Krcméry V, Antal M, Grunt J
Ustav preventívnej a klinickej medicíny, Bratislava.
Vnitr Lek. 1991 Jun;37(6):585-90.
The authors investigated the administration of monitored antibiotics, i.e. gentamicin, cephalosporins and cotrimoxazol, as well as of other so-called not monitored antibiotics. The investigation was made in the same 10 hospitals in the Slovak Republic three times in the course of 15 years, i.e. in 1978, 1983 and for the last time in 1988. It was revealed that the number of therapeutic administrations of the monitored antibacterial substances in increasing. The excessive gentamicin administration persists in particular on neonatal, premature-infant and surgical departments. The authors evaluate as a positive feature that the structure of administered antibiotics changes, i.e. the amount of gentamicin administration is declining and the cephalosporin administration has a rising trend. The investigated antibiotics were administered for an average period of 10.6 days which is too long, in particular in gentamicin where the period was as long as 9.2 days. The investigated antibiotics were administered most frequently in diseases of the airways and in diseases of the urinary and genital system.
作者们研究了受监测抗生素(即庆大霉素、头孢菌素和复方新诺明)以及其他所谓不受监测抗生素的使用情况。该研究在斯洛伐克共和国的10家相同医院进行,在15年期间进行了三次,即1978年、1983年,最后一次是1988年。结果显示,受监测抗菌物质的治疗性使用次数在增加。庆大霉素的过度使用尤其在新生儿科、早产儿科和外科持续存在。作者们认为所使用抗生素的结构发生变化是一个积极特征,即庆大霉素的使用量在下降,而头孢菌素的使用呈上升趋势。所研究的抗生素平均使用时长为10.6天,这太长了,尤其是庆大霉素,其使用时长长达9.2天。所研究的抗生素在呼吸道疾病以及泌尿生殖系统疾病中使用最为频繁。