PREVALENCE INVESTIGATION OF COAMOXYCLAVUL ANATE PRESCRIPTION IN A GENERAL-HOSPITAL

The struggle commettee against Nosocomial infection (CLIN) notes on th e 9th of march 1995, the coamoxyclavulante (Augmentin(R)) (AMC) prescr iptions in all the services of Mantes's Hospital. With this investigat ion, references values will be obtained to analyse the important paren teral consommation increase of AMC. The rate prevalence founded is 7.3 %. 7/43 prescriptions were prophylactic and 5 of them have a surgery indication. The consensus conference recommandations of december 92 in Paris are irregulary followed about administration way, duration and frequency of AMC. Among tile 36 curative prescriptions, 16 were admini strated by intra-venous way: 19 % of patients had bacteriologic sample s refering to the infectious site treated with AMC. The prescription d oes not care always at the antibiogram. This investigation shows that AMC is used especialy as curative empiric treatment against old patien ts respiratory infections. The therapy duration is indicated only once on two times, AMC administration ways, indications and duration and a lso bacteriologic results utilisation must be specify with the prescri ptors compared with a next investigation according to protocols which must be assessed by the same investigation next year.