EVALUATION OF CARBAPENEM ANTIBIOTIC USE IN INPATIENT TREATMENT AT CAN THO UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL IN 2024 - 2025
Main Article Content
Abstract
Background: Carbapenems are antibiotics reserved for patients with severe infections and are also the drugs of choice for aerobic Gram-negative bacilli producing extended-spectrum βlactamases (ESBLs). The rational use of carbapenems is therefore an urgent issue. Objective: To evaluate the utilization patterns and appropriateness of carbapenem use in inpatients at Can Tho University of Medicine and Pharmacy Hospital in 2024-2025. Materials and methods: A retrospective review of 190 medical records of patients prescribed carbapenems from January 2024 to March 2025 was conducted. Results: The overall rate of appropriate carbapenem use was 65.3%, including indication (89.5%), dosage (82.6%), infusion duration (99.5%), and combination therapy (86.8%). Conclusion: Strengthening adherence to prescribing guidelines and regular updates of the hospital’s antibiogram are essential to improve clinical outcomes and curb carbapenem resistance.
Keywords
carbapenem, Gram-negative, rational antibiotic use
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Bộ Y tế. Quyết định số 5631/QĐ-BYT. Hướng dẫn thực hiện quản lý sử dụng kháng sinh trong bệnh viện. Hà Nội. 2020.
3. Trần Mạnh Duy, Nguyễn Ngọc Khôi, Nguyễn Như Hồ. Đánh giá hiệu quả can thiệp của hoạt động dược lâm sàng trong việc sử dụng nhóm kháng sinh carbapenem tại Khoa Hồi Sức Tích Cực - Chống độc Bệnh viện Đa Khoa Tỉnh Ninh Thuận. Tạp chí Y học Việt Nam. 2022. 515(1), tr. 71-76, doi: https://doi.org/10.51298/vmj.v515i1.2677.
4. Perron, J., Baldolli, A., Isnard, C., et al. Assessing the relevance of carbapenem prescriptions by an antibiotic stewardship team". Med Mal Infect. 2020. 50(4), pp. 346-351. doi: 10.1016/j.medmal.2019.06.004.
5. Faraone A, Poggi A, Cappugi C, et al. Inappropriate use of carbapenems in an internal medicine ward: Impact of a carbapenem-focused antimicrobial stewardship program. Eur J Intern Med. 2020. 78, 50-57, doi: 10.1016/j.ejim.2020.03.017.
6. Sadyrbaeva-Dolgova S, Aznarte-Padial P, et al. Clinical outcomes of carbapenem de-escalation regardless of microbiological results: a propensity score analysis. Int J Infect Dis. 2019. 85, 8087, doi: 10.1016/j.ijid.2019.04.034.
7. Mitchell KF, Safdar N, Abad CL. Evaluating carbapenem restriction practices at a private hospital in Manila, Philippines as a strategy for antimicrobial stewardship. Arch Public Health. 2019. 77, 31, doi: 10.1186/s13690-019-0358-9.
8. Silva, M. A., Dias, G., and Cardoso, T. Correlation of Estimated Creatinine Clearance and Glomerular Filtration Rate in Very Elderly Patients and Antibiotic Prescribing Errors: Cohort Study. Acta Med Port. 2021. 34(5), 335-341, doi: 10.20344/amp.12408.
9. Bộ Y tế. Quyết định số 708/QĐ-BYT. Hướng dẫn sử dụng kháng sinh. Hà Nội. 2015.
10. Snydman, D. R., Jacobus, N. V., McDermott, L. A., et al. Trends in antimicrobial resistance among Bacteroides species and Parabacteroides species in the United States from 2010-2012 with comparison to 2008-2009. Anaerobe. 2017. 43, 21-26, doi: 10.1016/j.anaerobe.2016.11.003.