Effectiveness of Promote Rational Use of Antibiotics in sub-district health promoting hospitals case Nakornrajsima province

Abstract

Objective: To study the effectiveness of the policy for promoting rational use of medicines in sub-district health promoting hospitals (RDU Hospital) in 2014 and 2018 Comparison of antibiotic used orders in 2 groups of target Method: This study was Cross-sectional Study with retrospective data collection from electronic prescriptions database on outpatient services information of 346 sub-district health promoting hospitals. The study compared the used of antibiotics between Acute Gastroenteritis (AGE) and Upper Respiratory Infections (URI) before and after policy implementation i.e., 2014 and 2018. Results: Overall antibiotic used in AGE significantly decreased from 67.22% to 11.98% after policy implementation (p <0.001). Nonsoong district, showed the largest reduction in the rate of antibiotic use 73.13% followed by Soeng Sang, Chumphuang, Phimai and Mueang Yang respectively (72.45 percent, 69.93, 68.69 and 67.02 percent) For URI, the overall antibiotic use decreased significantly from 30.49% to 22.05% during the post intervention period (P <0.001). Non Daeng District. The antibiotic use rate in this disease group has decreased the most, which is 54.45%, followed by Kham Thale So, Chok Chai, Muang Yang and Khong, respectively (decreased by 34.47 percent, 32.90, 32.21 and 32.17) Conclusion: Finding indicated that the RDU Hospital project in Nakhonrajsima Province were effective to the AGE group and the URI group are 55.24 and 22.06, respectively.