Avtor/Urednik     Čižman, Milan
Naslov     Kaj vemo o rabi antibiotikov v slovenskih bolnišnicah
Prevedeni naslov     What we know about antibiotic consumtion in Slovene hospitals
Tip     članek
Vir     Med Razgl
Vol. in št.     Letnik 45, št. Suppl 2
Leto izdaje     2006
Obseg     str. 11-5
Jezik     slo
Abstrakt     Objective: Antimicrobials are among the most commonly prescribed drugs in hospitals and are received by 30 to 67% of inpatients. The aim of the article is to present data on antibiotic consumption at the Slovene National Hospital and world-wide in 2004. Methods: Data on hospital care were collected using the Anatomic Therapeutic Classification (ATC)/Defined Daily Doses (DDD) classification (WHO version 2005) and the results were expressed in DDD per 1000 inhabitants per day (DID) or in DDD per 100/bed-days. Results: In 2004, the total consumption of antibacterials for systemic use was 1.68 DID or 48.5 DDD/100 bed-days. Consumption varied significantly among different types of hospitals, as well as among similar hospitals. Antibiotic consumption was the highest in surgical intensive care units and the lowest in pediatric wards. Conclusions: The collected data provide the basis for interventions to improve antibiotic prescriptions, evaluate the correlation between antibiotic consumption and resistance, assess the quality indicators for antibiotic consumption, and improve prescribing of antibiotics.
Izvleček     Namen: Protimikrobna zdravila so med najpogosteje predpisovanimi zdravili v bolnišnicah. Prejema jih 30-67% bolnikov. Namen prispevka je prikazati porabo protibakterijskih učinkovin v Sloveniji na nivoju države, bolnišnic in posameznih oddelkov v letu 2004. Metode: Za izračun porabe smo uporabljali anatomsko terapevtsko kemično (ATC) klasifikacijo in porabo izrazili v definiranih dnevnih dozah (DDD) na 100 bolnišnično oskrbnih dni (BOD) ali 1000 prebivalcev na dan. Pri izračunu smo uporabljali SZO, verzijo 2005. Rezultati: Celokupna poraba protibakterijskih učinkovin v letu 2004 je bila 1,68 DDD/1000 prebivalcev na dan oz. 48,50 DDD/100 BOD. Poraba se je močno razlikovala glede na vrsto bolnišnic, razlika pa je bila očitna tudi med bolnišnicami iste vrste. Najvišja je bila v kirurških intenzivnih enotah in najnižja na pediatričnih oddelkih. Zaključek: Podatki so osnova za ukrepe za izboljšanje predpisovanja antibiotikov in za raziskave povezave med porabo antibiotikov in odpornostjo bakterij. Podatki omogočajo tudi oceno kakovosti predpisovanja in prispevajo k izboljšanju predpisovanja antibiotikov.
Deskriptorji     ANTIBIOTICS
DRUG UTILIZATION
HOSPITALS
SLOVENIA