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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 73(3-4)

AN ASSESSMENT OF ANTIBIOTICS PRESCRIBED AT THE SECONDARY HEALTH-CARE LEVEL IN THE KYRGYZ REPUBLIC

https://doi.org/10.18999/nagjms.73.3-4.157
https://doi.org/10.18999/nagjms.73.3-4.157
030401e8-7422-464e-a416-a27bf1351bca
名前 / ファイル ライセンス アクション
v73n34p157_168.pdf v73n34p157_168.pdf (96.9 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2011-08-24
タイトル
タイトル AN ASSESSMENT OF ANTIBIOTICS PRESCRIBED AT THE SECONDARY HEALTH-CARE LEVEL IN THE KYRGYZ REPUBLIC
著者 BAKTYGUL, KAMBARALIEVA

× BAKTYGUL, KAMBARALIEVA

WEKO 42205

BAKTYGUL, KAMBARALIEVA

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MARAT, BOZGUNCHIEV

× MARAT, BOZGUNCHIEV

WEKO 42206

MARAT, BOZGUNCHIEV

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ASHIRALI, ZURDINOV

× ASHIRALI, ZURDINOV

WEKO 42207

ASHIRALI, ZURDINOV

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HARUN-OR-RASHID, MD.

× HARUN-OR-RASHID, MD.

WEKO 42208

HARUN-OR-RASHID, MD.

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SAKAMOTO, JUNICHI

× SAKAMOTO, JUNICHI

WEKO 42209

SAKAMOTO, JUNICHI

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キーワード
主題Scheme Other
主題 Hospital
キーワード
主題Scheme Other
主題 Antibiotic use
キーワード
主題Scheme Other
主題 Prescribing practice
キーワード
主題Scheme Other
主題 Quality
抄録
内容記述 This study was undertaken to evaluate the pattern of antibiotic prescriptions in a secondary health care setting in Kyrgyzstan. A retrospective analysis was performed of antibiotic prescriptions in 251 inpatient records of patients admitted to the Sokuluk Territorial Hospital. A total of 19 different antibiotics were prescribed. Penicillin G (24.9%), gentamicin (16.1%), metronidazole (15.6%) and cefazolin (14.5%) were those most frequently prescribed. The major indications for antibiotics were diseases of the respiratory system (28.0%), injury, poisoning and certain other consequences from external causes (25.5%), and diseases of the digestive system (14.3%). Almost three-quarters of the antibiotics were used parenterally, 252 of which (58.9%) were administered intramuscularly and 70 (16.4%) intravenously. Forty-five percent of the patients received two antibiotics, and 12.0% received three antibiotics during their stay at the hospital. Antibiotic therapy proved inappropriate for 184 patients (73.3%). The most common reason given for inappropriateness was the unjustified (not indicated) use of antibiotics in 143 (48.6%) cases. There was a significantly higher inappropriate choice of antibiotics in gynecology (OR=2.70, 95% CI=1.02–7.69) when compared with that in other wards. Although antibiotics were prescribed in all cases post-operatively, none of those patients were given pre-operative prophylactic antibiotics when indicated. We concluded that antibiotic prescriptions were seriously inappropriate in the Kyrgyz Republic with prescribing patterns failing to strictly adhere to the national guidelines. Adoption of an international standard and locally conformable guidelines of antibiotic use can help correct such problems.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.73.3-4.157
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 73, 号 3-4, p. 157-168, 発行日 2011-08
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/7334/7334.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/15358
識別子タイプ HDL
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