(精选)不明原因发热抗生素的使用(英文课件)ANTIBIOTIC USE IN PATIENTS WITH FEVER OF UNKNOWN ORIGIN (FUO) AT PANTI RAPIH HOSPITAL YOGYAKARTA-INDONESIA教学课件.pptVIP

 ANTIBIOTIC USE IN PATIENTS WITH FEVER OF UNKNOWN ORIGIN (FUO) AT PANTI RAPIH HOSPITAL YOGYAKARTA-INDONESIA Hartayu T1 , Asdie HAH2, Suryawati S3 1 Faculty of Pharmacy Sanata Dharma University 2 Department of Internal Medicine and 3 Department of Clinical Pharmacology, Faculty of Medicine Gadjah Mada University, Yogyakarta ABSTRACT Problem Statement: Antibiotics accounted as the biggest part of drug costs paid by patients admitted to Panti Rapih hospital, and fever of unknown origin (FUO) was the most prominent diagnosis reported. Objectives: To evaluate the pattern of antibiotic use in patients admitted with FUO in Panti Rapih hospital, Indonesia. Design: An explorative study with retrospective quantitative data collection and prospective qualitative data collection. All patients admitted to Panti Rapih Hospital with FUO as diagnosis at admission during the period of December 1996 to June 1997 were selected. Quantitative data were collected to assess the pattern of antibiotic use in FUO and the pattern of diagnosis at both admission and discharge. Qualitative data were collected using in-depth interviews with prescribers and the paramedic chiefs of the wards to explore the reasons for antibiotic use , and identifying final diagnoses. Setting and Population: All patients hospitalized with FUO as diagnosis at admission in Panti Rapih Hospital, during period of December 1996 to June 1997. Outcome Measures: Pattern of diagnoses at discharge (final diagnosis), number of antibiotics received, the kind of antibiotics received, the route and administration of antibiotics, average length of stay, range of drug cost during hospitalization, reasons of antibiotic usage. Results: Out of 273 cases analyzed 48 cases (18%) had FUO as final diagnosis, and the rest were diagnosed as having upper respiratory infection 37 cases (14%), dengue fever35 cases (13%), no final diagnosis 18 cases (10%)and others 125 cases (45%). In total 90% of cases used antibiotic, either oral or