Antibiotic misuse in medium-sized Swiss hospitals.

Details

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State: Public
Version: Final published version
Serval ID
serval:BIB_4CAD4C870995
Type
Article: article from journal or magazin.
Collection
Publications
Title
Antibiotic misuse in medium-sized Swiss hospitals.
Journal
Swiss medical weekly
Author(s)
Bugnon-Reber A., de Torrenté A., Troillet N., Genné D.
Working group(s)
ETUDAS group
ISSN
1424-7860 (Print)
ISSN-L
0036-7672
Publication state
Published
Issued date
21/08/2004
Peer-reviewed
Oui
Volume
134
Number
33-34
Pages
481-485
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Antibiotics account for a substantial proportion of hospital drug expenditures and tend to be misused or overused, generating unnecessary costs and causing the emergence of resistant bacteria. Antibiotic use was evaluated in a one-day prevalence study performed on the surgical and medical wards of eight Swiss non-university hospitals. 173 of the 695 inpatients present (25%) were on antibiotics and 163 could be evaluated. 35 prescriptions were secondary to an infectious disease consultation. 60 of the remaining 128 (47%) were considered inappropriate, of which 17 (28%) lacked any indication for antibiotic use. The rates of misuse were higher in surgery than in medicine (58 vs. 34%; OR = 2.5 [95% CI: 1.1-5.9]), and higher for prophylaxis than for treatment (72 vs. 41%; OR = 4.1 [95% CI: 1.3-15.5]). Savings of 545 euros (95% CI: from -116 to 1,206 euros) on the study day and 6,256 euros (95% CI: from -2,221 to 14,732 euros) for the total treatments or prophylaxis administered would have resulted from infectious disease consultations.

Keywords
Anti-Bacterial Agents/administration & dosage, Drug Utilization/statistics & numerical data, Hospital Bed Capacity, 100 to 299, Switzerland
Pubmed
Web of science
Create date
28/12/2013 17:24
Last modification date
20/08/2019 14:01
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