Can inappropriate use of antibiotic prolong the length of hospital stay in acute gastroenteritis?

Yıl 2018, Cilt: 15 Sayı: 2, 85 - 91, 14.08.2018

Halil Kazanasmaz Kabil Shermatov

Öz

Background: The aim of this study was to clinically evaluate the patients admitted to our hospital and treated with the diagnosis of AGE (acute gastroenteritis), and to investigate the treatment techniques administered to these patients before admitting to our hospital.

Material and Methods: The clinical records of the patients were retrospectively reviewed.

Results: 352 cases diagnosed with AGE were included in the study. 61.1% of the patients were male and 38.9% were female. The mean age of the patients was 14.8 ± 19.3 months. When the 244 patients with the diagnosis of AGE and without any comorbidity were divided into two groups and examined according to their use of oral antibiotics before admitting to our clinic, the length of hospital stay was significantly shorter in the group not used oral antibiotic than in the group used oral antibiotic (p<0.001). The mean healthcare costs were lower in the group not used oral antibiotic than in the group used oral antibiotic.

Conclusion: In cases with AGE, the mean length of hospital stay is not affected by gender, causative pathogen and presence of dehydration. It has been thought that the inappropriate use of antibiotic in the AGE treatment may increase the healthcare costs by prolonging the mean length of hospital stay.

Anahtar Kelimeler

rotavirus, Antibiotic, gastroenteritis, healthcare costs, rotavirus

Uygunsuz antibiyotik kullanımı akut gastroenteritte hastanede kalış süresini uzatabilir mi?

Öz

Amaç: Bu çalışmanın amacı hastanemize başvuran ve AGE (akut gastroenterit) tanısıyla tedavi edilen hastaları klinik olarak değerlendirmek ve hastanemize başvurmadan önce bu hastalara uygulanan tedavi yöntemlerini araştırmaktır.

Materyal ve Metod: Hastaların klinik kayıtları retrospektif olarak incelendi.

Bulgular: AGE tanısı alan 352 olgu çalışmaya alındı. Hastaların% 61,1'i erkek,% 38,9’u kadındı. Hastaların yaş ortalaması 14,8 ± 19,3 ay idi. AGE tanısı alan ve komorbiditesi bulunmayan 244 hasta kliniğimize başvurmadan önce oral antibiyotik kullanımlarına göre iki gruba ayrılılıp incelendiğinde, ortalama hastanede kalış süresi, oral antibiyotik kullanılmayan grupta oral antibiyotik kullanan gruba göre anlamlı olarak daha kısa bulundu (p <0.001). Oral antibiyotik kullanılmayan grupta ortalama sağlık hizmeti maliyetleri, oral antibiyotik kullanılan gruba göre daha düşüktü.

Sonuç: AGE'li olgularda, ortalama hastanede yatış süresinin uzunluğu cinsiyet, etken patojen ve dehidratasyon varlığından etkilenmemektedir. AGE tedavisinde uygunsuz antibiyotik kullanımının, hastanede kalış süresinin uzamasıyla birlikte sağlık hizmeti maliyetlerini artırabileceği düşünülmüştür.

Anahtar Kelimeler

Antibiyotik, gastroenterit, sağlık hizmeti maliyetleri, Rotavirüs

Kaynakça

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