Tóm tắt

Background : The study aims to evaluate the use of antibiotics (AB) by surgical patients in 2 central hospitals and 7 provincial hospitals in Vietnam from June to December 2009.Methods: Descriptive, prospective study. Results: Of the total of 2072 patients admitted to the study, 29.9% had used AB before their operation. Over one third (34.7%) of patients were prescribed AB as a prophylaxis (during anesthesia), but only 5.4% stopped taking AB after their operation. About 94.6% of patients were prescribed AB long after their operation, with the mean (SD) period of AB use being 5.8 (2.8) days. Over half (55.8%) of patients were prescribed a combination of more than two kinds of AB, with the most common drug being cephalosporin 3rd generation (45.7%). Only 71.1% of patients who used AB were concordant with antibiogram. Percentage and amount of AB usage Defined Daily Doses (DDD) were high and not different among hospitals, however the length of therapy (evaluated by Days of Therapy (DOT)) at provincial hospitals was higher than at central hospitals. Conclusions: The study has proven that AB use by surgical patients in Vietnamese hospitals was mostly inappropriate. AB were used during hospitalization, even in clean wounds and without sign of infections. It is important that hospital leaders consider applying an antibiotic stewardship program to control AB usage.Key words: Antibiotic use, surgical patients

Từ khoá

Toàn văn

PDF

Trong số này