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SM ISO690:2012 BERNAZ, Eduard. The consumption and the stocks dynamics of antibiotics for systemic use in hospitals. In: Curierul Medical, 2013, nr. 4(56), pp. 49-55. ISSN 1875-0666. |
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Curierul Medical | ||||||
Numărul 4(56) / 2013 / ISSN 1875-0666 | ||||||
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Pag. 49-55 | ||||||
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The dynamics of the ratio between the consumption and stocks of antibiotics in a hospital pharmacy for the period of 2009-2012 is presented. The defined daily dose (DDD) based on the data by the National Science and Practice Centre of Emergency Medicine is determined. The resistance changes of pathogenic microbes causing nosocomial infections have been examined. The activities realized in the mentioned directions have brought out in the decrease of the consumption and stock ratio from 1:0.74 in 2009 to 1:2.03 in 2012, reducing the DDD consumption of antibiotics per 1000 occupied bed/ days from 1118 to 840 grams or by 33.09%. The months/risk coefficient in the pharmaceutical supply has decreased from 4.41 to 2.12 or by 2.08 times.
Despite the lack of the program for processing and analyzing the condition of the pathogenic antimicrobial resistance, the general analysis has showed that the average resistance of gram-negative and gram-positive pathogenic microorganisms in 2012 in comparison with 2010 and 2011 decreased by 16.8% and 13.58% respectively. Has been proposed the optimization of the ratio of drugs reserves and their monthly consumption in pharmacies, that is a new criterion for assessing the quality of current provision with drugs – the risk factor in pharmaceutical provision in the medical institutions, based on the ratio between the monthly consumption and the stocks. The measures based on the evaluation results to improve the planning, maintenance, insurance and the rational use of antibiotics and the quality of the study of the bacteriological tests database are proposed. |
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Cuvinte-cheie drug supplies, stocks, Antibiotics, nosocomial infections, rational use |
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