Effectiveness of education and an antibiotic-control program in a tertiary care hospital in Thailand.
@article{Apisarnthanarak2006EffectivenessOE,
title={Effectiveness of education and an antibiotic-control program in a tertiary care hospital in Thailand.},
author={Anucha Apisarnthanarak and Somwang Danchaivijitr and Thana Khawcharoenporn and Julajak Limsrivilai and Boonyasit Warachan and Thomas C. Bailey and Victoria J. Fraser},
journal={Clinical infectious diseases : an official publication of the Infectious Diseases Society of America},
year={2006},
volume={42 6},
pages={
768-75
}
}BACKGROUND
We conducted a study to evaluate the impact of education and an antibiotic-control program on antibiotic-prescribing practices, antibiotic consumption, antimicrobial resistance, and cost of antibiotics in a tertiary care hospital in Thailand.
METHODS
A study of the year before and the year after the intervention was performed. Inpatient antibiotic prescriptions were prospectively observed. Demographic characteristics, hospital unit, indication for antibiotic prescription…Â
127 Citations
Impact of Education and an Antifungal Stewardship Program for Candidiasis at a Thai Tertiary Care Center
- Medicine, BiologyInfection Control & Hospital Epidemiology
- 2010
Implementation of an antifungal stewardship program was associated with appropriate antif fungus drug use, improved resource utilization, and cost savings at a Thai tertiary care hospital.
Impact of an antibiotic restriction program on antibiotic utilization in the treatment of community-acquired pneumonia in a Veterans Affairs Medical Center
- MedicineInfection
- 2010
In addition to a decrease in the antibiotic utilization and the mean length of hospital stay, the ARP may have yielded cost savings and reduced the readmission rates for those patients admitted and treated for CAP.
An educational intervention to promote appropriate antibiotic use for acute respiratory infections in a district in Egypt- pilot study
- MedicineBMC Public Health
- 2019
The samples surveyed after the community-based educational campaign in Minya, Egypt reported a lower frequency of antibiotic prescribing and improved knowledge and attitudes regarding antibiotic misuse compared to the samples surveyed before the campaign.
Impact of an Antimicrobial Utilization Program on Antimicrobial Use at a Large Teaching Hospital A Randomized Controlled Trial
- MedicineInfection Control & Hospital Epidemiology
- 2009
A multidisciplinary AUT that provides feedback to prescribing physicians was an effective method in improving antimicrobial use at a teaching hospital.
Assessment of appropriateness of restricted antibiotic use in Charoenkrung Pracharak Hospital, a tertiary care hospital in Bangkok, Thailand.
- MedicineThe Southeast Asian journal of tropical medicine and public health
- 2011
The prevalence of appropriate use of restricted antibiotics was high; physicians followed local hospital antibiotic guidelines; and Meropenem was more likely to be used appropriately than cefoperazone/sulbactam.
Prescribing Practices of Broad Spectrum Antibiotics in Tertiary Care Hospital: An Observational Study
- Medicine
- 2018
The utilization of broad spectrum antibiotics such as broad spectrum cephalosporins must be rationale with culture sensitivity test for antibiotic selection in clinical situations and hygienic practices in hospitals must be employed which can reduced the risk of infections.
Impact of standardised review of intravenous antibiotic therapy 72 hours after prescription in two internal medicine wards.
- Medicine, Political ScienceThe Journal of hospital infection
- 2010
Implementation and outcomes of hospital-wide computerized antimicrobial approval system and on-the-spot education in a traumatic intensive care unit in Taiwan.
- MedicineJournal of microbiology, immunology, and infection = Wei mian yu gan ran za zhi
- 2018
Impact of antibiotic restriction on broad spectrum antibiotic usage in the ICU of a developing country.
- MedicineJPMA. The Journal of the Pakistan Medical Association
- 2007
Streamlining the formulary to control antibiotic choices and the creation of a restriction program using the expertise of infectious disease physicians resulted in significant reductions in the use of and expenditure for broad spectrum antibiotics.
Design and analysis of a pharmacist-enhanced antimicrobial stewardship program in Thailand.
- MedicineAmerican journal of infection control
- 2015
References
SHOWING 1-10 OF 33 REFERENCES
Impact of an educational program on antibiotic use in a tertiary care hospital in a developing country.
- MedicineJournal of clinical epidemiology
- 1998
Utilization of restricted antibiotics in a university hospital in Thailand.
- Medicine, BiologyThe Southeast Asian journal of tropical medicine and public health
- 2003
Better monitoring and strict controlled use of the problematic antibiotics, ie ceftazidime, imipenem/cilastatin or meropenem and vancomycin are essential to promote rational drug use as well as to reduce the frequency of drug resistance.
A hospitalwide intervention program to optimize the quality of antibiotic use: impact on prescribing practice, antibiotic consumption, cost savings, and bacterial resistance.
- Medicine, BiologyClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 2003
The present study indicates that a systematic program performed by a multidisciplinary team is a cost-effective strategy for optimizing antibiotic prescribing.
Antibiotic use at a university hospital. Antibiotic Working Group of Srinagarind Hospital.
- Medicine, Political ScienceJournal of the Medical Association of Thailand = Chotmaihet thangphaet
- 1990
A prospective survey of antibiotic use in 5 departments in Srinagarind Hospital was done during May 1988, and there were no statistical differences in mortality, total hospital stay, hospital stay after treatment between the appropriate and inappropriate use.
Pattern of antibiotic use in medical wards of a university hospital, Bangkok, Thailand.
- MedicineReviews of infectious diseases
- 1990
Attempts to rectify antimicrobial misutilization can be focused specifically at improving clinical recognition of infectious disease by education, and the need for rationalization of antimicrobial use is urgent.
Inappropriate Antibiotic Use in a Tertiary Care Center in Thailand: An Incidence Study and Review of Experience in Thailand
- MedicineInfection Control & Hospital Epidemiology
- 2006
The incidence and patterns of and factors associated with inappropriate antibiotic use were studied in a tertiary care center in Thailand and consultation with an infectious diseases specialist was protective against inappropriate antibiotics use.
Intervention of inappropriate antibiotic use at a university teaching hospital.
- Medicine, Political ScienceJournal of the Medical Association of Thailand = Chotmaihet thangphaet
- 1991
Intervention by education decreased the overall inappropriate use, empiric inappropriate use and prophylactic use, while there was no change in inappropriate documented infection use and inappropriate economic use.
Effect of a selective restriction policy on antibiotic expenditure and use: an institutional model.
- Medicine, BiologyJournal of the Medical Association of Thailand = Chotmaihet thangphaet
- 1991
This study has shown that savings were achieved with no negative effect on good patient care, and the antibiotic use control was operationally successful, and cost saving without compromising good medical practice.
Programmatic role of the infectious diseases physician in controlling antimicrobial costs in the hospital.
- MedicineClinical infectious diseases : an official publication of the Infectious Diseases Society of America
- 1997
Ten recommendations lay a groundwork for IDPs to translate their expertise into leadership of AMPs, which offer the best potential for sustaining savings in antimicrobial costs.
Appropriate use of restricted antimicrobial agents in hospitals: the importance of empirical therapy and assisted re-evaluation.
- Medicine, BiologyThe Journal of antimicrobial chemotherapy
- 2000
Although implementation of the guidelines resulted in a marked reduction in overall antimicrobial costs, inappropriate antibiotic usage may persist for some drugs despite restricted access, emphasizing the need for combined interventions using education and expert counselling.




