Abstract

Objectives: We sought to evaluate the trend of antibiotic consumption in patients admitted to a community hospital in Qatar with an antimicrobial stewardship program. Methods: This observational study was carried out in a 75-bed facility in Western Qatar over a 4-year period (2012–2015). The monitoring of antimicrobial consumption from inpatient wards was performed from the pharmacy records and presented as defined daily dose (DDD) divided by the patient days and expressed as 100 bed-days (DBD). Results: The consumption of antimicrobials in 2012 was 171.3 DBD, and increased to 252.7 DBD in 2013, 229.1 DBD in 2014, and 184.7 DBD in 2015. Cephalosporins use reduced from 98.2 DBD in 2013 to 51.5 DBD in 2015 while the consumption of penicillins increased during the beginning of 2014 with a slight decrease in 2015. Carbapenems consumption during 2014–2015 was lower than previous years, and vice-versa for aminoglycosides. Fluoroquinolones had a sustained increase with 37.1% increased consumption in 2015 compared to the two previous years. There was an increase in the use of intravenous (IV) (108.5%) and oral azithromycin (55.1%) and the use of oral (152.8%) and IV moxifloxacin (22.9%). Conclusions: We observed a decrease in antibiotic use in patients admitted to a community hospital with an antimicrobial stewardship program, but the increase in fluoroquinolones consumption is a concern that requires focused strategies.

Keywords

Publication details

DOI
10.5001/omj.2016.70
Journal
Oman Medical Journal
Publisher
Oman Medical Specialty Board
Open access
Gold open access

Cite this article

APA 7

Garcell, H. G., Arias, A. V., Fernandez, E. A., Guerrero, Y. B., & Serrano, R. N. A. (2016). Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program. Oman Medical Journal. https://doi.org/10.5001/omj.2016.70

MLA 9

Garcell, Humberto Guanche, et al. "Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program." Oman Medical Journal, 2016. https://doi.org/10.5001/omj.2016.70.

Chicago (author–date)

Garcell, Humberto Guanche, Ariadna Villanueva Arias, Eliezer Alemán Fernandez, Yaquelín Batista Guerrero, and Ramon N. Alfonso Serrano. 2016. "Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program." Oman Medical Journal. https://doi.org/10.5001/omj.2016.70.

Harvard

Garcell, H. G., Arias, A. V., Fernandez, E. A., Guerrero, Y. B. and Serrano, R. N. A. (2016) 'Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program', Oman Medical Journal. doi:10.5001/omj.2016.70.

Vancouver

Garcell HG, Arias AV, Fernandez EA, Guerrero YB, Serrano RNA. Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program. Oman Medical Journal. 2016. doi:10.5001/omj.2016.70

IEEE

H. G. Garcell, A. V. Arias, E. A. Fernandez, Y. B. Guerrero, and R. N. A. Serrano, "Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program," Oman Medical Journal, 2016, doi: 10.5001/omj.2016.70.