الملخص الإنجليزي
Objectives: We sought to evaluate the trend of antibiotic consumption in patients
admitted to a community hospital in Qatar with an antimicrobial stewardship program.
Methods: This observational study was carried out in a 75-bed facility in Western Qatar
over a 4-year period (2012–2015). The monitoring of antimicrobial consumption from
inpatient wards was performed from the pharmacy records and presented as defined daily
dose (DDD) divided by the patient days and expressed as 100 bed-days (DBD). Results:
The consumption of antimicrobials in 2012 was 171.3 DBD, and increased to 252.7 DBD
in 2013, 229.1 DBD in 2014, and 184.7 DBD in 2015. Cephalosporins use reduced from
98.2 DBD in 2013 to 51.5 DBD in 2015 while the consumption of penicillins increased
during the beginning of 2014 with a slight decrease in 2015. Carbapenems consumption
during 2014–2015 was lower than previous years, and vice-versa for aminoglycosides.
Fluoroquinolones had a sustained increase with 37.1% increased consumption in 2015
compared to the two previous years. There was an increase in the use of intravenous
(IV) (108.5%) and oral azithromycin (55.1%) and the use of oral (152.8%) and IV
moxifloxacin (22.9%). Conclusions: We observed a decrease in antibiotic use in patients
admitted to a community hospital with an antimicrobial stewardship program, but the
increase in fluoroquinolones consumption is a concern that requires focused strategies
