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Enfeksiyon hastalıkları konsültasyon hizmetlerinin antibiyotik kullanımı, direnç ve maliyet üzerindeki etkisi

The effects of infectious disease consultations on antibiotic use, resistance and cost

Journal Name:

  • Gülhane Tıp Dergisi

Publication Year:

  • 2008

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
This study was performed to demonstrate the effects of infectious disease consultations on the incidence and resistance rates of nosocomial infection agents, antibiotic use, resistance and cost. The consultation services, which were carried out by the specialists of infectious diseases at Gülhane Military Medical Academy and Ankara Military Hospital in Ankara, between 2003 and 2005 were included in study prospectively and retrospectively, respectively. The changes in resistance rates of frequently observed nosocomial infection agents isolated from patients hospitalized at the Education Hospital of Gülhane Military Medical Academy against some antibiotics were studied, and the cost was calculated using the data of the Hospital Infection Control Committee. Results of the study have revealed that demand of infectious diseases consultation is increasing gradually, and resistance rates in microorganisms have become prone to decline because of the resultant appropriate use of the antibiotics.
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Abstract (Original Language): 
Bu çalýþma enfeksiyon hastalýklarý uzmaný konsültasyonlarýnýn, hastane enfeksiyonu ajanlarýnýn direnç oranlarý, görülme sýklýðý, antibiyotik kullanýmý ve maliyeti üzerine etkilerini ortaya koymak amacýyla yapýldý. GATA Eðitim Hastanesi ve Ankara Asker Hastanesinde enfeksiyon hastalýklarý uzmanlarý tarafýndan, 2003 ile 2005 tarihleri arasýndaki dönemde yapýlmýþ olan konsültasyonlar GATA Eðitim Hastanesinde prospektif, Ankara Asker Hastanesinde retrospektif olarak irdelenmiþtir. GATA Eðitim Hastanesinde yatan hastalarýn kültürlerinden izole edilen ve sýk görülen hastane enfeksiyon etkenlerinin, bazý antibiyotiklere karþý olan direnç oranlarýndaki deðiþiklikler araþtýrýlmýþ ve hastane enfeksiyon kontrol komitesi verileri kullanýlarak maliyet hesaplanmýþtýr. Çalýþma sonucunda, enfeksiyon hastalýklarý konsültasyon istek oranlarýnýn giderek arttýðý ve böylece uygun antibiyotik kullanýmý sayesinde mikroorganizmalardaki direnç oranlarýnýn genel olarak düþme eðilimine girdiði gözlenmiþtir.
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  • 2
71-77
  • Turkish

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