Evaluation of antibiotic consumption at Rakovica community health center from 2011 to 2015

Abstract

© 2017, University of Kragujevac, Faculty of Science. All rights reserved. Antibacterial drugs are among the major discoveries of the 20th century because they significantly reduced the rate of morbidity and mortality as well as the risk of infections related to invasive medical procedures. Indiscriminate and wrongful use of these powerful life-saving drugs has led to the development of resistance of numerous microorganisms, resulting in an increase in the number of hospital-acquired infections with a fatal outcome. Thus, it is very important to establish the volume of antibiotic consumption and surveillance of antimicrobial resistance in order to rationalize the use of this important group of medications. The usage unique ATC/DDD methodology results expressed as Defined Daily Doses (DDD)/1000 inhabitants per day (DID) has enabled the comparison of antibiotic consumption in Serbia to that in other countries for a better understanding of our results. The community health center in Rakovica provides treatment for approximately 70,820 patients. The volume of overall antibiotic consumption has been calculated as well as the use of certain antibiotics in the total consumption and comparison of the guides for good clinical practice. The most prescribed antibiotics were antibiotics for diseases of the respiratory system. The most prescribed groups of antibiotics were penicillin drugs, which are an optimal choice as per the guides for good clinical practice. Amoxicillin are the most frequently prescribed individual antibiotic. A yearly increase in prescribing penicillin was observed. A rise in consumption of all generations of quinolones was observed, particularly for levofloxacine, which is not in accordance with the recommendations.