院（占所有医院的37.4%）返回了已填写的问卷。这68家医院占调查时匈牙利可用医院床位的52.4%。答案根据医院的功能和位置进行分层，并通过计算各种参数的均值、中位数和标准差进行分析。
匈牙利的累积成熟度数字为3.42±0.55。累积数字最低的是慢性病护理医院，最高的是大学医院。在诊断服务的可及性方面发现了显著差异。各医院抗生素消费的控制水平相似。床边微生物检测（如军团菌抗原检测）的可及性被评为较差。用于抗生素管理人员的资源非常少。
如果没有医院管理层或当局提供的适当资源（时间、资金），就无法开展抗生素管理工作。匈牙利医院已经具备开展工作的技术背景（微生物学、组织等）。
