Servicii – Raport utilizare antibiotice de rezerva – 2019 – Semestrul II

La Nivelul Sem. Ii – 2019

In conformitate cu OMS 1101/2016, Anexa nr. 1, Cap. II, 2, (g)

Consum (flacoane)

Nr Sectia Compartiment

Denumire antibiotic Intrari Sectia Compartiment

Crt Medicina Chirurgie Total

Pediatrie ATI

Interna Generala

1 Colistina 0 10 – – 14 10

2 Imipenem-cilastatina 300 – – 76 85 161

3 Vancomicina 200 – – 152 72 224

4 Meropenem 200 – – 10 12 22

5 Targocid 0 – – – 8 8

6 Piperacilin/Tazobactam 50 6 6 12

Utilizarea acestora a vizat urmatoarele considerente:

MEDICINA INTERNA – antibioticele de rezerva au fost folosite dupa cum urmeaza:

Colistina – 1 pacient Nefrita tubulointerstitiala ac., Cistectomie radicala

CHIRURGIE GENERALA – antibioticele de rezerva au fost folosite dupa cum urmeaza:

Vancomicina—14 pacienti (1 pacient abces mana, Sepsis, 9 pacienti DZ, Gangrena, 1 pacient Proctocolita

mucoasa, Hemoragie anus si rect, 1 pacient Embolie si tromboza arterelor extremitatilor inferioare, Gangrena, 1

Meropenem—2 pacienti (1 pacient Colicistita acuta litiazica , 1 pacient Abces cutanat)

Piperacilin/Tazobactam – 1 pacient Colicistita acuta litiazica

A.T.I. – antibioticele de rezerva au fost folosite dupa cum urmeaza:

Vancomicina—8 pacienti (1 pacient Abces mana, 2 pacienti DZ, Gangrena, 1 pacient Abces renal si perirenal

fuzat, Sepsis, DZ, 1 pacient Embolie si tromboza arterelor extremitatilor inferioare, Gangrena, 1 pacient Hernie

Imipenem/Cilastatin—6 pacienti (1 pacient DZ, Gangrena, 2 pacienti Colicistita acuta litiazica, 1 pacient Tumora

maligna pancreas, tumora maligna sec. Ficat, 1 pacient Tumora maligna colon, tumora maligna sec. Peritoneu, 1

pacient Abces renal si perirenal fuzat, Sepsis DZ II)

Piperacilina/Tazobactam—1 pacient (1 pacient Colicistita acuta litiazica).

Dr. Frunza Camelia – Responsabil cu politica de utilizare a antibioticelor

CPIAAM – Spital orasenesc Sinaia

• PEDIATRIE – nu a existat patologie care sa impuna utilizarea antibioticelor de rezerva;
• pacient Hernie ombilicala cu obstructive, fara gangrene, 1 pacient Abces cutanat);
• Imipenem/cilastatin—4 pacienti (3 pacienti Diabet zaharat, Gangrena, 1 pacient Colicistita acuta litiazica );
• ombilicala cu obstructie, fara gangrena, 1 pacient cu DZ, PNP si AOMI, 1 pacient Ulceratie MI suprainfectate);
• Meropenem—2 pacienti (1 pacient Colicistita acuta litiazica, 1 pacient Abces renal si perirenal fuzat, Sepsis);
• Targocid—2 pacienti ulcer gambier suprainfectat;