Antibiotic Consumption During a 4-year Period in a Community Hospital with an Antimicrobial Stewardship Program.
OBJECTIVE
We sought to evaluate the trend of antibiotic consumption in patients admitted to a community hospital in Qatar with an antimicrobial stewardship program.


METHODS
This observational study was carried out in a 75-bed facility in Western Qatar over a 4-year period (2012-2015). The monitoring of antimicrobial consumption from inpatient wards was performed from the pharmacy records and presented as defined daily dose (DDD) divided by the patient days and expressed as 100 bed-days (DBD).


RESULTS
The consumption of antimicrobials in 2012 was 171.3 DBD, and increased to 252.7 DBD in 2013, 229.1 DBD in 2014, and 184.7 DBD in 2015. Cephalosporins use reduced from 98.2 DBD in 2013 to 51.5 DBD in 2015 while the consumption of penicillins increased during the beginning of 2014 with a slight decrease in 2015. Carbapenems consumption during 2014-2015 was lower than previous years, and vice-versa for aminoglycosides. Fluoroquinolones had a sustained increase with 37.1% increased consumption in 2015 compared to the two previous years. There was an increase in the use of intravenous (IV) (108.5%) and oral azithromycin (55.1%) and the use of oral (152.8%) and IV moxifloxacin (22.9%).


CONCLUSIONS
We observed a decrease in antibiotic use in patients admitted to a community hospital with an antimicrobial stewardship program, but the increase in fluoroquinolones consumption is a concern that requires focused strategies.
Infection Control Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Humberto Guanche
HG
Garcell
Infection Control Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Ariadna Villanueva
AV
Arias
Pharmacy Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Eliezer Alemán
EA
Fernandez
Pharmacy Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Yaquelín Batista
YB
Guerrero
Surgical Department, The Cuban Hospital, Hamad Medical Corporation, Qatar.
Ramon N Alfonso
RN
Serrano
Antimicrobial Agents; Hospitals; Qatar.