投稿分類 抗生素管制

主委發表種類: 壁報

投稿標題(中): 運用內部審核機制探討影響門診抗生素使用分析調查

投稿標題(英): Interpretation of the antibiotics usage from clinical prescription using an internal audit method

投稿摘要: Antibiotics resistance is a serious issue of concern in Taiwan, which rises our attention to revisit the validity of antibiotics prescription during clinic so one is able to reasonably arrange
the usage of these antibiotics. To meet this merit, we made a five-year survey in the period from January 2008 to December 2012 and collected totally 1672 valid samples from Dept. of Medicine, Surgery, Obstetrics and Gynecology, and Pediatrics. Based on descriptive statistics with t test, One-Way ANOVA and multivariate Regression analysis, Results : we found that factors with positive correction with antibiotics prescription clinically include clinic syndrome (β= -1.52, t= -17.67, P=.000), clinic condition (β= 1.72, t= 16.87, P= .000), blood test (β= .24, t= 3.64, P= .000), and miscellaneous test result (β= 1.03, t=7.91, P=.000). In addition, abnormal antibiotics prescriptions appeared along with prescription patterns (β= .97,t= 2.47,
P= .014), no syndrome and condition description (β= -.39, t= -3.14, P= .002) and the department (β= .01, t= 6.25,P= .000). Herein, we would like to suggest that a check list system describing all above factors can be helpful for clinic doctors to make a valid antibiotics prescription.

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