Antimicrobial Usage in the U.S.A.

  • William A. Craig
  • Kermit P. Sarver
Part of the Chemotherapy book series (CT, volume 4)


The costs and usage of antimicrobial agents in 19 U.S. hospitals were obtained by review of pharmacy records. The hospitals surveyed ranged from 1000 bed university and Federal teaching hospitals to 200 bed community hospitals. There was marked variation in antimicrobial usage among the 19 hospitals where the proportion of total pharmacy costs expended on antimicrobial agents ranged from 11 to 62 percent. The cephalosporin and aminoglycoside antibiotics accounted for 60 percent of total antimicrobial costs. There was also significant variation among hospitals in usage of chloramphenicol and clindamycin. Trends in antimicrobial usage over a three year period (1972 to 1974) were ascertained in 10 community hospitals. The major findings were increased usage of the cephalosporins (both oral and parenteral), gentamicin, and clindamycin. These trends were reversed at a hospital with a functioning antimicrobial control program.


Antimicrobial Agent Community Hospital Aminoglycoside Antibiotic Pharmacy Record Certification Figure 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Kunin, C.M., Tupasi, T. and Craig, W.A. (1973), Ann. Intern. Med., 79, 555.PubMedGoogle Scholar
  2. 2.
    Reiman, H.A. and D’Ambola, J. (1966), Arch. Environ. Health, 13, 631.Google Scholar
  3. 3.
    Roberts, A.W. and Visconti, J.A. (1972), Am. J. Hosp. Pharm., 29, 828.PubMedGoogle Scholar
  4. 4.
    Scheckler, W.E. and Bennett, J.V. (1970), J.A.M.A., 213, 264.PubMedCrossRefGoogle Scholar
  5. 5.
    Simmons, H.E. and Stolley, P.D. (1974), J.A.M.A. 227, 1023.PubMedCrossRefGoogle Scholar

Copyright information

© Plenum Press, New York 1976

Authors and Affiliations

  • William A. Craig
    • 1
  • Kermit P. Sarver
    • 1
  1. 1.Department of MedicineVeterans Administration Hsopital and University of WisconsinMadisonUSA

Personalised recommendations