Evaluation of antibiotic prescriptions in hospitals
Evaluation of antibiotic prescriptions at the University Hospital of Bizerte
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Introduction: The implementation of strategies to rationalize the use of antibiotics is necessary in the fight against antibiotic resistance. The objective of our study is to evaluate the relevance and compliance of antibiotic prescriptions in a Tunisian hospital and to propose strategies for improvement.Methods: This is a prospective, monocentric analysis of antibiotic prescriptions belonging to the Watch and Reserve groups of the World Health Organization AWaRe classification, between January 1 and February 29, 2020. Results: A total of 310 antibiotic prescriptions were analyzed. Monotherapy...
Introduction: The implementation of strategies to rationalize the use of antibiotics is necessary in the fight against antibiotic resistance. The objective of our study is to evaluate the relevance and compliance of antibiotic prescriptions in a Tunisian hospital and to propose strategies for improvement.Methods: This is a prospective, monocentric analysis of antibiotic prescriptions belonging to the Watch and Reserve groups of the World Health Organization AWaRe classification, between January 1 and February 29, 2020. Results: A total of 310 antibiotic prescriptions were analyzed. Monotherapy represented 89.7% of the prescriptions. The most prescribed drug was cefotaxime (42.8%). Antibiotic therapy was documented in 13% of cases. Antibiotic prescriptions were rational in 14.5% of cases. One third of prescriptions were irrelevant and 4.8% were not justified. The main reason for non-compliance was inadequate duration of treatment. Conclusion: The implementation of an antibiotic therapy guide and a computerized tool seems essential.
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