مقایسه مدیریت مصرف وانکومایسین وکارباپنم ها در دو دوره سه ماهه مشابه در مرکز آموزشی درمانی شهید رجایی
کد: G-1016
نویسندگان: Somayeh Ghasemi © ℗, Masoumaeh Babaie, Elham Dori, Masoumeh Ghanbari, Mahbubeh Ghanbari
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Introduction: Trying to rationalize the use of drugs as one of the important issues of drug policies has always been considered.According to the opinion of the World Health Organization,in order to achieve the rational use of drugs,there is a need to use drugs with a suitable therapeutic effect, which can meet the clinical needs of patients with the least complications and costs,while paying attention to the dose and duration of drug use is of great importanc. Method of work: The present study is a cross-sectional descriptive study that was conducted in the first quarter of 2013 at the Shahid Rajaei Educational Medical Center.The findings were based on the information extracted from the HIS system. Findings: In the study carried out according to the instructions of the ministry, during the first 5 days after the start of antibiotics and then every 5 days,consultation should be done and the form should be signed by the attending physician,infectious disease specialist and pharmacist supervisor. In order to ensure the implementation of Stewardship,in the HIS system,autostop is defined and if no consultation is done,it is not possible to register expensive antibiotics in the system.In the ICU 1, 2 and women's internal and ICU departments, the highest amount of antibiotics was used, respectively. are In the comparison of the same quarter of 1402 and 1403, the use of penems increased by 2.6% and vancomycin decreased by 4.45%, the number of hospitalized patients increased by 1.81%, and the death rate decreased by 1.74%. Discussion and conclusion: Microbial resistance causes microbes to not respond to first-line antibiotics that are healthier,more effective,less complicated,and cheaper,and as a result,we are forced to use broad-spectrum antibiotics,which are more expensive and have more side effects. And an infection that is easily treated today will turn into a fatal and incurable disease in the future. In hospital environments, observing personal and public hygiene by patients and companions and strengthening routine disinfection such as proper hand washing by medical personnel in order to prevent the transmission of infection and careful isolation of infectious patients,especially patients with microbial resistance,can prevent the development of Effective microbial resistance
کلمات کلیدی
Key words: management, vancomycin, carbapenems, antibiotics
