Notkun sýklalyfja á Landspítala
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: Antibiotics are responsible for 20-25% of the total drug-cost in the larger hospitals in Iceland. Studies from other countries, both in Europe and North-America suggest that 40-70% of both...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2009
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Online Access: | http://hdl.handle.net/2336/67357 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/67357 2023-05-15T16:49:08+02:00 Notkun sýklalyfja á Landspítala Antibiotic use and misuse at the National University Hospital, Iceland Arnar Þór Guðjónsson Karl G. Kristinsson Sigurður Guðmundsson 2009-05-06 http://hdl.handle.net/2336/67357 is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is Læknablaðið 1996, 82(1):39-45 0023-7213 http://hdl.handle.net/2336/67357 Læknablaðið Sýklalyf Lyfjanotkun Anti-Bacterial Agents Antibiotics Drug Utilization Review Article 2009 ftlandspitaliuni 2022-05-29T08:21:20Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: Antibiotics are responsible for 20-25% of the total drug-cost in the larger hospitals in Iceland. Studies from other countries, both in Europe and North-America suggest that 40-70% of both antibiotic therapy and prophylaxis is inappropriate in the larger teaching hospitals. We undertook a prospective study to determine the patterns of antimicrobial use in a university hospital. Methods: Data on antibiotic prescriptions were collected over two four week periods in April and August 1994 on 12 wards at the National University Hospital. Results: During the eight weeks 302 (30%) of 1020 hospitalized medical, surgical and gynecological patients received one or more courses of antimicrobial therapy. Presumptive infection was the reason for therapy in 73% of the cases, prophylaxis in 35% and both therapy and prophylaxis in 8%. Cephalosporins were the most commonly used drugs for antimicrobial therapy and cloxacillin for prophylaxis. Therapy was judged appropriate in only 45% of the courses. Poor drug choice (bacterologically, pharmacologically), misguided prophylaxis, wrong drug dosage or unneccessary therapy were the most frequent reason for inappropriate therapy. Conclusion: Because of the worldwide increase of antibiotic-resistant strains the results of this study clearly indicate the need for additional measures to improve antibiotic use. Inngangur: Um 20-25% lyfjakostnaðar apóteka stærri sjúkrahúsa hérlendis er vegna sýklalyfja. Rannsóknir frá nálægum löndum benda til að um 40-70% sýklalyfjaávísana á stærri kennslusjúkrahúsum sé ábótavant. Litlar upplýsingar lágu fyrir um hvernig þessu væri háttað hérlendis. Við könnuðum því ávísanir á sýklalyf um átta vikna skeið á ýmsum deildum Landspítala. Aðferðir: Efniviður var útskrifaðir sjúklingar á lyflækninga-, handlækninga-, krabbameins- og kvennadeildum Landspítalans (að undanskildum fæðinga- og meðgöngudeild) á tveimur fjögurra vikna tímabilum, í apríl og ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Smella ENVELOPE(29.443,29.443,69.896,69.896) Vikna ENVELOPE(11.242,11.242,64.864,64.864) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Sýklalyf Lyfjanotkun Anti-Bacterial Agents Antibiotics Drug Utilization Review |
spellingShingle |
Sýklalyf Lyfjanotkun Anti-Bacterial Agents Antibiotics Drug Utilization Review Arnar Þór Guðjónsson Karl G. Kristinsson Sigurður Guðmundsson Notkun sýklalyfja á Landspítala |
topic_facet |
Sýklalyf Lyfjanotkun Anti-Bacterial Agents Antibiotics Drug Utilization Review |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open Introduction: Antibiotics are responsible for 20-25% of the total drug-cost in the larger hospitals in Iceland. Studies from other countries, both in Europe and North-America suggest that 40-70% of both antibiotic therapy and prophylaxis is inappropriate in the larger teaching hospitals. We undertook a prospective study to determine the patterns of antimicrobial use in a university hospital. Methods: Data on antibiotic prescriptions were collected over two four week periods in April and August 1994 on 12 wards at the National University Hospital. Results: During the eight weeks 302 (30%) of 1020 hospitalized medical, surgical and gynecological patients received one or more courses of antimicrobial therapy. Presumptive infection was the reason for therapy in 73% of the cases, prophylaxis in 35% and both therapy and prophylaxis in 8%. Cephalosporins were the most commonly used drugs for antimicrobial therapy and cloxacillin for prophylaxis. Therapy was judged appropriate in only 45% of the courses. Poor drug choice (bacterologically, pharmacologically), misguided prophylaxis, wrong drug dosage or unneccessary therapy were the most frequent reason for inappropriate therapy. Conclusion: Because of the worldwide increase of antibiotic-resistant strains the results of this study clearly indicate the need for additional measures to improve antibiotic use. Inngangur: Um 20-25% lyfjakostnaðar apóteka stærri sjúkrahúsa hérlendis er vegna sýklalyfja. Rannsóknir frá nálægum löndum benda til að um 40-70% sýklalyfjaávísana á stærri kennslusjúkrahúsum sé ábótavant. Litlar upplýsingar lágu fyrir um hvernig þessu væri háttað hérlendis. Við könnuðum því ávísanir á sýklalyf um átta vikna skeið á ýmsum deildum Landspítala. Aðferðir: Efniviður var útskrifaðir sjúklingar á lyflækninga-, handlækninga-, krabbameins- og kvennadeildum Landspítalans (að undanskildum fæðinga- og meðgöngudeild) á tveimur fjögurra vikna tímabilum, í apríl og ... |
format |
Article in Journal/Newspaper |
author |
Arnar Þór Guðjónsson Karl G. Kristinsson Sigurður Guðmundsson |
author_facet |
Arnar Þór Guðjónsson Karl G. Kristinsson Sigurður Guðmundsson |
author_sort |
Arnar Þór Guðjónsson |
title |
Notkun sýklalyfja á Landspítala |
title_short |
Notkun sýklalyfja á Landspítala |
title_full |
Notkun sýklalyfja á Landspítala |
title_fullStr |
Notkun sýklalyfja á Landspítala |
title_full_unstemmed |
Notkun sýklalyfja á Landspítala |
title_sort |
notkun sýklalyfja á landspítala |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2009 |
url |
http://hdl.handle.net/2336/67357 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) ENVELOPE(11.242,11.242,64.864,64.864) |
geographic |
Smella Vikna |
geographic_facet |
Smella Vikna |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is Læknablaðið 1996, 82(1):39-45 0023-7213 http://hdl.handle.net/2336/67357 Læknablaðið |
_version_ |
1766039202815803392 |