THE COST OF INAPPROPRIATE ANTIBIOTIC USAGE; ANALYSIS OF THE RESULTS OF AN OBSERVATIONAL STUDY
İLKNUR ERDEM1, İPEK YILDIRIM1, VİLDAN AVKAN1, HALUK VAHABOĞLU2
1Taksim Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Servisi, İSTANBUL
2Kocaeli Üniversitesi Tıp Fak., İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji ABD, KOCAELİ
Abstract
A prospective, observational study was undertaken at Taksim Hospital which aimed to analyse the consequences and cost of antibiotic usage at surgical wards. A total of 200 patients, 88 with clean operation, 110 clean-contaminated and 2 contaminated operations were enrolled, Appropriate prophylaxis were given to half of these, while the rest took inappropriately prolonged prophylaxis. We detected hospital infection at 8 (4%) patients of which 7 were from the prolonged prophylaxis group ((2 =4.5, p=0.03). Long term antibiotic usages did not decrease the infection rate, Cost of inappropriate antibiotic usage were determined as 10.000 $ for 92 patients.
Keywords: ANTIBIOTIC, PROPHYLAXIS