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Pharmacy World and Science

, Volume 15, Issue 2, pp 68–72 | Cite as

Utilization patterns of total parenteral nutrition in a university hospital

A methodological approach
  • Ellen Frankfort
  • Cees Zimmerman
  • Roelof Van Dalen
  • Yechiel A. Hekster
Articles

Abstract

To study the utilization of total parenteral nutrition, using methodology recommended by the World Health Organization, classification of components in accordance with the anatomical therapeutic chemical classification and defined daily dose system is necessary. Anatomical therapeutic chemical indices are available but defined daily dose values have not been established yet. In this article, a methodology to study both the total utilization of total parenteral nutrition, the utilization of individual substances and the composition of total parenteral nutrition is presented. To validate the proposed methodology, the utilization of total parenteral nutrition in a teaching hospital is studied, based on pharmacy computer data. The total utilization of total parenteral nutrition in the hospital in 1990 is 1.4 defined daily doses/100 beddays. The composition of total parenteral nutrition varied greatly between the clusters. In this study we showed that utilization of total parenteral nutrition can be measured with the proposed methodology, using a defined daily dose for total parenteral nutrition in concurrence with a defined daily dose for the individual components.

Keywords

Amino acids Carbohydrates Data collection Defined daily dose Drug utilization Fats Parenteral feeding 

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Copyright information

© Periodicals Service Company 1993

Authors and Affiliations

  • Ellen Frankfort
    • 1
  • Cees Zimmerman
    • 2
  • Roelof Van Dalen
    • 2
  • Yechiel A. Hekster
    • 1
  1. 1.Department of Clinical PharmacyUniversity Hospital NijmegenHB Nijmegenthe Netherlands
  2. 2.Department of Intensive CareUniversity Hospital Nijmegenthe Netherlands

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