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阿拉伯联合酋长国二级护理医院抗生素使用情况的现况调查

Point prevalence survey of antibiotic utilization in secondary care hospital in the United Arab Emirates.

作者信息

Alnajjar Munther S, Jawhar Duaa Salem, Aburuz Salah, Saeed Dima A, Ibrahim Ameerah Hasan

机构信息

Department of Biopharmaceutics & Clinical Pharmacy, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, Jordan.

Pharmacy Department, Saqr Hospital, Emirates Health Services Establishment, Ras Al Khaimah, United Arab Emirates.

出版信息

Pharm Pract (Granada). 2022 Jul-Sep;20(3):2685. doi: 10.18549/PharmPract.2022.3.2685. Epub 2022 Aug 5.

DOI:10.18549/PharmPract.2022.3.2685
PMID:36733515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9851827/
Abstract

OBJECTIVES

The present study was carried out to identify and report the pattern of antibiotics prescribing to determine the adherence to the international empirical and therapeutic guidelines of antibiotic use.

METHODS

A point prevalence survey took place at a selected date of January 26, 2020, in which data collection was performed to all the patients present in the hospital who used at least one systemic antibiotic agent as an inpatient from 00:00 am until midnight of that day. This was performed using European Surveillance of Antimicrobial Consumption (ESAC - audit tool). The participated hospital in this point prevalence study represents a major government hospital in the UAE. Descriptive statistics were used and results were expressed using standard statistical methods.

RESULTS

Out of the 125 hospitalized patients, a total of 41 (32.8%) patients were included in the survey and treated with different trends of antibiotics on the date point prevalence survey. The total number prescribed antibiotics was 54 with a higher percentage of treatment indication (70.4%), compared to prophylaxis indication (29.6%). The combinations of penicillin's win in being the most commonly used agents by a percent of 31.5%, including the use of Amoxicillin-clavulanic acid by 22.2% and Piperacillin-tazobactam with 9.3%. The compliance with local/international guidelines accounts for 78.0% of the treated & prophylaxis patients.

CONCLUSIONS

Considerable results have been obtained which can assure the quality improvement of the antibiotic use in the studied hospital.

摘要

目的

开展本研究以确定并报告抗生素处方模式,从而判定是否符合国际抗生素使用的经验性和治疗性指南。

方法

于2020年1月26日选定日期进行了一项现患率调查,对当日零时起至午夜在医院使用至少一种全身性抗生素的所有住院患者进行数据收集。这是使用欧洲抗菌药物消费监测(ESAC - 审计工具)进行的。参与此项现患率研究的医院是阿联酋一家主要的政府医院。采用描述性统计方法,并使用标准统计方法呈现结果。

结果

在125名住院患者中,共有41名(32.8%)患者纳入调查,在现患率调查当日接受了不同趋势的抗生素治疗。共开具抗生素54剂,治疗指征的比例(70.4%)高于预防指征(29.6%)。青霉素类组合以31.5%的比例成为最常用药物,其中阿莫西林 - 克拉维酸的使用比例为22.2%,哌拉西林 - 他唑巴坦为9.3%。接受治疗和预防的患者中符合当地/国际指南的比例为78.0%。

结论

已取得可观成果,可确保所研究医院抗生素使用质量得到改善。