Antibiotikaanvändning

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1 Antibiotikaanvändning Akademiska sjukhuset T o m juni 2014

2 Receptförskriven och rekvirerad antibiotika (J01 inkl rifampicin)* Akademiska sjukhuset juni 2014 Källa: ehälsomyndigheten DDD Rekvirerad Recept *exkl metenamin (Hiprex)

3 Rekvirerad och receptförskriven antibiotika, Akademiska sjukhuset 2013 Källa: ehälsomyndigheten Rekvirerat Recept kinoloner makrolider, linkosamider trimetoprim, trim-sulfa övr antibakt medel cefalosporiner oral antibiotika vid tarminf (A07AA) rifampicin karbapenemer metronidazol p.o. aminoglykosider monobaktamer tetracykliner penicilliner DDD

4 Antibiotikaförskrivning (J01* & rifampicin) via recept, Akademiska sjukhuset per verksamhetsområde. Källa: ehälsomyndigheten juli juni 2012 juli juni 2013 juli juni 2014 Urologi Hud & kön Onkologi Akutsjukvård Hematologi Lung & allergi Plastikkirurgi Handkirurgi Njurmedicin Transplantationskirurgi Ögonsjukdomar Internmedcin Käkkirurgi Reumatologi Gastro-enterologi Kardiologi Neurokir/rehab/neurofys Endokrinologi och diabetes Neurologi Geriatrik Uppsala Smärtcentrum BUP Thoraxkirurgi och anestesi *exkl metenamin (Hiprex) Obstetrik och gynekologi Ortopedi ÖNH Kirurgi Infektionssjukdomar Barnsjukvården Recept

5 Rekvirerad och receptförskriven antibiotika (J01* & rifampicin) per verksamhetsområde/klinik på Akademiska sjukhuset juli juni Källa: ehälsomyndigheten Rekvirerat Receptförskrivet Kirurgi Barnsjukvård** Hud o kön ÖNH Hematolog Obstetrik & gyn Urologi Specialmedicin Onkoloig Lung- & allergi Geriatrik Akutsjukvård Ögonsjukd Neurokir Internmedicin Thoraxkir & anestesi Plastikkir Kardiologi & PCI Reumatologi Handkir Transplantationskir Anestesi & intensiv Käkkir Neurologi BUP Smärtcentrum *exkl metenamin (Hiprex) **barnkirurgi, barnonkologi & pediatrik Ortopedi Infektionssjd DDD

6 Följande bilder visar enbart rekvirerad antibiotika använd på Akademiska sjukhuset, dvs ej det som förskrivits via recept

7 Antibiotikaanvändning (J01*+rifampicin) på Akademiska sjukhuset i DDD samt DDD/100 vårddagar, juni 2014, per halvår. Källa: ehälsomyndigheten och ProDiver DDD DDD DDD/100 vårddagar DDD/100 vårddagar *exkl metenamin (Hiprex)

8 Antibiotikaanvändning (J01* & rifampicin), Akademiska sjukhuset per verksamhetsområde. Källa: ehälsomyndigheten juli juni 2012 juli juni 2013 juli juni 2014 BARNKIRURGI NEUROLOGI PEDIATRIK BARNONKOLOGI REHABILITERINGSMEDICIN ÖGONSJUKDOMAR *exkl metenamin (Hiprex) PLASTIKKIRURGI HEMATOLOGI THORAX KIRURGI OCH ANESTESI ONKOLOGI INTERNMEDICIN ÖNH LUNG OCH ALLERGISJUKDOMAR ANESTESI OCH INTENSIVVÅRD UROLOGI KARDIOLOGI OCH PCI SPECIALMEDICIN AKUTSJUKVÅRD GYNEKOLOGI OBSTETRIK NEUROKIRURGI GERIATRIK HUD, KÖNS & REUMA ORTOPEDI KIRURGI INFEKTIONSSJUKDOMAR DDD/år

9 Antibiotikaanvändning, Akademiska sjukhuset, DDD/halvår, 2011 juni Källa: ehälsomyndigheten

10 Användning av bensyl-pc, pip-tazo, karbapenemer, kinoloner och cefalosporiner, Akademiska sjukhuset 2009 juni 2014, DDD/halvår. Källa: ehälsomyndigheten

11 Användning av penicilliner (J01C), Akademiska sjukhuset 2011 juni 2014, DDD per halvår. Källa: ehälsomyndigheten

12 Användning av cefalosporiner (J01DB DE), Akademiska sjukhuset 2011 juni 2014, DDD per halvår. Källa: ehälsomyndigheten

13 Användning av kinoloner (J01MA), Akademiska sjukhuset 2011 juni 2014, DDD per halvår. Källa: ehälsomyndigheten

14 Neurologi Gyn Rehabmed Kinolonanvändning (J01 MA) per verksamhetsområde, Akademiska sjukhuset juli juni 2014 Källa: ehälsomyndigheten juli juni 2012 juli juni 2013 juli juni 2014 Infektion Ortopedi Internmedicin Specialmedicin Lung & allergi Akutsjukvård Neurokir ÖNH Kardiologi o PCI Thoraxkir & anestesi Plastikkir Anestesi & intensiv Hud, kön & reuma Klin immunologi & transfusionsmed Urologi Geriatrik Onkologi Hematologi Kirurgi DDD

15 Användning av karbapenemer (J01DH), Akademiska sjukhuset 2011 juni 2014, DDD per halvår. Källa: ehälsomyndigheten

16 Användning av aminoglykosider (J01GB), Akademiska sjukhuset 2011 juni 2014, DDD per halvår. Källa: ehälsomyndigheten

17 Användning av övriga antibakteriella medel (J01X), Akademiska sjukhuset, 2011 juni 2014, DDD per halvår. Källa: ehälsomyndigheten

18 Vankomycinanvändning på Akademiska sjukhuset juni 2014, parenteralt, kapslar givna på sjukhuset samt receptförskrivna kapslar Källa: ehälsomyndigheten DDD parenteralt oralt givet på sjukhuset kapslar på recept

19 DDD angivet i gram Källa: WHOCC, Oslo, DDD-index Substans oralt parenteralt amikacin 1 amoxicillin 1 1 amoxicillin och enzymhämmare 1 amoxi 3 amoxi ampicillin 2 2 azitromycin 0,3 0,5 aztreonam inh. 0,225 4 bensatin bensylpenicillin 3,6 bensylpenicillin (pc G) 3,6 cefadroxil 2 cefalexin 2 cefalotin 4 cefepim 2 cefixim 0,4 cefotaxim 4 cefpodoxim 0,4 ceftazidim 4 ceftibuten 0,4 ceftriaxon 2 cefuroxim 0,5 3 ciprofloxacin 1 0,5 daptomycin 0,28 dikloxacillin 2 2 doxycyklin 0,1 0,1 ertapenem 1 erytromycin 1 fenoximetylpenicillin (pc V) 2 flukloxacillin 2 2 fosfomycin 3 8 fusidinsyra 1,5 1,5 gentamicin 0,24 imipenem med enzymhämmare 2 imip. klaritromycin 0,5 1 klindamycin 1,2 1,8 Substans oralt parenteralt kloramfenikol 3 3 kloxacillin 2 2 kolistin inh.lösn. 3 ME 3 ME levofloxacin 0,5 0,5 linezolid 1,2 1,2 lorakarbef 0,6 lymecyklin 0,6 0,6 mecillinam 1,2 meropenem 2 metronidazol 1,5 moxifloxacin 0,4 0,4 netilmicin 0,35 0,35 nitrofurantoin 0,2 norfloxacin 0,8 ofloxacin 0,4 0,4 oxitetracyklin 1 1 piperacillin 14 piperacillin och enzymhämmare pivmecillinam 0,6 14 piperac. polymyxin b 0,15 rifampicin 0,6 0,6 roxitromycin 0,3 spektinomycin 3 spiramycin 3 sulfadiazin 0,6 sulfametoxazol och trimetoprim teikoplanin 0,4 telitromycin 0,8 tetracyklin 1 1 tigecyklin 0,1 tobramycin inh.lösn. 0,3, inh.pulv. 0,112 0,24 trimetoprim 0,4 0,4 vankomycin 2 2

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