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Vol.35 No.1 contents | Japanese/English |
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Full Text of PDF (300K) Article in Japanese |
Evaluation of the Antimicrobial Consumption Calculated Using the Japan Surveillance for Infection Prevention and Healthcare Epidemiology (J-SIPHE) System
Takashi NIWA1)2), Syuri ITO1)2), Ayasa FUJIBAYASHI1)2), Keiko SUZUKI1)2), Jun YONETAMARI2), Ayumi NIWA2), Hirotoshi OHTA2), Mayumi TSUCHIYA2), Yukiko ITO2), Daijiro HATAKEYAMA2), Hisashi BABA2) and Nobuo MURAKAMI2)
1)Department of Pharmacy, Gifu University Hospital, 2)Center for Nutrition Support & Infection Control, Gifu University Hospital
In the Japan Surveillance for Infection Prevention and Healthcare Epidemiology (J-SIPHE) system, antimicrobial consumption was calculated using receipt data for the diagnosis procedure combination (DPC). However, data of dental treatment, private practice, and industrial accidents were not included in the DPC receipt data. Therefore, the antimicrobial consumption calculated using the J-SIPHE system is not completely identical to that calculated by actual administered data, theoretically. In the present study, we compared the antimicrobial consumption data between both methods in our hospital from April 1, 2018 to December 31, 2018. The differences of the values of antimicrobial use density (AUD) between both methods were within 10% in all the investigated antimicrobials except for piperacillin (PIPC). In PIPC, which was used in pediatrics only in our hospital, a median 30.5% higher value of AUD was observed using the J-SIPHE method, compared with the actual administered data method. The differences of the values of days of therapy (DOT) between both methods were within 10% in 13 (86.7%) of 15 antimicrobials, although the DOT values of ampicillin (ABPC), which was often used in dental treatment, were calculated median 29.0% lower than that by the J-SIPHE method. Regarding AUD/DOT, the values using the J-SIPHE method were higher than those by the actual administered data method, and those of PIPC and ABPC were calculated median 33.5% and 28.2% higher, respectively. These results suggest that it is important to grasp the difference of measured antimicrobial consumption between the J-SIPHE method and the actual administered data method for implementation of the measurement of antimicrobial consumption using the J-SIPHE method.
Key words：antimicrobial agent, consumption, appropriate use, Japan Surveillance for Infection Prevention and Healthcare Epidemiology
e-mail: ta-niwa＠gifu-u.ac.jp
Received: August 15, 2019
Accepted: October 15, 2019
35 (1)：31─36,2020
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