PMID: 8606327Feb 1, 1996Paper

Monitoring of antibiotic use in a primary and tertiary care hospital

Journal of Clinical Epidemiology
M ThomasA Joseph

Abstract

Prophylactic and curative use of antibiotics was studied prospectively in 87 consecutive medical and surgical cases of a tertiary care hospital and in 98 cases of a primary care hospital. Based on Kunins' criteria, antibiotic prophylaxis was found to be more inappropriate in the primary care hospital (49%) than in the tertiary care hospital (34%). Antibiotic therapy, however, was more appropriate at the primary level; 67% as opposed to 60% at the tertiary level. This resulted in a similar overall level of inappropriate antibiotic use in the two hospitals. Surgical prophylaxis was started postoperatively in 68% of the primary care hospital cases. Though prophylaxis was always perioperative in the tertiary care hospital, the postoperative duration was more than 7 days in one third of the cases. The nosocomial infection rate in those given prolonged prophylaxis was higher than those who received antibiotics for less than 72 hours. Antibiotics were started empirically in 78% of tertiary hospital care cases and 100% of cases in the primary hospital. Though culture sensitivity was done in 80% of the tertiary care cases, more than half the specimens were sent after multiple doses of antibiotics were started. The choice of antibiotic d...Continue Reading

References

Nov 1, 1978·Annals of Internal Medicine·E H Kass
Aug 16, 1979·The New England Journal of Medicine·C M Kunin
Aug 16, 1979·The New England Journal of Medicine·M ShapiroE H Kass
Oct 30, 1986·The New England Journal of Medicine·A B Kaiser
Mar 4, 1974·JAMA : the Journal of the American Medical Association·H E Simmons, P D Stolley
Oct 1, 1983·British Journal of Clinical Pharmacology·J Crooks
Aug 5, 1982·The New England Journal of Medicine·D M Eddy
Jun 1, 1994·Current Opinion in Pediatrics·A M Kosloske

❮ Previous
Next ❯

Citations

Mar 25, 1998·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·S NatschJ W van der Meer
Feb 20, 2004·Diagnostic Microbiology and Infectious Disease·Stefaan J VandecasteeleWilly E Peetermans
Nov 25, 2000·International Journal of Antimicrobial Agents·M BassettiD Bassetti
Apr 4, 2003·International Journal of Antimicrobial Agents·Ayşe ErbayOnder Ergönül
Aug 7, 2001·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J P Burke
Aug 8, 2006·International Journal of Clinical Practice·B G S SeligmanT Jacoby
Oct 12, 2013·Annals of Medical and Health Sciences Research·A KhadeA Sheethal
Sep 6, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Esmita CharaniAlison Holmes
Mar 1, 2002·Intensive & Critical Care Nursing : the Official Journal of the British Association of Critical Care Nurses·C L Munro, M J Grap
Nov 1, 2003·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Salih HosogluAli ihsan Dokucu
Jul 29, 2006·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mehrdad AskarianHarrison Weed
Nov 15, 2018·Strahlentherapie und Onkologie : Organ der Deutschen Röntgengesellschaft ... [et al]·Matthias G HautmannFabian Pohl
Dec 10, 2002·Revista de saúde pública·Mauro Silveira de CastroLuciane Kopittke

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.