title: Prevalence of resistance to antibiotics according to International Classification of Diseases (ICD-10) in Boo Ali Sina Hospital of Sari, 2011-2012.
abstract: BACKGROUND
  One of the issues in health care delivery system is resistance to antibiotics. Many researches were done to show the causes and antibiotics which was resistance. In most researches the methods of classifying and reporting this resistance were made by researcher, so in this research we examined the International Classification of Diseases 10 the edition (ICD-10).
  
  
  METHODS
  This is a descriptive cross section study; data was collected from laboratory of Boo Ali Sina hospital, during 2011-2012. The check list was designed according the aim of study. Variables were age, bacterial agent, specimen, and antibiotics. The bacteria and resistance were classified with ICD-10. The data were analyzed with SPSS (16) soft ware and the descriptive statistics.
  
  
  RESULTS
  Results showed that of the 10198 request for culture and antibiogram, there were 1020(10%) resistance. The specimen were 648 (63.5%) urine, blood 127(12.5%), other secretion 125 (12/3%), sputum 102 (10%), lumbar puncture 8 (0/8%), stool 6 (6/0%) and bone marrow 4 (0.4%). The E coli was the most 413 (40.5%) resistance cause to antibiotics which was coded with B96.2 and the most resistance was to multiple antibiotics 885(86.8%) with the U88 code.
  
  
  CONCLUSIONS
  The results showed that by using the ICD-10 codes, the study of multiple causes and resistance is possible. The routine usage of coding of the ICD-10 would result to an up to date bank of resistance to antibiotics in every hospitals and useful for physicians, other health care, and health administrations.
authors.affiliation: Reference laboratory, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
authors.forename: Parvaneh
authors.initials: P
authors.lastname: Afshar
authors.affiliation: Health information Management Office, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
authors.forename: Benyamin Mohseni
authors.initials: BM
authors.lastname: Saravi
authors.affiliation: Microbiology laboratory of Boo Ali Sina Hospital, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
authors.forename: Ebrahim
authors.initials: E
authors.lastname: Nehmati
authors.affiliation: Statistics & mathematics Department, Islamic Azad University, Sari Branch, Sari, Mazandaran, Iran.
authors.forename: Ebrahim Bagherian
authors.initials: EB
authors.lastname: Farahabbadi
authors.affiliation: Health information Technology Department, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
authors.forename: Azadeh
authors.initials: A
authors.lastname: Yazdanian
authors.affiliation: Health information Management, Mazandaran University of Medical Sciences, Sari, Mazandaran, Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Siamian
authors.affiliation: Microbiology Department, Mazandaran University of Medical Sciences, Mazandaran, Sari, Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Vahedi
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D001419:Bacteria / Q000187:drug effects* / Q000302:isolation & purification; D001769:Blood / Q000382:microbiology; D002555:Cerebrospinal Fluid / Q000382:microbiology; D003430:Cross-Sectional Studies; D024881:Drug Resistance, Bacterial; D024901:Drug Resistance, Multiple, Bacterial; D004926:Escherichia coli / Q000187:drug effects / Q000302:isolation & purification / Q000502:physiology; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D007492:Iran; D008297:Male; D008826:Microbial Sensitivity Tests; D015995:Prevalence; D011549:Pseudomonas / Q000187:drug effects / Q000302:isolation & purification / Q000502:physiology; D013183:Sputum / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects / Q000302:isolation & purification / Q000502:physiology; D014556:Urine / Q000382:microbiology
chemical_list: D000900:Anti-Bacterial Agents