การประเมินการใช้ยาต้านจุลชีพกลุ่มเซฟาโลสปอรินส์รุ่นที่ 3 และ 4 ชนิดฉีด ของผู้ป่วยใน โรงพยาบาลสมุทรปราการ / วีราภรณ์ ธารณามัย = Drug use evaluation of parenteral third and fourth generation cephalosporins for inpatients at Samutprakarn Hospital / Veeraporn Tharanamai
The objective of this study was to evaluate the use of parenteral third and fourth generation cephalosporins for inpatients at Samutprakarn Hospital from qualitative and quantitative aspects. The qualitative evaluation was to determine the appropriateness of prescribed antibiotics according to the approved criteria by the Samutprakarn Hospital Drug Subcommittee. A concurrent evaluation was conducted between October 1, 2000 to December 31, 2000. The evaluated cephalosporins were prescribed 177 times to 157 patients. The results showed that 48.0% of the times, the antibiotics were appropriately prescribed and accounted for drug expense of 547,100 baht, 32.8% was inappropriate with the 294,500 baht of drug expense whereas the remaining 19.2% was unable to be evaluated with the drug utilization of 197,540 baht. There were total 85 interventions by the pharmacist with 30.6% causing prescription changes. From the overall evaluation, 67.5% of patients was recovered, 10.8% was worse, 12.7% was stable and 21.7% wasdead. This study has demonstrated that DUE program of the parenteral third and fourth generation cephalosporins has succeeded in developing drug use criteria and introduced the pharmacist involvement in the appropriate drug utilization process.
