P092: Antibiotic usage and appropriateness for a university hospital in Turkey: point prevalence results

Evaluation of Antibiotic Consumption in a University Hospital

“…Bu oranın düşük olmasının, hastaların İHKM uzmanı ve infeksiyon kontrol komitesi tarafından günlük takip ediliyor olmalarıyla ilişkili olduğu düşünülmüştür. Literatürde en sık uygunsuz antibiyotik kullanımı nedenlerinin uzamış profilaksi süresi ve gereksiz profilaksi ve ampirik tedavi uygulanması olduğu sonucuna varılmıştır (7)(8)(9)(11)(12)(13). Bizim çalışmamızda da sonuç-lar benzerdir (Tablo 2).…”

“…Cerrahi profilaksi cerrahi süresi uzamadığı ve masif kan kaybı olmadığı sürece sadece perioperatif dönemi kapsamalıdır (14). Cerrahlar profilaksi konusunda bilgilendirilmeli ve geçerli cerrahi profilaksi rehberlerine bağlı kalmaları konusuda uyarılmalıdır (12).…”

Evaluation of surgical antimicrobial prophylaxis use in Ethiopia: Prospective study

“…Evidences indicated that appropriate use of surgical antimicrobial prophylaxis which can be expressed by appropriate selection, time of first dose administration, dose, dosing interval and duration administration can prevent up to 40 to 60% of SSI (The Medical Letter, 2006;Gray and Hawn, 2009;CDC, 2002;Levy et al, 2000). Despite this evidence, country wide surveys demonstrated that recommendation of surgical antimicrobial prophylaxis use guidelines are not routinely followed (Mangram et al, 1999;Burke, 2001;Gül et al, 2013). Studies also shows that 30 to 50% antimicrobials in hospitals are used for surgical prophylaxis but 30 to 90% of them are used inappropriately (Bratzler and Hunt, 2006;Apisarnthanarak et al, 2006;Cusini et al, 2010).…”

“…Antimicrobial resistance is a serious issue in developing countries, and resources that can be used to prevent the rise of antimicrobial resistance and limit the extent of this problem are in short supply. Although resistance by pathogens has increased, unfortunately no new antimicrobials that can overcome this resistance have been introduced and are not expected to be introduced in the near future (Gül et al, 2013;Apisarnthanarak et al, 2006). One of important methods to increase appropriate use of surgical antimicrobial prophylaxis and to prevent adverse outcome associated with inappropriate is periodic evaluation of appropriateness using local, national or international guidelines and taking corrective measures based on the result (CDC, 2014;Kourosh et al, 2014).…”