Athugun á sýklalyfjanotkun á sjúkrahúsi í Reykjavík og á Akureyri

Abstract

In the past years surveys on antibiotic prescriptions in general practice have shown more antibiotic prescription in Reykjavik than in rural areas. This paper is a survey on antibiotic consumption in one hospital in Reykjavik and another one in Akureyri. The survey is restricted to internal medicine wards and general surgery wards. The results are that there was only modest difference in the antibiotic prescriptions in the internal medicine wards. But in the surgical wards there was 100% (on a DDD/100 bed-days basis) more antibiotic prescription in Reykjavik than in Akureyri. Different age distribution, infection frequency and number of operations did not explain the difference. Our conclusion is that the difference in routines between doctors are most likely to cause different antibiotic prescriptions.

Á undanförnum árum hafa sýklalyfjaávísanir lækna í Reykjavik og úti á landsbyggðinni verið kannaðar (1-8). Í ljós hefur komið að sýklalyfjanotkun er mun algengari í Reykjavik en úti um land. Þessar kannanir hafa eingöngu náð til lækna er starfa utan sjúkrahúsa. Engar kannanir á sýklalyfjanotkun á sjúkrahúsum í Reykjavik annars vegar og á landsbyggðinni hins vegar hafa verið birtar. Hér er skýrt frá niðurstöðum athugunar á sýklalyfjanotkun á tveimur sjúkrahúsum, öðru í Reykjavik en hinu á Akureyri.