Evaluation of the Antimicrobial Daily Dose and Usage Period by the “Antimicrobial Use Graph”</br>—Differences in Use of Beta-lactam between Medical Departments—

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  • 抗菌薬使用グラフを利用した１日使用量と使用日数の評価―各診療科におけるβ‐ラクタム系薬の比較―
  • 抗菌薬使用グラフを利用した1日使用量と使用日数の評価 : 各診療科におけるβ-ラクタム系薬の比較
  • コウキンヤク シヨウ グラフ オ リヨウ シタ 1ニチ シヨウリョウ ト シヨウ ニッスウ ノ ヒョウカ : カク シンリョウカ ニ オケル b-ラクタムケイヤク ノ ヒカク

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Abstract

  A carbapenem use restriction program was developed to promote correct antimicrobial use in our hospital since December 15 2005. As a result, significant changes were found in antimicrobial consumption, but the problem was how to maintain the situation. Therefore, we promoted correct antimicrobial use continuously. Medical departments have different protocols for use of antimicrobial. So pharmacists were requested to monitor the relationship between dosage and dosage period for each medical department individually. In this study, we developed the “antimicrobial use graph” to assess the average dosage and total dosage period of each medical department or the hospital. The average dosage of penicillins, fourth-generation cephalosporins and carbapenems tended to show high dose administration in our hospital. The total dosage period of penicillins, first-generation, second-generation and third-generation cephalosporins tended to show long course administration, on the other hand oxacephems, fourth-generation cephalosporins and carbapenems tended to show short course administration in our hospital. Consequently, correct use was established in many medical departments. The antimicrobial use graph is useful as an index for comparing each medical department and the overall antimicrobial consumption.<br>

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