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歷年發表稿件

建立使用者友善介面的資訊化管理系統有效提昇抗生素合理使用率與降低非口服抗生素使用數量- 中台灣某教學醫院經驗

抗生素管制

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建立使用者友善介面的資訊化管理系統有效提昇抗生素合理使用率與降低非口服抗生素使用數量- 中台灣某教學醫院經驗

Promoting the appropriateness of antibiotic prescription and decreasing the antibiotic prescription amount by establishing a user-friendly antimicrobial informative system

Background: Antibiotic usage has great impact on outcome and resistance. Materials: We conducted a 30-month study (stage I: Jan 2011 - May 2012, no protocol; and II: Jun 2012 - Jun 2013, with an user-friendly system). Antibiotic usage was expressed as DDD/1,000 p’t-day. Results: Antibiotic consumption decreased significantly after introducing stewardship protocol (2,498 vs. 2,411 DDD/1,000 p’t-day, p = 0.01), mostly due to decrease in parenteral usage (710 vs. 605, p <0.001). Reduction was seen in parenteral penicillins, cephalosporins, and quinolones (p = 0.001 - 0.01). The rate of appropriate antibiotic prescription ranged from 80.5% in Jun 2012 to 90.1% in Jun 2013. Conclusion: Antibiotic stewardship program can raise the appropriateness and decrease amount of antibiotic prescription.

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