İki Farklı Hastanenin Ortopedi Kliniklerinde Kullanılan Antibiyotik Seçeneklerinin Akılcı Antibiyotik Kullanımı Açısından Değerlendirilmesi.

Background: Described in the present study is an analysis of appropriateness of antibiotics use for patients in whom infectious agent was detected. Data from patients in orthopedics and traumatology departments of two different hospitals in the same district were evaluated according to rational antibiotic drug use and culture antibiogram results. Methods: Data of patients diagnosed with infection between January 1, 2014 and December 31, 2015 in orthopedics and traumatology departments of two different hospitals were analyzed. Patients diagnosed with malignancy or who were discharged from other departments were excluded. A standard form was created to collect demographic data, culture antibiogram results, details of infectious agent, source of culture material, posology of antibiotic used, duration and appropriateness of use, and length of hospital stay. Costs were estimated based on 2014 Ministry of Health price list, and mean price of antibiotics per patient was recorded. Descriptive analyses were also completed. Results: It was determined that appropriate antibiotics for detected infectious agent were not always selected. Though there were cheaper effective antibiotics that could have been used according to antibiogram results, more expensive antibiotics were often chosen, which results in higher costs. Conclusion: Multidisciplinary approach in patient care and use of evidence-based guidelines should be increased. Teams should be formed and led by infectious disease and pharmacology specialists. New strategies should be developed immediately in health economics and new pharmacoeconomic models should be initiated in orthopedics and traumatology departments. [ABSTRACT FROM AUTHOR]