All Journals > Infection Control and Hospital Epidemiology > April 2006 > Inappropriate Antibiotic Use in Thailand

Article Tools

Search for Related Articles

  • By Author
  • Search In

Highlighted Article

NHSN Annual Update:
Antimicrobial-Resistant Pathogens Associated With Healthcare-Associated Infections

Annual Summary of Data Reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2006–2007

Antimicrobial-resistant pathogens that cause healthcare-associated infections (HAIs) pose an ongoing and increasing challenge to hospitals, both in the clinical treatment of patients and in the prevention of the cross-transmission of these problematic pathogens.  Describing the magnitude of the problem with respect to these antimicrobial-resistant pathogens is challenging, because the levels of antimicrobial resistance vary for different types of healthcare facilities and for different geographic areas, and some resistance phenotypes are difficult for laboratories to detect. However, the findings from such attempts may help the infection control and public health communities target problems and utilize resources more efficiently.

In the News

Featured in The Times
"Ireland 'losing war' on superbug" February 15, 2009
Challenges of Implementing National Guidelines for the Control and Prevention of Methicillin‐Resistant Staphylococcus aureus Colonization or Infection in Acute Care Hospitals in the Republic of Ireland
Fidelma Fitzpatrick, MD; Fiona Roche, PhD; Robert Cunney, MB; Hilary Humphreys, MD; Strategy for the Control of Antimicrobial Resistance in Ireland Infection Control Subcommittee
The research, published in Infection Control and Hospital Epidemiology, found one third of hospitals did not have a written policy on antibiotic use, and only 35% had an antibiotic stewardship programme.

April 2006

Volume 27, Number 4
Infect Control Hosp Epidemiol 2006;27:416–420
0899-823X/2006/2704-0017$15.00
DOI: 10.1086/503348
CONCISE COMMUNICATION

Inappropriate Antibiotic Use in a Tertiary Care Center in Thailand: An Incidence Study and Review of Experience in Thailand

Anucha Apisarnthanarak, MD;

Somwang Danchaivijitr, MD;

Thomas C. Bailey, MD;

Victoria J. Fraser, MD

Dr. Apisarnthanarak is from the Division of Infectious Diseases, Thammasart University Hospital, Pratumthani, Thailand. Dr. Danchaivijitr is from the Faculty of Medicine, Division of Infectious Diseases, Siriraj Hospital, Mahidol University, Bangkok, Thailand. Drs. Bailey and Fraser are from the Division of Infectious Diseases, Washington University School of Medicine, Saint Louis, Missouri.

The incidence and patterns of and factors associated with inappropriate antibiotic use were studied in a tertiary care center in Thailand. The incidence of inappropriate antibiotic use was 25%. Admission to the surgical department (adjusted odds ratio, 2.0; ) and to the obstetrics and gynecology department (adjusted odds ratio, 2.0; ) were associated with inappropriate antibiotic use, whereas consultation with an infectious diseases specialist was protective against inappropriate antibiotic use (adjusted odds ratio, 0.15; ).

Received January 26, 2005; accepted March 28, 2005; electronically published March 9, 2006.

Address reprint requests to Anucha Apisarnthanarak, MD, Division of Infectious Diseases, Thammasart University Hospital, Pratumthani, Thailand, 12120 ().

Cited by

Hui Ding, Yonghong Yang, Jinghai Wei, Shaozhen Fan, Sangjie Yu, Kaihu Yao, Aihua Wang, Xuzhuang Shen. (2009) Influencing the use of antibiotics in a Chinese pediatric intensive care unit. Pharmacy World & Science 30:6, 787-793
Online publication date: 1-Jan-2009.
CrossRef
Apisada Sutepvarnon, MD; Anucha Apisarnthanarak, MD; Bernard Camins, MD; Kristin Mondy, MD; Victoria J. Fraser, MD. (2008) Inappropriate Use of Antifungal Medications in a Tertiary Care Center in Thailand: A Prospective Study • . Infection Control and Hospital Epidemiology 29:4, 370-373
Online publication date: 1-Apr-2008.
Anucha Apisarnthanarak, MD; Patarachai Kiratisin, MD, PhD; Piyawan Saifon, BSc; Rungrueng Kitphati, MD; Surang Dejsirilert, MSc; Linda M. Mundy, MD. (2008) Predictors of Mortality Among Patients With Community-Onset Infection Due to Extended-Spectrum β-Lactamase–Producing Escherichia coli in Thailand • . Infection Control and Hospital Epidemiology 29:1, 80-82
Online publication date: 1-Jan-2008.
Close Popup