Kiamarsi, Mehdi

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      داﻧﺸﮕﺎه ﻋﻠﻮم ﭘﺰﺷﻜﻲ ﻛﺮﻣﺎن  داﻧﺸﻜﺪه ﭘﺰﺷﻜﻲ  ﭘﺎﻳﺎن ﻧﺎﻣﻪ دوره ﭘﺰﺷﻜﻲ ﻋﻤﻮﻣﻲ   ﻋﻨﻮان:ﺳﺎل ﺑﺴﺘﺮي در ﺑﺨﺶ ﻋﻔﻮﻧﻲ   56ﺑﺮرﺳﻲ اﻟﮕﻮي ﻣﺼﺮف اﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ در ﺑﻴﻤﺎران ﺑﺎﻻي      7931ﺑﻴﻤﺎرﺳﺘﺎن اﻓﻀﻠﻲ ﭘﻮر ﺷﻬﺮ ﻛﺮﻣﺎن در ﺳﺎل     ﺗﻮﺳﻂ:  ﻣﻬﺪي ﻛﻴﺎﻣﺮﺛﻲ    اﺳﺘﺎد راﻫﻨﻤﺎ:  دﻛﺘﺮﻏﻼﻣﺮﺿﺎ ﺳﭙﻬﺮي  اﺳﺘﺎد ﻣﺸﺎور:  دﻛﺘﺮ ﺣﻤﻴﺪ اﺑﻮﺳﻌﻴﺪي ﺳﺎل ﺗﺤﺼﻴﻠﻲ 79-89 ﺳﺎل ﺑﺴﺘﺮي در  56اﻟﮕﻮي ﻣﺼﺮف اﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ در ﺑﻴﻤﺎران ﺑﺎﻻي ﺑﺮرﺳﻲ اﻳﻦ ﭘﮋوﻫﺶ ﺑﺎ ﻫﺪف  زﻣﻴﻨﻪ و ﻫﺪف:    ﺷﺪ. 7931 ﺑﺨﺶ ﻋﻔﻮﻧﻲ  ﺑﻴﻤﺎرﺳﺘﺎن اﻓﻀﻠﻲ ﭘﻮر ﺷﻬﺮ ﻛﺮﻣﺎن در ﺳﺎلاﻳﻦ ﭘﮋوﻫﺶ ﻳﻚ ﻣﻄﺎﻟﻌﻪ از ﻧﻮع ﺗﻮﺻﻴﻔﻲ ﺑﻮد ﻛﻪ در ﭼﻚ ﻟﻴﺴﺖ ﻫﺎي از ﻗﺒﻞ ﺗﻬﻴﻪ ﺷﺪه ﻛﻠﻴﻪ   ﻣﻮاد و روش ﻫﺎ:ﻧﺴﺨﻪ ﻫﺎي ﺣﺎوي آﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎي  ﺗﺠﻮﻳﺰ ﺷﺪه از ﭘﺮوﻧﺪه ﺑﻴﻤﺎران اﺳﺘﺨﺮاج ﺷﺪ و ﭘﺲ از ﺛﺒﺖ اﻃﻼﻋﺎت  دﻣﻮﮔﺮاﻓﻴﻚ ﻋﻠﺖ ﺑﺴﺘﺮي ﺷﺪن ﻓﺮد ﺑﺮ اﺳﺎس ﻧﻮع ﺑﻴﻤﺎري ﺛﺒﺖ ﮔﺮدﻳﺪ. ﺳﭙﺲ اﻧﻮاع اﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎي ﻣﺼﺮﻓﻲﺷﺎﻣﻞ ﻧﺤﻮه ي ﻣﺼﺮف، ﻣﺪت ﺗﺠﻮﻳﺰ، ﻧﺘﺎﻳﺞ ﻛﺸﺖ ﻣﻴﻜﺮوﺑﻲ(، ﻣﻴﺰان ﻓﺮاواﻧﻲ ﺗﺠﻮﻳﺰ اﻧﻮاع آﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ، راه ﺗﺠﻮﻳﺰ ) ﺧﻮراﻛﻲ ﻳﺎ ﺗﺰرﻳﻘﻲ(  و ﻃﻮل ﻣﺪت درﻣﺎن ﺑﺎ آﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ  ﻣﺤﺎﺳﺒﻪ  ﮔﺮدﻳﺪ. داده ﻫﺎي ﺣﺎﺻﻞ ﺑﺎ ﻧﺮم اﻓﺰار   ﻣﻮرد ﺗﺠﺰﻳﻪ و ﺗﺤﻠﻴﻞ ﻗﺮار ﮔﺮﻓﺖ.  52ﻧﺴﺨﻪ ي  SSPSﺳﻔﺎﻟﻮﺳﭙﻮرﻳﻦ ﻫﺎ ﺑﺎ ﻣﻴﺎﻧﮕﻴﻦ . %( 44ﺑﻴﺸﺘﺮﻳﻦ ﺗﺸﺨﻴﺺ ﻧﻬﺎﻳﻲ ﻣﻄﺮح ﺷﺪه ﺟﻬﺖ ﺑﻴﻤﺎران ﭘﻨﻮﻣﻮﻧﻲ ﺑﻮد )ﻳﺎﻓﺘﻪ ﻫﺎ: % ﺑـﺎﻻﺗﺮﻳﻦ ﻣﻴﺰان ﻣـﺼﺮف را داﺷﺘﻪ اﻧﺪ. ﺑﻴﺸﺘﺮﻳﻦ درﺻﺪ ﻓﺮاواﻧﻲ آﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎي اﺳﺘﻔﺎده ﺷﺪه  76ﻣﺼﺮف  1/5%(، ﻣﺮوﭘﻨﻢ ) 2/5ﻴﻠﻴﻦ )%(، آﻣﭙﻲ ﺳ 8%(، ﻛﻠﻴﻨﺪا ﻣﺎﻳﺴﻴﻦ) 9/5%(، وﻧﻜﻮﻣﺎﻳﺴﻴﻦ ) 77ﻣﺮﺑﻮط ﺑﻪ ﺳﻔﺘﺮﻳﺎﻛﺴﻮن )  .%( ﻣﻲ ﺑﺎﺷﺪ 1/5%( و ﺳﺎﻳﺮ آﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ )در ﺑﺨﺶ ﻋﻔﻮﻧﻲ  ﺑﻴﻤﺎرﺳﺘﺎن اﻓﻀﻠﻲ ﺑﺎ ﺗﻌﻴﻴﻦ ﻓﺮاواﻧﻲ و ﻧﻮع آﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﺗﺠﻮﻳﺰ ﺷﺪه در ﺳﺎﻟﻤﻨﺪان   ﮔﻴﺮي: ﻧﺘﻴﺠﻪ ﺠﺎد ﻣﻘﺎوﻣﺖ ﻣﻲ ﺗﻮان ﻳﻚ اﻟﮕﻮ از ﻧﺤﻮه ﻣﺼﺮف اﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﺑﻪ دﺳﺖ آورد ﻛﻪ در ﭘﻴﺶ ﮔﻴﺮي از اﻳ ﭘﻮر ﺷﻬﺮ ﻛﺮﻣﺎن  ﻫﺎي ﻣﻴﻜﺮوﺑﻲ ﻣﻮﺛﺮ واﻗﻊ ﺧﻮاﻫﺪ ﺷﺪ. اﻟﮕﻮي ﻣﺼﺮف اﻧﺘﻲ ﺑﻴﻮﺗﻴﻚ ﻫﺎ ، ﺳﺎﻟﻤﻨﺪان، ﻛﺮﻣﺎن  ﻛﻠﻴﺪواژه:    Abstract Background: The aim of this study was to investigate the pattern of antibiotic usage in patients over 65 years admitted in the Infectious Diseases word of Afzalipour Hospital in Kerman. Materials and Methods: This study was a descriptive study that data was extracted from all prescriptions of antibiotics in patients' files. After recording the demographic data, the cause of hospitalization was recorded based on the type of disease. Then, the types of antibiotics used included the type of administration, the duration, the results of microbial culture, the frequency of administration of antibiotics, the method of administration (oral or injectable) and the duration of treatment with antibiotics were extracted. Data were analyzed using SPSS software version 25. Results: The most recent diagnosis was pneumonia in patients (44%). Sulfosporins had the highest levels of consumption with an average consumption of 67%. The highest percentage of antibiotics used was for Ceftriaxone (77%), Vancomycin (9.5%), Clinda Maisin (8%), Ampicillin (2.5%), Meropenem (1.5%), and Other Antibodies Biotypes (1.5%). Conclusion: Determining the frequency and type of antibiotic administered in the elderly in the Infectious Disease of Afzalipour Hospital in Kerman, we can obtain a pattern of antibiotic use that will be effective in preventing microbial resistance. Keywords: Pattern of antibiotics consumption, elderly, Kerman.     

بررسی الگوی مصرف آنتی بیوتیک ها در بیماران بالای  65 سال بستری در بخش عفونی  بیمارستان افضلی پور شهر کرمان در سال 1397

http://eprints.kmu.ac.ir/30750/1/7040.pdf

بررسی الگوی مصرف آنتی بیوتیک ها در بیماران بالای 65 سال بستری در بخش عفونی بیمارستان افضلی پور شهر کرمان در سال 1397

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