Hastanede Antibiyotik Tüketiminin İncelenmesi: Tek Merkezli Nokta Prevalans Çalışması

Öz

Amaç: Bu çalışmanın amacı, hastanede yatan hastalarda antibiyotik tüketimini tek günlük nokta prevalans çalışmasıyla değerlendirmektir. Gereç ve Yöntem: Çalışma, 12 Nisan 2023 tarihinde Yalova Eğitim ve Araştırma Hastanesi›nde (YEAH) gerçekleştirildi. Araştırma günü, tüm servis ve YBÜ’deki hastalar ziyaret edilerek hastaların sosyodemografik verileri ve kullanılan antibiyotiklere ilişkin bilgiler antibiyotik tüketim formuna kaydedildi. Elde edilen kutu bazlı tüketim, Dünya Sağlık Örgütü›nün Günlük Tanımlanmış Doz (GTD) biriminde SPSS programında analiz edildi. Bulgular: Araştırmaya 150 hasta dahil edildi ve 100 hastanın antibiyotik aldığı tespit edildi. Antibiyotik kullanım oranı %66,66 olarak belirlendi. Antibiyotik kullanan hastaların %55’i kadın olup yaş ortalaması 66,36±18,54 (min:19, max:92) yıl idi. Tüketilen toplam antibiyotik miktarı 839,60 GDD/1000 hasta-günü (GHG) idi. Birimlere göre antibiyotik tüketimi değerlendirildiğinde en fazla antibiyotik kullanan hastaların cerrahi servislerde (n:47; 227,4 GHG) olduğu, en fazla antibiyotik tüketiminin ise yoğun bakım üniteleri (YBÜ)’nde (n:29; 399,83 GHG) olduğu görüldü. Hastanede en çok kullanılan ilk üç antibiyotik sırasıyla moksifloksasin, seftriakson ve siprofloksasin oldu. Sonuç: Araştırmada hastaların %66’sının en az bir antibiyotik kullandığı, en çok kullanılan birimlerin YBÜ olduğu, en çok kullanılan antibiyotik gruplarının ise kinolonlar, sefalosporinler ve karbapenemler olduğu belirlendi. Nokta prevalans yöntemiyle antibiyotik tüketimi izlenmeli, geri bildirim sağlanmalı ve hastanede antibiyotik yönetim programları uygulanarak farkındalık artırılmalıdır.

Anahtar Kelimeler

• Antibiyotik
• antibiyotik tüketimi
• nokta prevalans

Evaluation of Antibiotic Consumption in Hospital: Single-Center Point Prevalence Study

Öz

Objective: The purpose of the research is to evaluate antibiotic consumption in hospitalized patients with a single-day point prevalence study. Material and Methods: The study was conducted at Yalova Training and Research Hospital (YTRH) on April 12, 2023. The research day, patients in all clinics and intensive care units were visited, and information about the sociodemographic data of the patients and the antibiotics used was recorded in the antibiotic consumption form. The resulting box-based consumption was analyzed in the SPSS program in the Defined Daily Dose (DDD) unit of the World Health Organization. Results: 150 patients included in the research, and 100 patients received antibiotics. Antibiotic use rate was found to be 66.66%. 55 of the patients receiving antibiotics were female and the mean age was 66.36±18.54 (min:19, max:92) years. The total amount of antibiotics consumed was 839.60 DDD/1000 patient-days (DPD). When antibiotic consumption was evaluated according to units, it was seen that the patients using antibiotics the most were in surgical wards (n: 47; 227.4 DPD), and the highest antibiotic consumption was in intensive care units (ICU) (n: 29; 399.83 DPD). The first three antibiotics most used in the hospital were moxifloxacin, ceftricasone and ciprofloxacin, respectively. Conclusions: The study found that 66% of patients used at least one antibiotic, the most commonly used units were the ICU, and the most commonly used antibiotic groups were quinolones, cephalosporins and carbapenems. Antibiotic consumption should be monitored using the point prevalence method, feedback should be provided and awareness should be raised by implementing antibiotic stewardship programs in the hospital.

Anahtar Kelimeler

• Antibiotic
• Antibiotic consumption
• Point prevalence

Kaynakça

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