The Appropriateness of the Use of Antibiotics in Baghdad Hospitals: An Empirical Study in Al-Furat Hospital

Abstract

The most common type of widely in usage group of medicines throughout our nation, as they are worldwide - and they are frequently consumed in an inconsequential manner. In this study, the use of antibiotics in the 245-bed Al-Furat Academic Medical Center, the reason for starting whether they are the antibiotics used make sense or not were investigated according to the method of point spread. On February 8, 2022, Patients at our facility were assessed for antibiotic use using the point of privilege method. Patients under the age of 18 were not included in the investigation. Chi-square and Fisher's exact chi-square tests were used in the analytical statistics. 60 (27.2%) of the 221 hospitalized patients in Utilizing antibiotics in our hospital. Of these patients, 33 (54.4%) were in surgical departments, while 27 (45.6%) were in units that handled internal medicine. Antibiotics were used prophylactically in 36.5% of cases, definitely in 14.5%, and empirically in 49% of cases. In 36 patients (59.3%), the use of antibiotics was found to be reasonable, while in 24 patients, it was found to be irrational. (40.7%). when the status of counseling on infectious diseases an investigation; 23 Consultations with patients 37 Not one patient was contacted to an infectious disease specialist. It was noted that 98% of cases of Antibiotic use was unreasonable in people who had not been treated for infectious illnesses (p 0.0001). When compared to internal medicine units, where illogical antibiotic usage was significantly lower (n = 4, 16%), surgical units (n = 20, 61%) had much higher rates (p 0.0001). Cephalosporin's, beta-lactam/beta-lactamase inhibitors, quinolones, and carbapenems were the most often utilized antibiotics when taken as monotherapy, in that order. Carbapenems and piperacillin-tazobactam were the two medications most frequently utilized in pathogen-directed therapy. Consultation with an infectious disease specialist was a crucial factor in the wise use of antibiotics. Reviewing preventive measures, enhancing compliance with recommendations, and increasing the frequency of training provided by a hospital antibiotic use committee are significant when high rates of irrational antibiotic use in surgical units are taken into consideration.