Phân tích thực trạng sử dụng thuốc kháng sinh tại Khoa Nội - Bệnh viện Kiến An Hải Phòng năm 2019

Abstract

In hospital, Antibiotics are used to treat bacterial infection. This study shows the antibiotic use and the expense of that at Department of Internal Edicine at Kien An Hospital in Hai Phong in 2019 with retrospectively discriptive study and expense analysis. In 384 case studies, Infection was a common problem which has in whole 12 groups of ICD-10 (International Classificatiom of Diseases). From their clinical record, 98.4% of them included personal details such as name, age, gender, address. The percentage of these reports having patients’ anamnesis, drug history, drug allergy information was 97.1%, 98.5% and 96.4% respectively. Moreover, 82.3% of patient record was filled fully diagnosis without any abbreviation. The study shows that antibiogram was carried out at 84.7% patients in Kien An Hospital and infected patients may get from 0 to 3 other diseases. About the use of antibiotic in the hospital, there were 26 antibiotics prescribed from 0.03% to 40.0%. These antibiotics were classified to 6 groups. Beta-lactam antibiotics made up 66.2% quanitity and 77% in the total cost for antibiotic. The average duration of antibiotic treatment was 7.7 ± 2,8 days. The treatment with one antibiotic acounting for the largest part with 70.1%, and 77.3% of patients were cured in Kien An hospital. While the proportion between the cost of using antibiotic and other kinds of medicine was 0.52. It equaled 0.23 the expense of treatment.