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Objectives: Antibiotic Stewardship Programs (ASP) have been developed for the spread of rational antibiotic use. Our hospital is one of the first centers where ASP applications were launched in Turkey. In this study, we aimed to share our experience with ASP which has been applied in our hospital since 2013. Methods: We adapted ASP to our hospital program from Centers for Disease Control and Prevention’s ASP checklist. Revisions on surgical prophylaxis guidelines and practices were performed. Surgical prophylaxis was evaluated from hospital infection surveillance and antibiotic usage by point prevalence surveys. Antibiotic consumption indexes (ACI) were calculated from hospital pharmacy records. Rapid antigen detection test (RADT) for Group A beta-hemolytic streptococcus and influenza rapid antigen test were started to be used. Cumulative antibiotic susceptibility results were prepared annually. Results: Surgical prophylaxis was started to be administered in the operating room within 60 min of incision. Third-generation cephalosporin usage for surgical prophylaxis could be restricted in all clinics but the duration could only be shortened in neurosurgery and general surgery. There was no statistically significant change in antibiotic usage rates and appropriateness between 2014 and 2018. ACI for the class J01 in adult wards was 80.5 daily defined doses (DDD) per 100 patient days in 2014 and reduced to 64.8 DDD per 100 patient days in 2018. 22.445 pediatric patients presenting with complaints of the upper respiratory tract were evaluated with RADT and 75.1% were treated without antibiotics. Conclusion: In this global antimicrobial resistance era, all hospitals should have motivated antimicrobial stewardship teams. Each hospital should establish its own stewardship program and often revise it. Improvement in rational antibiotic use is hard to achieve without multidisciplinary involvement.
Purpose: Antibiotic Management Programs (AYP) have been developed to spread the use of antibiotics. Our hospital is one of the first centers where AYP applications were launched in Turkey. In this study, we aimed to share our AYP experience in our hospital since 2013. Method: The AYP checklist, which has been prepared by the Disease Control and Prevention Centers, has been applied to our hospital program. Surgery prevention guidelines and applications have been regulated. The use of antibiotics from hospital infection surveillance to surgical prevention and point prevalence studies was evaluated. Antibiotic consumption index (ATI) has been calculated from the hospital pharmacy records. The flu rapid antigen test (HAT) and the beta hemolytic streptococcus (HAT) test (HAT) for the group A have begun to be used. The cumulative antibiotic sensitivity results are prepared annually. The findings: Surgery preventions began to be applied in the hospital within 60 minutes before the injection. Surgery of Prevention 3. Generation sefalosporins were prevented, but only brain surgery and general surgical clinics could shorten the time of prevention. There was no statistically significant difference in antibiotic use rates and suitability between 2014 and 2018. For the J01 class in adult patients, the ATI was reduced to 64.8 TGD per 100 patients in 2018, while the defined daily dose (TGD) was 80,5 per 100 patients day in 2014. 22 445 children with complaints from the upper respiratory tract were evaluated with HAT test and 75.1 percent were treated without antibiotics. In the current global antimicrobial resistance period, all hospitals must have antimicrobial management teams. Each hospital must determine its own management program and regularly review it. It is difficult to
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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