NGHIÊN CỨU THỰC TRẠNG SỬ DỤNG KHÁNG SINH TRONG ĐIỀU TRỊ VIÊM PHỔI MẮC PHẢI CỘNG ĐỒNG TẠI BỆNH VIỆN HỮU NGHỊ ĐA KHOA NGHỆ AN

Abstract

Objective: To survey the situation of antibiotic use in the treatment of community-acquired pneumonia at Nghe An friendship general Hospital in 2021. Methods: A cross-sectional descriptive study was performed on 80 patients with community-acquired pneumonia who were treated at Nghe An Friendship General Hospital from January 2021 to April 2021. Results: 60,0% of patients had used antibiotics before entering the hospital. 100% of the patients were given antibiotics immediately upon admission: 82.4% were given a single regimen and 17.6% were prescribed a combination of 2 antibiotics. Initial regimen: The most commonly used antibiotics are β-lactam (63.7%): 3rd generation Cephalosporins (40%) and β-lactams/β-lactamase inhibitors (21.2%). During the treatment process: 32.8% of the initial monotherapy regimen and 30.8% of the initial 2 antibiotic combination regimen had to be changed. The duration of antibiotic use of the majority of patients was 7 – 14 days (83.7%). The average number of days of antibiotic use was 9.48 ± 3.02 days. 35% of the initial regimen and 69.2% of the alternative regimen were consistent with the treatment guidelines of Vietnam's Ministry of Health.Conclusion: Through a study on patients with community-acquired pneumonia showed that a high percentage of patients self-administered antibiotics before hospital admission (60.0%). The average number of days of antibiotic use was 9.48 ± 3.02 days. 35% of the initial regimen and 69.2% of the alternative regimen were consistent with the treatment guidelines of Vietnam's Ministry of Health.