THỰC TRẠNG SỬ DỤNG KHÁNG SINH TRONG ĐIỀU TRỊ NỘI TRÚ TẠI TRUNG TÂM Y TẾ HUYỆN YÊN DŨNG, TỈNH BẮC GIANG NĂM 2020

Abstract

Objective: To describe the real situation of antibiotic use for inpatients of Yen Dung Medical Center, Bac Giang province in 2020. Methods: This is a cross –sectional study. Data was collected from two sources: 1-medicine management software;  2- reviewing 300 medical records that were randomly withdrawed from all medical records of inpatients in Yen Dung Medical Center during the time between 01/01/2020 and 31/12/2020. Key indicators of the study: Quantity of antibiotics used in the year (calculated in DDD); classification of antibiotics according to chemical structure; number of days of antibiotic use; rate of medical records with antibiotic combination; outcomes of antibiotic treatment. Main findings: Domestic antibiotics account for 54,54% (based on DDD indicator); the antibiotic group that has been used the most is beta-lactam (81,68%);  65,33% medical reports having one kind of antibiotics; 30.33% of the medical records were prescribed with 2 types of antibiotics; there is a small percentage (4.33%) of the medical records combined 3 types of antibiotics; 54,33% of medical reports that were prescribed antibiotics during 5-7 days; the rate of medical reports that were prescribed antibiotics during 7-10 days is 43,33%; it is particularly noteworthy that 2.34% of patients had to be treated with antibiotics for more than 10 days  (mostly in the surgical ward of the hospital). Conclusions: In general, Yen Dung Medical Center has well complied with the Ministry of Health's recommendations on the use of antibiotics including the indicators related to quantity; type and duration of antibiotic use. However, there are still some issues that need to be improved, including: the rate of domestic antibiotics that have been used in Yen Dung Medical Center is lower than Ministry of Health’s recommended index (54.54% compared to MOH's recommendation of 75%); there is a small percentage (4.33%) of the medical records combined 3 types of antibiotics; it is particularly noteworthy 2,34% of medical reports that were prescribed a long-term antibiotic therapy (over 10 days – mostly in the surgical ward of the hospital).