Monitoring antibiotic consumption in the surgery and orthopaedics.
Autor(a) principal: | |
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Data de Publicação: | 2006 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905 |
Resumo: | Monitoring antibiotic consumption is a valuable tool which has been increasingly used in the last years due to the current concern with the emergence of resistant microbial strains. The present study aimed at monitoring antibiotic consumption, evaluating the economic impact of hospital antibiotic prescription and assessing the relationship between the prescribed antibiotics and the indications for either prophylactic or therapeutic use. This was a longitudinal pilot-study for which data were collected in six privately managed public hospital units during the month of May 2004, with a resulting sample of 1,122 admitted patients. We observed a prescription incidence rate of 76.9%, corresponding to a total of 1,154 dispensed antimicrobials, with a mean 71.2% of these antimicrobials being dispensed for the prophylaxis of surgical site infection (SSI). The mean cost of antibiotic courses was higher in cases of "suspected infection" (9.09 euro) or "confirmed infection" (8.74 euro) and lower in cases of "prophylaxis" (5.67 euro), a finding which is explained by the shorter mean duration of the later. There was a considerable variation among the different hospital units regarding the type of antibiotic compound that was used for SSI prophylaxis, with a mean duration of antibiotic use of 2.61 days for this indication and about half of the prophylactic regimens lasting longer than 24 hours, a fact that suggests an insufficient observation of the current recommendations for antibiotic use in SSI prophylaxis. This finding indicates the need for an investigation on the actual existence of local recommendations for SSI prophylaxis in individual hospital units and also for the evaluation of the compliance of practicing surgeons with eventually existing recommendations. |
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Monitoring antibiotic consumption in the surgery and orthopaedics.Monitorização do consumo de antibióticos: nos serviços de cirurgia e de ortopedia de seis hospitais SA.Monitoring antibiotic consumption is a valuable tool which has been increasingly used in the last years due to the current concern with the emergence of resistant microbial strains. The present study aimed at monitoring antibiotic consumption, evaluating the economic impact of hospital antibiotic prescription and assessing the relationship between the prescribed antibiotics and the indications for either prophylactic or therapeutic use. This was a longitudinal pilot-study for which data were collected in six privately managed public hospital units during the month of May 2004, with a resulting sample of 1,122 admitted patients. We observed a prescription incidence rate of 76.9%, corresponding to a total of 1,154 dispensed antimicrobials, with a mean 71.2% of these antimicrobials being dispensed for the prophylaxis of surgical site infection (SSI). The mean cost of antibiotic courses was higher in cases of "suspected infection" (9.09 euro) or "confirmed infection" (8.74 euro) and lower in cases of "prophylaxis" (5.67 euro), a finding which is explained by the shorter mean duration of the later. There was a considerable variation among the different hospital units regarding the type of antibiotic compound that was used for SSI prophylaxis, with a mean duration of antibiotic use of 2.61 days for this indication and about half of the prophylactic regimens lasting longer than 24 hours, a fact that suggests an insufficient observation of the current recommendations for antibiotic use in SSI prophylaxis. This finding indicates the need for an investigation on the actual existence of local recommendations for SSI prophylaxis in individual hospital units and also for the evaluation of the compliance of practicing surgeons with eventually existing recommendations.Monitoring antibiotic consumption is a valuable tool which has been increasingly used in the last years due to the current concern with the emergence of resistant microbial strains. The present study aimed at monitoring antibiotic consumption, evaluating the economic impact of hospital antibiotic prescription and assessing the relationship between the prescribed antibiotics and the indications for either prophylactic or therapeutic use. This was a longitudinal pilot-study for which data were collected in six privately managed public hospital units during the month of May 2004, with a resulting sample of 1,122 admitted patients. We observed a prescription incidence rate of 76.9%, corresponding to a total of 1,154 dispensed antimicrobials, with a mean 71.2% of these antimicrobials being dispensed for the prophylaxis of surgical site infection (SSI). The mean cost of antibiotic courses was higher in cases of "suspected infection" (9.09 euro) or "confirmed infection" (8.74 euro) and lower in cases of "prophylaxis" (5.67 euro), a finding which is explained by the shorter mean duration of the later. There was a considerable variation among the different hospital units regarding the type of antibiotic compound that was used for SSI prophylaxis, with a mean duration of antibiotic use of 2.61 days for this indication and about half of the prophylactic regimens lasting longer than 24 hours, a fact that suggests an insufficient observation of the current recommendations for antibiotic use in SSI prophylaxis. This finding indicates the need for an investigation on the actual existence of local recommendations for SSI prophylaxis in individual hospital units and also for the evaluation of the compliance of practicing surgeons with eventually existing recommendations.Ordem dos Médicos2006-04-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905oai:ojs.www.actamedicaportuguesa.com:article/905Acta Médica Portuguesa; Vol. 19 No. 1 (2006): January-February; 55-66Acta Médica Portuguesa; Vol. 19 N.º 1 (2006): Janeiro-Fevereiro; 55-661646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905/578Caldeira, LuísTeixeira, InêsVieira, IsauraBatel Marques, FranciscoSantiago, Luiz MiguelRodrigues, VictorFonseca, AntónioVaranda, JorgeBicó, AnaVasconcelos, CarlosPolónia, JoséBrochado, JorgeFaria, VictorMota, AntónioRamalheira, ElmanoCapão Filipe, MiguelMarques, Margarida S ALopes Martins, MartaCarmo, EduardaMartins, FilomenaContente, HelenaLobo, MarinaGloria, PauloPereira, LuisFaria, Domitiliainfo:eu-repo/semantics/openAccess2022-12-20T10:57:08Zoai:ojs.www.actamedicaportuguesa.com:article/905Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:16:50.730965Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Monitoring antibiotic consumption in the surgery and orthopaedics. Monitorização do consumo de antibióticos: nos serviços de cirurgia e de ortopedia de seis hospitais SA. |
title |
Monitoring antibiotic consumption in the surgery and orthopaedics. |
spellingShingle |
Monitoring antibiotic consumption in the surgery and orthopaedics. Caldeira, Luís |
title_short |
Monitoring antibiotic consumption in the surgery and orthopaedics. |
title_full |
Monitoring antibiotic consumption in the surgery and orthopaedics. |
title_fullStr |
Monitoring antibiotic consumption in the surgery and orthopaedics. |
title_full_unstemmed |
Monitoring antibiotic consumption in the surgery and orthopaedics. |
title_sort |
Monitoring antibiotic consumption in the surgery and orthopaedics. |
author |
Caldeira, Luís |
author_facet |
Caldeira, Luís Teixeira, Inês Vieira, Isaura Batel Marques, Francisco Santiago, Luiz Miguel Rodrigues, Victor Fonseca, António Varanda, Jorge Bicó, Ana Vasconcelos, Carlos Polónia, José Brochado, Jorge Faria, Victor Mota, António Ramalheira, Elmano Capão Filipe, Miguel Marques, Margarida S A Lopes Martins, Marta Carmo, Eduarda Martins, Filomena Contente, Helena Lobo, Marina Gloria, Paulo Pereira, Luis Faria, Domitilia |
author_role |
author |
author2 |
Teixeira, Inês Vieira, Isaura Batel Marques, Francisco Santiago, Luiz Miguel Rodrigues, Victor Fonseca, António Varanda, Jorge Bicó, Ana Vasconcelos, Carlos Polónia, José Brochado, Jorge Faria, Victor Mota, António Ramalheira, Elmano Capão Filipe, Miguel Marques, Margarida S A Lopes Martins, Marta Carmo, Eduarda Martins, Filomena Contente, Helena Lobo, Marina Gloria, Paulo Pereira, Luis Faria, Domitilia |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Caldeira, Luís Teixeira, Inês Vieira, Isaura Batel Marques, Francisco Santiago, Luiz Miguel Rodrigues, Victor Fonseca, António Varanda, Jorge Bicó, Ana Vasconcelos, Carlos Polónia, José Brochado, Jorge Faria, Victor Mota, António Ramalheira, Elmano Capão Filipe, Miguel Marques, Margarida S A Lopes Martins, Marta Carmo, Eduarda Martins, Filomena Contente, Helena Lobo, Marina Gloria, Paulo Pereira, Luis Faria, Domitilia |
description |
Monitoring antibiotic consumption is a valuable tool which has been increasingly used in the last years due to the current concern with the emergence of resistant microbial strains. The present study aimed at monitoring antibiotic consumption, evaluating the economic impact of hospital antibiotic prescription and assessing the relationship between the prescribed antibiotics and the indications for either prophylactic or therapeutic use. This was a longitudinal pilot-study for which data were collected in six privately managed public hospital units during the month of May 2004, with a resulting sample of 1,122 admitted patients. We observed a prescription incidence rate of 76.9%, corresponding to a total of 1,154 dispensed antimicrobials, with a mean 71.2% of these antimicrobials being dispensed for the prophylaxis of surgical site infection (SSI). The mean cost of antibiotic courses was higher in cases of "suspected infection" (9.09 euro) or "confirmed infection" (8.74 euro) and lower in cases of "prophylaxis" (5.67 euro), a finding which is explained by the shorter mean duration of the later. There was a considerable variation among the different hospital units regarding the type of antibiotic compound that was used for SSI prophylaxis, with a mean duration of antibiotic use of 2.61 days for this indication and about half of the prophylactic regimens lasting longer than 24 hours, a fact that suggests an insufficient observation of the current recommendations for antibiotic use in SSI prophylaxis. This finding indicates the need for an investigation on the actual existence of local recommendations for SSI prophylaxis in individual hospital units and also for the evaluation of the compliance of practicing surgeons with eventually existing recommendations. |
publishDate |
2006 |
dc.date.none.fl_str_mv |
2006-04-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905 oai:ojs.www.actamedicaportuguesa.com:article/905 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905 |
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oai:ojs.www.actamedicaportuguesa.com:article/905 |
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por |
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por |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/905/578 |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 19 No. 1 (2006): January-February; 55-66 Acta Médica Portuguesa; Vol. 19 N.º 1 (2006): Janeiro-Fevereiro; 55-66 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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