Please use this identifier to cite or link to this item:
https://www.um.edu.mt/library/oar/handle/123456789/295
Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Ebejer, Martin J. | - |
dc.contributor.author | Fenech, Frederick F. | - |
dc.contributor.author | Schiavone, M. | - |
dc.contributor.author | Vella, Patricia | - |
dc.date.accessioned | 2014-10-07T12:23:22Z | - |
dc.date.available | 2014-10-07T12:23:22Z | - |
dc.date.issued | 1996 | - |
dc.identifier.citation | Maltese Medical Journal. 1996, Vol. 8(1), p. 35-38 | en_GB |
dc.identifier.uri | https://www.um.edu.mt/library/oar//handle/123456789/295 | - |
dc.description.abstract | Antibiotics are frequently prescribed drugs and form a significant part of the hospital budget. The literature suggests that prescribing is not without problems and may need constant review. We have no data relating to our hospital. This study aims to explore some aspects of antibiotic use in our setting. Records of all patients prescribed antibiotics on two medical wards over a 4 month period were analysed for indication, choice of antibiotic, outcome and cost. There were 126 patients: 54% males; 75.4%, >60 years old; 62% were admitted because of infection. Of the whole group, 8.7% received antibiotics with no evidence of infection and no indication for prophylaxis. There were 118 infections, 64% respiratory, 13.5% urinary and the rest of miscellaneous sites; 14% of infections were nosocomial. Microbiological studies were available in only 29% of infections. For 6 patients, the antibiotics prescribed were relatively contraindicated because of impaired hepatic and renal function. There was one adverse drug reaction. The total drug cost was Lm2181.79; i.v. treatment accounted for 93% of this cost and ceftazidime for 60%. There is room for improvement in the selection of antibiotics and their route of administration. The hospital microbiologists and the Antibiotic Policy should be consulted more often. Laboratory diagnosis of infection and biochemical patient monitoring are inadequate. Restricting i.v. treatment could reduce cost very substantially. | en_GB |
dc.language.iso | en | en_GB |
dc.publisher | Maltese Medical Journal | en_GB |
dc.rights | info:eu-repo/semantics/openAccess | en_GB |
dc.subject | Antibiotics | en_GB |
dc.subject | Antibiotics -- Therapeutic use -- Malta -- Statistics | en_GB |
dc.subject | Medicine -- Formulae, receipts, prescriptions | en_GB |
dc.subject | Infections | en_GB |
dc.subject | Adverse drug reaction | en_GB |
dc.subject | Prescriptions | en_GB |
dc.title | Antibiotic prescribing on two medical wards at St Luke’s Hospital : what scope for improvement? | en_GB |
dc.type | article | en_GB |
dc.rights.holder | The copyright of this work belongs to the author(s)/publisher. The rights of this work are as defined by the appropriate Copyright Legislation or as modified by any successive legislation. Users may access this work and can make use of the information contained in accordance with the Copyright Legislation provided that the author must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the prior permission of the copyright holder. | en_GB |
dc.description.reviewed | peer-reviewed | - |
Appears in Collections: | MMJ, Volume 8, Issue 1 MMJ, Volume 8, Issue 1 |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
mmj080135.pdf | 6.87 MB | Adobe PDF | View/Open |
Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.