Antibiotic prescription and cost patterns in a general intensive care unit

Krivoy, Norberto; El-Ahal, Wissam Abed; Bar-Lavie, Yaron; Haddad, Siham El

doi:10.4321/s1886-36552007000200003

Cited by 38 publications

(37 citation statements)

References 29 publications

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“…There are, however, certain diseases where prolonged treatment is necessary. [21,22] In our study, 78.4% of antibiotics were prescribed for durations of one week and this is a good prescribing habit, but in some dermatologic conditions like acne and Madura foot, antibiotics are regularly prescribed for prolonged periods of time (one month and more/14.4%). These findings are similar to a previous report.…”

Section: Discussionmentioning

confidence: 99%

Prescription Patterns of Antibiotics in Five Dermatologic Outpatient Clinics: A Cross Sectional Study from Yemen

Bahelah¹,

Abdo²

2016

JPPCM

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Section: Discussionmentioning

confidence: 99%

Prescription Patterns of Antibiotics in Five Dermatologic Outpatient Clinics: A Cross Sectional Study from Yemen

Bahelah¹,

Abdo²

2016

JPPCM

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“…The rational use of a drug implies the prescription of a well-documented drug at an optimal dose, together with the correct information, at an affordable price. Krivoy N. et al, (2007), has expressed concern about the continuous, indiscriminate, and the excessive use of antimicrobial agents that promote the emergence of antibioticresistant organisms [9].…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study on the Antimicrobial Usage in the Medicine Department of a Tertiary Care Teaching Hospital

Khan

Singh²,

Sharma³

et al. 2013

JCDR

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Introduction: As we know, some of the species of animals are endangered, as there is an increase in their declining rate and a decrease in their survival rate. The same is true for the antibiotics also, as there is a rise in the antimicrobial resistance and a decline in the development of new antibiotics. Antimicrobial Resistance (AMR) has become a major obstacle in the way of the treatment of infectious diseases worldwide. Therefore, to fight against AMR, antibiotic utilisation studies are being carried out. Therefore, with the same perspective, this prospective study was done to evaluate the current usage of the anti-microbial agents in medicine department of a teaching hospital in northern India.Methods: This was a prospective study which was done for a period of three months from Nov 2012 -Jan 2013. The prescriptions and the patient records are reviewed and analysed. The rationality of the drug usage was also evaluated by analysing the drug prescriptions.Results: Out of the 494 drugs which were prescribed to 180 patients, 291 were antibiotics. The most commonly used AMAs were the β-lactams (penicillins and cephalosporins) -n = 102, followed by the quinolones -n = 93, Nitroimidazoles -n = 43, aminoglycosides -n = 35 and the macrolides -n = 18. The most common indication for the antimicrobial therapy was infection. According to the evaluation, the use of the antimicrobial therapy was found to be rational in 77.77 per cent patients. The average number of antibacterial agents which were prescribed per patient per course was found to be 1.61 and the average numbers of drugs which were prescribed per patient were 2.74. The average cost per prescription per day was Rs.115 and the average antibiotic cost per encounter was Rs. 85. Conclusion:Antibiotic resistance is increasing at an alarming rate due to the irrational prescribing habits of physicians, leading to increasing morbidity, mortality and treatment costs. Therefore, the medical professionals as well as government personnel who are related to the health sector, need to understand that antibiotics are precious and finite resources. The remedy of this situation requires that regular educational awareness programmes should be conducted in hospitals at a regular basis.

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“…Studies show that over 70% of ICU patients receive antibiotics. Despite the important role of antibiotics in treating the infections, they are involved in the antibiotic resistances due to empirical usage of antibiotics in mentioned hospital wards (Kolle, 2001;Krivoy et al, 2002;Roder et al, 1993;Rice, 2003).…”

Section: Ajidmentioning

confidence: 99%

Antibiotic Usage in Intensive Care Units of Tabriz Imam Reza Hospital, 2011

Taghizadeh¹

2013

American Journal of Infectious Diseases

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Drug therapy is one of the most important factors in providing community health. In a proper selection of an antibiotic for curing an infection, the kind of infective agent and its sensitivity to the utilized drugs must be regarded. The patients whom are admitted in ICUs are 5 to 7 folds more vulnerable to infection. The studies has been done in past decades have shown various amounts of inappropriate antibiotic use. The files of 234 patients whom were admitted during 6 months in ICUs (Surgery, Neurosurgery, Neurology and Pulmonary diseases) of Imam Reza Hospital of Tabriz County studied for manner of antibiotic therapy, antibiotic changes during therapy, number of prescribed antibiotics 64% of patients were male and 36% were female. Average age of patients was 43.9±23.9 years. The most admission of patients was in Surgery ICU (69.2%). The most prescribed antibiotic was Cephalosporin family and ceftriaxone was the most utilized antibiotic. In 59.7% of patients, the antibiotics were prescribed empirically and in 35% of cases antibiotics changed during treatment. 28.1% of cases treated with monotherapy while others treated with combination therapy. In 61% of cases, the prescribed antibiotics were inappropriate with final diagnosis of patients. The majority of antibiotics were prescribed according to physician's clinical experiment and combination therapy is used much more than monotherapy.

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Antibiotic prescription and cost patterns in a general intensive care unit

Cited by 38 publications

References 29 publications

Prescription Patterns of Antibiotics in Five Dermatologic Outpatient Clinics: A Cross Sectional Study from Yemen

Prescription Patterns of Antibiotics in Five Dermatologic Outpatient Clinics: A Cross Sectional Study from Yemen

A Prospective Study on the Antimicrobial Usage in the Medicine Department of a Tertiary Care Teaching Hospital

Antibiotic Usage in Intensive Care Units of Tabriz Imam Reza Hospital, 2011

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