Hospital antibiotic management in Hungary--results of the ABS maturity survey of the ABS International group.
BACKGROUND
The prudent use of antibiotics is considered a very important issue in hospitals throughout Europe. The project ABS International developed a questionnaire to survey antibiotic-related structures and services in the hospitals of participating countries. This article describes the situation in Hungary.


METHODS
Questionnaires were sent to all the hospitals in Hungary, which numbered 182 at the time of the survey. A total of 68 hospitals, accounting for 37.4% of all hospitals, returned the answered questionnaires. These 68 hospitals accounted for 52.4% of the hospital beds available in Hungary at the time of the survey. The answers were stratified according to the function and position of the hospitals and analyzed by calculating means, medians and standard deviations of various parameters.


RESULTS
The cumulative maturity figure for Hungary was 3.42+/-0.55. The lowest cumulative figures were found in chronic-care hospitals and the highest in the university hospitals. Significant differences were found in the availability of diagnostic services. The level of control of antibiotic consumption was similar between hospitals. The availability of bedside microbiological tests, such as legionella antigen detection, was rated as poor. Resources dedicated for antibiotic officers were very minor.


CONCLUSIONS
Antibiotic stewardship cannot be conducted without appropriate resources (time, financing) provided by hospital management or the authorities. The technical background (microbiology, organizations, etc.) on which to build is already available in Hungarian hospitals.
Disaster-Medicine and Oxyology, Department of Infectiology, School of Medicine, University of Pecs, Pecs, Hungary. ternak@t-online.hu
Gabor
G
Ternak
Istvan
I
Almasi
Eva
E
Rakoczi
D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D000890:Anti-Infective Agents; D001424:Bacterial Infections / Q000188:drug therapy* / Q000453:epidemiology*; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control*; D004196:Disease Outbreaks / Q000517:prevention & control / Q000706:statistics & numerical data*; D004352:Drug Resistance, Microbial; D006761:Hospitals / Q000706:statistics & numerical data*; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D015994:Incidence; D011159:Population Surveillance / Q000379:methods*; D011795:Surveys and Questionnaires
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents