Advanced neonatal medicine in China: Is newborn ward capacity associated with inpatient antibiotic usage?

Autor: Yi Ge, Xiang-Peng Liao, Selma Chipenda Dansokho
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Medical Doctors
Pulmonology
Cross-sectional study
Health Care Providers
Antibiotics
Nurses
Geographical Locations
0302 clinical medicine
Medicine and Health Sciences
030212 general & internal medicine
Medical Personnel
Bed Occupancy
Multidisciplinary
Antimicrobials
Drugs
Hospitals
3. Good health
Anti-Bacterial Agents
Hospitalization
Professions
Medicine
Research Article
Mainland China
medicine.medical_specialty
China
Asia
Patients
medicine.drug_class
Science
MEDLINE
Subspecialty
Microbiology
Drug Prescriptions
03 medical and health sciences
030225 pediatrics
Microbial Control
Physicians
Intensive Care Units
Neonatal
medicine
Humans
Retrospective Studies
Pharmacology
Inpatients
business.industry
Infant
Newborn
Biology and Life Sciences
Neonates
Retrospective cohort study
Pneumonia
medicine.disease
Drug Utilization
Health Care
Cross-Sectional Studies
Health Care Facilities
Emergency medicine
People and Places
Population Groupings
business
Developmental Biology
Zdroj: PLoS ONE
PLoS ONE, Vol 14, Iss 8, p e0219630 (2019)
ISSN: 1932-6203
2008-2010
Popis: Previous surveys of neonatal medicine in China have not collected comprehensive information on antibiotic use in newborns. The goal of the present study was to assess the trends in antibiotic use in inpatient newborns from advanced hospitals in mainland China and to evaluate the contributing factors. We extracted retrospective data on newborn clinical units from a database containing key clinical subspecialty area indicators from provincial or ministerial (Class A level III) hospitals over three consecutive years (2008-2010) and in 25 of 31 provincial districts of mainland China. Fifty-five newborn units were included in the study. The results showed that two thirds (65.7% ± 23.1%) of inpatient newborns were prescribed antibiotic products. Antibiotic use rates were significantly different by newborn ward bed capacity (p = 0.023; 60.6% for d capacity (ficant65.7% ± 23-100 beds group, and 77.1% for (ficant65.7% ± 23.1%) of inpatient newb significantly different by type of hospital, geographic area, admission to physician or nurse ratio, or physician or nurse academic degree. Factors contributing significantly to antibiotic use included ward bed capacity, physician to nurse ratio, average hospital stay, and pneumonia to preterm infant ratio. Our data suggested that the use of antibiotics among inpatient newborns in advanced hospitals in mainland China was prevalent and should be subject to rigorous monitoring, and highlighted the need to explore how newborn ward bed capacity potentially impacts antibiotic use.
Databáze: OpenAIRE
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