Original scientific paper
Antibiotic consumption in Croatian hospitals
Marina Payer-Pal
; Zavod za javno zdravstvo Međimurske županije, Čakovec, Hrvatska
Abstract
Consumption of antibiotics is one of the most important causes of bacterial resistance. In the 1990s antibiotic resistance was recognized as one of the leading problems in medicine. In Croatia, the Committee for Antibiotic Resistance Surveillance, within the activities of the Interdisciplinary Section for Antibiotic Resistance Control (ISKRA), took over the responsibility of monitoring antibiotic consumption in Croatian hospitals. Hospitals submitted their data on antibiotic consumption according to the established methodology of collecting and sending data. In accordance with the ATC classification, the group J01 – antibiotics for systemic use was analyzed. Besides data on antibiotic consumption, data on defined daily doses per bed days (DDD/BD) and number of admissions was also collected. Altogether 55 hospitals in Croatia submitted data on their antibiotic consumption, grouped into the following categories: clinical hospitals, general hospitals, specialized hospitals and hospitals for medical rehabilitation and psychiatric institutions. The most homogenous group for analysis and comparison of consumption data was the group of general hospitals. The average consumption of antibiotics in general hospitals is 51.6 DDD/100 BD, ranging from 27.7 DDD/100 BD to 64.1 DDD/100 BD. The aim of this surveillance is to get relevant data on hospital antibiotic consumption, to get an insight into the overall antibiotic consumption in Croatian hospitals, to analyze consumption data and compare consumption with antibiotic resistance and then by employing intervention measures based on earlier data analysis to decrease the occurrence and growth of bacterial resistance in hospitals.
Keywords
hospital; antibiotic consumption
Hrčak ID:
50621
URI
Publication date:
4.12.2009.
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