Complying with Control Measure for Antimicrobial Prescribing in Hospital
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Abstract
Introduction: Control measure for antimicrobial prescribing in the hospital was a way to support the rational drug use. Objective: This study was aimed to assess the complying to control measure for antimicrobial prescribing in the hospital. Materials and methods: Data were collected from antimicrobial order form of 5 antimicrobials and patient medical record of hospitalized patients during July to September 2013. Results: There were 422 prescribing in 343 patients, but only 355 prescribing were recruited into the study. Meropenem, vancomycin, piperacillin/tazobactam, imipenem and cefopereazone/sulbactam were prescribed 31.0%, 26.5%, 18.6%, 18.3% and 5.6%, respectively. Complete record was found in all items in 117 forms (33.0%). Most common incomplete item was culture report (41.4%) followed by reason for prescribing over 4 d (16.9%) and gram stain (15.8%). Information was consistent in all items in 56 prescribing (15.8%). Most common inconsistent item was duration of drug use (18.8%), followed by pattern of use (7.3%) and type of infection (6.8%). Conclusion: Prescribing of target antimicrobial was complied with the hospital control measure for antimicrobial prescribing but most of data were incomplete and inconsistent.
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