埃塞俄比亚奥罗米亚州北昭和区菲切区医院内科病房抗生素使用评价

Addisu Alemayehu Gube, Rufael Gonfa, T. Tadesse
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引用次数: 12

摘要

背景:抗生素是内科病房最常用的药物之一。由于卫生保健费用的增加,药物处方缺乏统一和抗生素耐药性的紧急情况,抗生素使用的监测和控制日益受到关注,应采取严格的抗生素政策。不当使用抗生素可增加发病率、死亡率、患者费用和细菌抗生素耐药性。目的:了解埃塞俄比亚奥罗米亚地区北昭和区菲切医院内科病房抗生素使用情况。方法:采用基于机构的横断面研究方法,回顾性收集菲切医院内科病房2016年3月10日至5月30日采用简单随机抽样法抽取的200张患者卡片。检验数据的完整性和一致性后,将数据输入SPSS (IBM 20)进行描述性统计。结果:200张患者卡中,男性110张(55%),女性90张(45%)。使用抗生素最多的是经验性治疗163例(81.5%),最少的是预防性治疗5例(2.5%)。在本研究中,内科病房340种处方药物中,抗生素使用率为220种(64.7%)。在这项研究中,65%的人服用了一种以上的抗生素。头孢菌素和头孢曲松分别为32.5%和27.5%。结论:本研究显示,菲切区医院内科病房200例患者共使用340种药物,抗生素占64.7%,最常使用的抗生素组为头孢菌素,最常使用的抗生素组为头孢曲松。大多数内科病房的病人65%接受了一种以上的抗生素。
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Evaluation of Antibiotic Use in Medical Ward of Fitche District Hospital, North Showa Zone, Oromia Region, Ethiopia
Background: Antibiotic are among the most prescribed drug in medical ward. Because of the rise in health care cost lack of uniformity in drug prescribing and the emergency of antibiotic resistance monitoring and control of antibiotic use are growing concern and strict antibiotic policies should be warranted. Inappropriate use of antibiotic can increase morbidity, mortality, patient cost and bacterial antibiotic resistance. Objective: To evaluate antibiotic use practice in medical ward of Fitche hospital, North Showa Zone, Oromia region, Ethiopia. Methodology: Institution based cross sectional study was conducted by collecting data retrospectively from 200 patient cards drawn by Simple random sampling using balloting from Medical ward of Fitche hospital from March 10- May 30, 2016. After checking for completeness and consistency, data was entered in SPSS (IBM 20) and descriptive statistics was carried. Result: Out of the total 200 patient cards, 110 (55%) were of male and 90 (45%) were of female. Most antibiotics were prescribed for empirical treatment 163 (81.5%) and least for prophylactic treatment 5 (2.5%). In this study, of the total 340 drugs prescribed in Medical ward, the prevalence of antibiotics use was 220 (64.7%). In this study, 65% received more than one antibiotic. And the most commonly prescribed groups of antibiotic were Cephalosporin 32.5% and the most commonly prescribed antibiotic was ceftriaxone 27.5%. Conclusion: This study revealed that of the total of 340 drugs prescribed for 200 patients in Medical Ward of Fitche District Hospital, 64.7% were antibiotics and the most commonly prescribed groups of antibiotic were Cephalosporin and the most commonly prescribed antibiotic was ceftriaxone. And majority of patients in Medical ward 65% received more than one antibiotic.
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