Abstract
The objective of this study was to evaluate the different patterns and appropriateness of antibiotic use at Ibn Sina General Hospital. A descriptive cross-sectional study was conducted between 15 December 2013 and 15 March 2014. Two hundred patient files were included and data were collected from three different wards. Seventy-four (31.8%) prescriptions were administered for therapy and 159 (68.2%) for prophylaxis. The most frequent characteristics of inappropriate antibiotic use were no infection (28.1%), incorrect antibiotic selection (15.6%), and incorrect antibiotic dose and duration (1.6% each). The characteristics of inappropriate prophylaxis use were incorrect duration (27.2%) and incorrect drug choice (20.6%). Major indications were circulatory system diseases (23%), traumatic wound (15%), gastrointestinal system diseases (14.5%) and genitourinary system. Most patients received a single antibiotic prescription (84.5%), and empirical prescriptions were more frequent (99.5%) than other types. Based on the above results, a relatively high level of inappropriate antibiotic use exists at Ibn Sina General Hospital.