NGHIÊN CỨU TÌNH HÌNH KÊ ĐƠN VÀ SỬ DỤNG CÁC LOẠI KHÁNG SINH, SỬ DỤNG KHÁNG SINH AN TOÀN HỢP LÝ TRONG ĐIỀU TRỊ NGOẠI TRÚ BỆNH VIÊM PHỔI CỘNG ĐỒNG TẠI BỆNH VIỆN PHỔI ĐỒNG THÁP NĂM 2020

Abstract

Background: Community-acquired pneumonia was an infection of the lung parenchyma occurring outside of the hospital setting, including inflammation of the alveoli, alveolar ducts and sacs, terminal bronchioles, or interstitial inflammation of the lungs. Objectives: 1. Determining the rate of antibiotics used in outpatient treatment of community-acquired pneumonia; 2. Determining the proportion of patients using safe and reasonable antibiotics and some related factors in outpatient treatment of community-acquired pneumonia. Materials and methods: A cross-sectional descriptive study with an analysis of 395 outpatient prescriptions at Dong Thap Lung Hospital, who were diagnosed with community-acquired pneumonia and indicated to use antibiotics. Results: Percentage of prescriptions using 1 antibiotic accounted for 95.2%, 2 antibiotics was 4.8%. Among the prescriptions, the use of 1 antibiotic of the betalactam group accounted for 89.9%, the quinolone group was 5.3%, the tetracycline group was 4.3% and the macrolide group was 0.5%. The rate of prescriptions for prescriptions of antibiotics that are reasonably safe was 84.3%. Recording prescriptions with antibiotic combination, the rate of safety and rationality was lower than that of prescriptions without antibiotic combination, p<0.05. Conclusions: The safe and rational use of antibiotics was high, but there are still shortcomings in the safe and rational use of antibiotics.