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Assessment of Antibiotic Prescription in Hospitalised Patients at a Chinese University Hospital
Abstract
Objective To describe and understand antibiotic prescribing in hospitalised patients in a university hospital. Methods Retrospective study using clinical data on antibiotic prescriptions in 1025 inpatient cases chosen from 21,000 inpatients in our hospital in 1997 by systematic sampling. Results Antibiotics were prescribed to 77.8% of inpatients, among which 55.2% were prescribed two or more kinds of antibiotics. In 58.5% of cases, antibiotic prescriptions were given therapeutically. Only 39 specimens in 1025 cases were taken for microbiological investigation. Conclusions Few microbiological investigations were undertaken prior to antibiotic prescribing. The main challenges in the antibiotic prescribing are to make rational choices for antibiotic use and recognise the potential problems of abuse of antibiotics.
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According to one survey, approximately two-thirds of inpatients in China were administered antibiotics, which is twice that reported in many other countries.
“For example, according to one survey approximately two-thirds of inpatients in China were administered antibiotics, which is twice that reported in many other countries.46”
From Incidence and Etiology of Drug-Induced Liver Injury in Mainland China (2019) · cites this paper as [46]
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Research works printed but not linked: 7
- Arancibia, 2000, Antimicrobial treatment failures in patients with community-acquired pneumonia, Am J Respir Crit Care Med, 162, 154, 10.1164/ajrccm.162.1.9907023 · DOI
- Nathwani, 1998, Controlling antibiotic use—is there a role for the infectious disease physician?, J Infect, 37, 210, 10.1016/S0163-4453(98)91797-2 · DOI
- Harries, 1993, Use and costs of antimicrobial drug in medical wards of a central hospital in Malawi, J Infect, 27, 137, 10.1016/0163-4453(93)94647-T · DOI
- Xiong, 1998, Investigation of the use of antibiotics in 4404 hospitalized patients, Chin J Nosocomiol, 8, 191
- Raz, 1989, The influence of an infectious disease specialist on the antimicrobial budget of a community teaching hospital, J Infect, 18, 213, 10.1016/S0163-4453(89)80057-X · DOI
- Read, 1999, Evidence-based medicine: empiric antibiotic therapy in community-acquired pneumonia, J Infect, 39, 171, 10.1016/S0163-4453(99)90043-9 · DOI
- Karam, 2000, Emerging issues in antibiotic resistance in blood-borne infections, Am J Respir Crit Care Med, 162, 1600, 10.1164/ajrccm.162.5.pc10-00 · DOI
Cited by
Sorted by citations
Incidence and Etiology of Drug-Induced Liver Injury in Mainland China
Shen, T., Liu, Y., Shang, J., Xie, Q., Li, J., Yan, M., Xu, J., Niu, J., Liu, J., Watkins, P. B., et al. (2019) · Gastroenterology · doi:10.1053/j.gastro.2019.02.002 · Cited by 615
Metadata
- Authors
- Hu, S., Liu, X., & Peng, Y.
- Venue
- Journal of Infection
- Publisher
- Elsevier BV
- Published
- 2003-04
- Volume
- 46
- Issue
- 3
- Pages
- 161-163
- ISSN
- 0163-4453
- Cited by
- 42
- References
- 0
- Language
- en
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