TY - JOUR
T1 - Use of antimicrobial drugs in general hospitals. Ii. analysis of patterns of use
AU - Shapiro, M.
AU - Townsend, T. R.
AU - Rosner, B.
AU - Kass, E. H.
N1 - Funding Information:
Received for publication December 12, 1978, and in revised form AprilS, 1979. These studies were conducted under the supervision of the Intersociety Committee on Antimicrobial Drug Usage. The Committee was convened by the American College of Physicians, under contract no. ASH 74-282-HHB, Bureau of Quality Assurance, Department of Health, Education, and Welfare (DHEW). Members of the Intersociety Committee on Antimicrobial Drug Usage include Calvin F. Kay, M.D., F.A.C.P., Program Director; Edward H. Kass, M.D., Ph.D, F.A.C.P., Chairman; George G. Jackson, M.D., F.A.C.P., Co-Chairman (both representing the American College of Physicians and Infectious Diseases Society of America); Sumner I. Yaffe, M.D., and Jerome O. Klein, M.D., American Academy of Pediatrics; George T. Wolff, M.D., American Academy of Family Practitioners; Beverly C. Payne, M.D., F.A.C.P., American College of Physicians; William A. Altemeier, M.D., and William R. Sandusky, M.D., American College of Surgeons; William B. Munier, M.D., Office of Health Practice Assessment, DHEW; John V. Bennett, M.D., Center for Disease Control, DHEW; and Donald Schiffman, Ph.D., American Medical Association. Consultants include Clement R. Brown, M.D., and Joseph S. Gonella, M.D. The study staff include Mervyn Shapiro, M.B., Ch.B.; Timothy R. Townsend, M.D.; Karel Weigel, R.R.A., C.P.H.A.; Paul Gustafson; and Robert Seaman, M.A. The statistician is Bernard Rosner, Ph.D.
PY - 1979/6
Y1 - 1979/6
N2 - The hospital charts were surveyed of 5, 288 patients in 20 hospitals that were randomly selected from the 194 general hospitals in Pennsylvania. Antimicrobial drugs were administered to 28% of the patients, with little variation in pattern according to hospital size. Surgical services accounted for 61% of the patients who received antimicrobial drugs, and the proportion of patients receiving such drugs varied from 84% on thoracic and cardiovascular surgical services to 13% on obstetrical services. General medicine accounted for 29% of the patients who received antimicrobial drugs and pediatrics for 9%. Eight percent of the hospital population accounted for 50% of all antimicrobial drugs used. Ampicillin was the most frequently used drug, being given in 22% of all courses, with cephalosporins (18%), benzylpenicillins (14%), and tetracycline (13%) next in order. Approximately 30% of the antimicrobial courses were used for prophylaxis.
AB - The hospital charts were surveyed of 5, 288 patients in 20 hospitals that were randomly selected from the 194 general hospitals in Pennsylvania. Antimicrobial drugs were administered to 28% of the patients, with little variation in pattern according to hospital size. Surgical services accounted for 61% of the patients who received antimicrobial drugs, and the proportion of patients receiving such drugs varied from 84% on thoracic and cardiovascular surgical services to 13% on obstetrical services. General medicine accounted for 29% of the patients who received antimicrobial drugs and pediatrics for 9%. Eight percent of the hospital population accounted for 50% of all antimicrobial drugs used. Ampicillin was the most frequently used drug, being given in 22% of all courses, with cephalosporins (18%), benzylpenicillins (14%), and tetracycline (13%) next in order. Approximately 30% of the antimicrobial courses were used for prophylaxis.
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U2 - 10.1093/infdis/139.6.698
DO - 10.1093/infdis/139.6.698
M3 - Article
C2 - 109551
AN - SCOPUS:0018763444
SN - 0022-1899
VL - 139
SP - 698
EP - 706
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 6
ER -