TÌNH HÌNH VÀ TÍNH PHÙ HỢP TRONG SỬ DỤNG KHÁNG SINH ĐIỀU TRỊ VIÊM PHỔI CỘNG ĐỒNG TẠI TRUNG TÂM Y TẾ THÀNH PHỐ HÀ TIÊN NĂM 2024

Abstract

 Background: Community-acquired pneumonia is one of the leading causes of infectionrelated mortality worldwide. In primary healthcare settings where microbiological testing resources are limited, empirical antibiotic selection plays a decisive role in therapeutic efficacy. However, suboptimal adherence to treatment guidelines has been observed, leading to increased antimicrobial resistance and healthcare costs. Therefore, this study was conducted to evaluate the current status and appropriateness of antibiotic use to optimize antimicrobial stewardship strategies at the facility. Objectives: To evaluate the current situation and appropriateness of antibiotic use in the treatment of community-acquired pneumonia at Ha Tien City Medical Center in 2024. Materials and methods: A cross-sectional study was conducted on 246 medical records of inpatients diagnosed with community-acquired pneumonia between January 1, 2024, and December 31, 2024. The appropriateness was assessed based on Decision Number 4815/QĐ-BYT of the Ministry of Health regarding the guidelines for diagnosis and treatment of community-acquired pneumonia in adults. Results: The mean age was 64.2 ± 15.3 years. 87.4 percent of patients had a CURB-65 score of 0 to 1 point. Monotherapy regimens predominated. Cefotaxime was the most commonly used antibiotic, with a rate of 73.7 percent. The median duration of antibiotic therapy was 6 days. The rate of appropriate antibiotic use reached 91.1 percent. Inappropriate cases accounted for 8.9 percent, mainly related to the prescription of aminoglycosides outside of recommended guidelines. Conclusions: The study recorded a high rate of appropriate antibiotic use at 91.1 percent, while identifying major deviations in treatment related to the use of aminoglycosides.