PHÂN TÍCH THUỐC KHÁNG SINH SỬ DỤNG TẠI BỆNH VIỆN ĐA KHOA HUYỆN VĨNH THUẬN, TỈNH KIÊN GIANG NĂM 2018

Abstract

Background and objective: Antibiotic drugs use surveillance by analyzing drugs used can support appropriate drug procurement and prescription in hospitals. The main objective is to describe antibiotic items used in order to point out some shortcomings in the use of antibiotics in the hospital through a number of evaluation indicators, thereby guiding the management of antibiotic use. Methods: This is a cross-sectional study on 56 antibiotics used at Vinh Thuan  General Hospital, Kien Giang province. The data were extracted from the stock records of the hospital's Department of Pharmacy from 01/01/2018 to 31/12/2018). Results: Out of 410 total items used, 56 (13.4%) were antibiotics with a total value of 4.322 billion VND (27.3% total drugs expense). Domestic drugs accounted for 85.13% of total value and 83.93% of total item counts. Drugs used for outpatient care responsible for 64.86% total drug expense. 99.93% of total drug expense and 96.43% of drug items used were prescription drugs. Injection drugs accounted for 23.05% total drug costs. Cephalosporin antibiotics had 52.28% of total drug expense. Ceftazidim, ceftizoxim and ceftriaxon were the most frequently used and had the highest costs injecting antibiotics. Antibiotic DDD/100 bed - day was 35.835, the cephalosporin subgroup was highest, at 27.556. Other lower DDD/patient antibiotics were: ceitazadim (1.55 DDD), ceftizoxim (1.71 DDD), cefuroxim (1.79 DDD), cefotaxim (1.19 DDD) and cefixim (0.84 DDD). Conclusions: Cephalosporin antibiotics are widely used such as ceftazidim, ceftizoxim and ceftriaxon. Some antibiotics have unusuable period of time such as ceftazidim, ceftizoxim, cefuroxim, cefotaxim, cefixim.