ICPHSP2013

                                                                                                         

 “Prevalence Survey of Antimicrobial Consumption and Resistance in Patients of Vlora’s Regional Hospital in February - April 2015”                                                                                                                                                                                                                                                                                 Click here to download Pdf file. 

 

 

Authors:      

1*Majlinda Zahaj MD, PhD,

2*Marinela Ismaili,

1*Rozeta Luci RN, MSc,

1*Brunilda Subashi RN, MSc,

1*Sonila Nikaj RN, MSc,

1*Evis Alushi RN, MSc

                

Affiliations:

1*Public Health Faculty, University “Ismail Qemali”, Vlore Albania; 2*Regional Directory of Public Health, Vlore, Albania

 

 

Abstract:

Background The threat of antibiotic-resistant bacteria continues to rise, but the number of new treatments available has flat lined. This has placed us dangerously close to a return to the pre-antibiotic era, when even simple infections caused death. Although most antibiotic consumption occurs in the community (outside hospitals), antibiotic use in hospitals is a main driver for the spread of multidrug-resistant bacteria responsible for health care-associated infections. During 2009‒2013, overall antibiotic consumption is significantly increased among the EU Member States.

 

Aim The aim of this survey is to provide a unique overview of antibiotic use and resistance in Vlora’s Regional Hospital during February-April 2015. Objective This is part of important global survey and will help to: Continually improve healthcare quality; Combat antibiotic resistance; Improve antibiotic use for better patient health.

 

Materials and methods In this survey was collected standardized and valid data; using the same methodology according the collection forms, definitions and the cods used for different wards in this hospital for the patients, once within this period. Are excluded all the patients to whom were prescribed antimicrobials before the day of the survey and are included patients who were admitted before 8am and of course still present at 8am. The patient form asks whether the treatment is based on lab biomarkers.

 

Results Only in 14 patients or 32% of 44 patients analyzed we had a valid data for the antimicrobial resistance. The average age in the study was 38 years. In 8 patients or 57%, E. coli was found more frequently and 3 patients or 38% show resistance from Cephalexin. In 22% of patients was found staphylococcus aureus and 2 of them were resistance from Azythromycin. In 2 patients or 14%, a beta-hemolytic streptococcus was found.

 

Conclusion The prevalence of antimicrobial consumption and resistance in patients based on bio-markers was 14. Treatment is often based on the clinical presentation of the patient.

 

Key words:

antimicrobial, resistance, consumption, hospital

 

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