Đặc điểm sử dụng kháng sinh tại Bệnh viện Thống Nhất

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Tác giả: Đức Thái Hoàng, Trọng Dũng Lê, Công Luận Trần, Nhựt Minh Trịnh

Ngôn ngữ: Vie

Ký hiệu phân loại: 615 Pharmacology and therapeutics

Thông tin xuất bản: Y học cộng đồng 2022

Mô tả vật lý: 30-37

Bộ sưu tập: Metadata

ID: 393402

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Tóm tắt
Chủ đề

Khảo sát đặc điểm sử dụng kháng sinh tại Bệnh viện Thống Nhất.Đối tượng và phương pháp:Nghiên cứu mô tả hồi cứu trên 158 bệnh án bệnh nhân ra viện từ ngày 20/02/2020 đến 24/02/2020 (5 ngày) lưu tại kho lưu trữ bệnh án, phòng kế hoạch tống hợp, Bệnh viện Thống Nhất.Kết quả:Trong giai đoạn 2019-2020, Các kháng sinh nhóm Penicilin kết hợp ức chế beta lactamase (90,36% năm 2019 và 75,29% năm 2020) và nhóm C3G + C4G (86,10% năm 2019 và 111,35% năm 2020) được sử dụng phổ biến nhất tại bệnh viện. Các loại kháng sinh được sử dụng trên các bệnh nhân gồm 5 nhóm, trong đó, nhóm kháng sinh cephalosporin chiếm tỷ lệ cao nhất 42,52%
kháng sinh Cefotaxim được dùng nhiều nhất với 13,39 %. Nhóm quinolon chiếm tỷ lệ thấp nhất (10,50%). Đa phần phác đồ điều trị là phác đồ phối hợp 2 kháng sinh, chiếm tỷ lệ 65,19% và phần lớn các bệnh nhân sử dụng kháng sinh bằng đường uống, chiếm tỷ lệ 48,29%. Thời gian điều trị trung bình là 11,20 ± 4,32 ngày. Về kết quả, điều trị khỏi và đỡ/giảm chiếm tỉ lệ lần lượt là 51,90% và 34,18%. Số bệnh nhân không thay đổi hiệu quả điều trị và nặng hơn chiếm tỉ lệ thấp hơn, lần lượt là 7,59% và 5,06%. Bệnh nhân phải chuyển viện chiếm tỉ lệ thấp 1,27%.Kết luận:Nhóm kháng sinh cephalosporin được sử dụng phổ biến nhất. Đa phần phác đồ điều trị là phác đồ phối hợp 2 kháng sinh và phần lớn các bệnh nhân sử dụng kháng sinh bằng đường uống. Thời gian điều trị trung bình là 11,20 ± 4,32 ngày. Điều trị khỏi và đỡ/giảm chiếm tỉ lệ lần lượt là 51,90% và 34,18%., Tóm tắt tiếng anh, Surveying the situation of antibiotic use at Thong Nhat Hospital. Subjects and methods: retrospective descriptive study on 158 medical records of patients discharged from hospital from February 20th, 2020 to February 24th, 2020 (5 days) was kept at the medical records store, Department of general planning, Thong Nhat hospital. Results: In the period of 2019-2020, Penicillin group antibiotics combining beta lactamase inhibitors (90.36% in 2019 and 75.29% in 2020) and C3G + C4G group (86.10% in 2019 and 111,35% in 2020) was most commonly used in the hospital. The antibiotics used on patients consisted of 5 groups, of which, the cephalosporin antibiotic group accounted for the highest proportion of42.52%
Cefotaxim was used the most with 13.39%. The quinolone group accounted for the lowest percentage (10.50%). Most of the treatment regimen was a combination of 2 antibiotics, accounting for 65.19% and the change the treatment effectiveness and were worse had a lower proportion, 7.59% and 5.06%, respectively. Hospital transferred patients accounted for a low rate of 1.27%. Conclusion: The group of cephalosporin antibiotics was most commonly used. Most of the treatment regimen was a combination of 2 antibiotics and the majority of patients used oral antibiotics. The average duration of treatment was 11.20 ± 4.32 days. Treatment of recovery and relief/reduction accounted for 51.90% and 34.18% respectively.

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