Decreasing Trends in Antibiotic Consumption in Public Hospitals from 2014 to 2017 Following the Decentralization of Drug Procurement in Myanmar
| العنوان: | Decreasing Trends in Antibiotic Consumption in Public Hospitals from 2014 to 2017 Following the Decentralization of Drug Procurement in Myanmar |
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| المؤلفون: | Hemant Deepak Shewade, Khin Hnin Pwint, Kyaw Soe Min, Badri Thapa, Zaw Than Htun, Khin Thet Wai, Rony Zachariah, Wenjing Tao, Sushma Shakya, Hnin Aye Kyi |
| المصدر: | Tropical Medicine and Infectious Disease, Vol 6, Iss 57, p 57 (2021) Tropical Medicine and Infectious Disease Volume 6 Issue 2 |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | 0301 basic medicine, Drug, medicine.drug_class, media_common.quotation_subject, 030106 microbiology, Antibiotics, antibiotic stewardship, Decentralization, Article, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Procurement, Antibiotic resistance, Environmental health, Per capita, Medicine, 030212 general & internal medicine, antimicrobial resistance, health system resilience, media_common, drug monitoring, Consumption (economics), General Immunology and Microbiology, business.industry, Public Health, Environmental and Occupational Health, operational research, Infectious Diseases, chemistry, SORT IT, Linezolid, surveillance, business, AWaRe |
| الوصف: | (1) Background: In 2014, drug procurement for public hospitals in Myanmar was decentralized to a pull system. This might lead to increasing trends in the consumption of broad-spectrum and last-resort antibiotics. For fiscal years 2014-2017, we assessed annual antibiotic consumption trends and patterns in total defined daily doses (DDDs). (2) Methods: We followed World Health Organization (WHO) methodology for surveillance of antimicrobial consumption based on hospital antibiotic procurement records (as a proxy). (3) Results: In 32% of all public hospitals where data were retrieved, total antibiotic consumption reduced by 19% between 2014 (7,122,852 DDD) and 2017 (5,794,904 DDD). Consumption per 1000 inhabitants per day (< 200 bed hospitals) also reduced from 0.6 to 0.3. Over 60% of procurement was for beta-lactam antibiotics and quinolones quinolones decreased over time. Consumption of first-line antibiotics increased (42% in 2014 to 54% in 2017), whereas broad-spectrum antibiotics decreased (46% in 2014 to 38% in 2017). Linezolid was the only last-resort antibiotic procured. There was a progressive reduction in per capita government current health expenditure from approximately 9.2 US$ in 2014 to 8.3 US$ in 2017. (4) Conclusions: Antibiotic consumption decreased over time in public hospitals. This first study provides a baseline for developing an antibiotic consumption surveillance system in Myanmar. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2414-6366 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4ec531fb74f8bf683bb41a2e25b10232 https://www.mdpi.com/2414-6366/6/2/57 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4ec531fb74f8bf683bb41a2e25b10232 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24146366 |
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