ANTIMICROBIAL DRUG CONSUMPTION IN INTENSIVE CARE UNITS AT NORTH WEST (TABUK) REGION HOSPITALS, SAUDI ARABIA

OBJECTIVES: To explore the Antimicrobial medication use in Intensive care units at North West Region Hospitals, Ministry of Health, Saudi Arabia. METHODS: It is 12-month antimicrobial drug use by Intensive care units at North West region hospitals. It included critical care for adults, pediatrics, a...

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Bibliographic Details
Published in:Value in health 2017-05, Vol.20 (5), p.A39
Main Authors: Alomi, YA, Almasoudi, AH, Alghamdi, GA, Alomrani, HZ, Albelwi, AA, Almalki, MG, Sallam, Na, Albalawi, SS, Abdelaziz, SY, Albalawi, HS, Alenezi, AR
Format: Article
Language:English
Subjects:
Antibiotics
Antimicrobial agents
Antiviral agents
Antiviral drugs
Ceftriaxone
Consumption
Critical care
Drug abuse
Drug therapy
Drug use
Drugs
Hospitals
Imipenem
Injection
Intensive care
Intensive care units
Management
Meropenem
Money
Moxifloxacin
Neonates
Newborn babies
Pediatrics
Pharmacies
Pharmacy
Substance abuse
Vancomycin
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Summary:OBJECTIVES: To explore the Antimicrobial medication use in Intensive care units at North West Region Hospitals, Ministry of Health, Saudi Arabia. METHODS: It is 12-month antimicrobial drug use by Intensive care units at North West region hospitals. It included critical care for adults, pediatrics, and neonates. The medications selected by Central Antibiotics committee at MOH as part of the National Antimicrobial stewardship program. The consumption-driven from pharmacy database and calculated base on of stranded unit of antimicrobial per each hospital. The antimicrobial consisted of antibacterial drugs, antifungal, and antiviral medications. The cost of antimicrobial consumption calculated by used Ministry of Health National Cost database. All cost used as US currency. RESULTS: The total number of Antimicrobial standard units was (14,305) and average (2,861) per hospital. The highest drug consumption was Ceftriaxone 1 gm injection (2724) followed by Imipenem 500 mg injection (1251) and Vancomycin 500 injection (1165). The total cost of Antimicrobial consumption was (53,884.95 USD) and (10,777 USD) per each hospital. The highest cost medication consumption from Adults critical care (39,562.33 USD) followed by pediatrics critical care (9,779.93 USD) and Neonates critical care (4,542.68 USD). The highest medication cost was Imipenem, Meropenem, and Moxifloxacin. It consumed more than 50% of the cost burden. CONCLUSIONS: The study is the first in Saudi Arabia, Gulf and Middle East countries. Health system pharmacies leaders are targeting apply antimicrobial stewardship program, and National Drug Utilization Evaluation system to control unnecessary medication expenditures and prevent misuse of medicines.
ISSN:1098-3015
1524-4733
DOI:10.1016/j.jval.2017.05.005