Antimicrobial Usage in the U.S.A.
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.
KeywordsAntimicrobial Agent Community Hospital Aminoglycoside Antibiotic Pharmacy Record Certification Figure
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- 2.Reiman, H.A. and D’Ambola, J. (1966), Arch. Environ. Health, 13, 631.Google Scholar