Editor-in-Chief
Hatice Kübra Elçioğlu
Vice Editors
Levent Kabasakal
Esra Tatar
Online ISSN
2630-6344
Publisher
Marmara University
Frequency
Bimonthly (Six issues / year)
Abbreviation
J.Res.Pharm.
Former Name
Marmara Pharmaceutical Journal
Marmara Pharmaceutical Journal
2010 , Vol 14 , Issue 2
Study of the antibiotic prescription practice for safety purposes for inpatients hospitalized due to pneumonia
Medical University, Pharmaceutical Faculty, Sofia, Bulgaria
DOI :
10.12991/201014452
Improving the safety of the patient is a significant challenge for the national
health systems, as it is for many health services around the world. Community-acquired
pneumonia (CAP) is a common, potentially life-threatening disease that is associated with
much morbidity, mortality and use of healthcare resources. The aim of the study was to
clarify and evaluate the frequency of antibiotics' prescribing for inpatients, hospitalized due
to CAP, leading factors for prescriptions' changes during treatment and medical doctors' attitude
to patient safety problem. We conducted a retrospective investigation of the medical
records for 107 inpatients hospitalized due to CAP. The used methods were pseudo-randomization;
experts' analysis and non-interventional pharmacoepidemiologycal evaluation of
the variations frequencies. We also classify the factors for changes in medicines prescriptions
in five main groups. Data shows that more than 33% of the patients with CAP have had
one or more variations in drug therapy during hospital stay. Most common change in the
therapy is adding another antibiotic (67%) due to lack of therapeutic effect (63%) or specifying
diagnosis (26%). The leading factor for additional antibiotic prescribing is starting therapy
without microbiological specification of the diagnosis. Regarding patient safety the interviewed
medical doctors (MDs) declared problems about healthcare system financing, institutional
limitations, diagnostics, lack of clear rules and standards for practice. Efforts to
improve the use of antibiotics for inpatients with CAP should consider the range of barriers
that care providers face in everyday practice.
Keywords :
Patient safety, community-acquired pneumonia, antibiotics, medical doctors' attitude