Outpatient prescription of oral antibiotics in a training hospital in Turkey: trends in the last decade.
OBJECTIVE
The aim was to evaluate the changing trends in outpatient prescription of oral antibiotic forms at a Training Hospital in the last decade.


METHODS
All the outpatient prescriptions during April and May 2004 were evaluated. The diagnosis, the department of the prescriber, the count and generic name of each prescribed antibiotic were all noted.


RESULTS
Of the 33,491 outpatient prescripitions, 14.9% included antibiotic (n=5004). The pediatric clinics (26.4%), Ear, Nose and Throat department (13.7%), and the department of Gyneacology and Obstetrics (10.8%) were the leading departments in antibiotic prescriptions. Upper respiratory tract infections (45.4%), urinary tract infection (11.4%) and lower respiratory tract infections (4.2%) shared the first lines of diagnosis stated. Of the antibiotic prescriptions, 96.3% included oral forms. Co-amoxiclav (26.4%), quinolones (11.7%) and cephalosporins (16.5%) were the most frequently prescribed antibiotics. Percent of antibiotic prescriptions based on microbial sensitivity test results was 7.1%.


CONCLUSIONS
Compared with the results of the study carried out 11 years ago; though co-amoxiclav is still the most frequently prescribed antibiotic, many other changes have been observed in antibiotic prescription attitudes.
Avci
Ismail Yasar
IY
Department of Infectious Diseases and Clinical Microbiology, Gulhane Military Medical Academy, GATA-Tevfik Saglam Caddesi, Intaniye Klinigi, 06010 Ankara, Turkey. iyavci@gata.edu.tr
Kilic
Selim
S
Acikel
Cengiz Han
CH
Ucar
Muharrem
M
Hasde
Metin
M
Eyigun
Can Polat
CP
Pahsa
Alaadin
A
Cetiner
Sadettin
S
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D011307:Drug Prescriptions / Q000592:standards*; D004363:Drug Utilization; D016481:Helicobacter Infections / Q000188:drug therapy; D006801:Humans; D008826:Microbial Sensitivity Tests; D010044:Outpatient Clinics, Hospital / Q000639:trends*; D010818:Practice Patterns, Physicians' / Q000639:trends*; D012141:Respiratory Tract Infections / Q000188:drug therapy; D014421:Turkey; D014552:Urinary Tract Infections / Q000188:drug therapy
D000900:Anti-Bacterial Agents