Ratio of Antibiotics Usage in Fresh Traumatic Wounds among Community Hospitals in Phitsanulok Province

Abstract

The Ministry of Public Health has set key indicators and target levels for hospitals to assess rational
drug use, totaling 18 indicators. The purpose of this study was to evaluate the use of antibiotics in the
treatment of patients with fresh traumatic wounds from accidents in community hospitals in Phitsanulok
province. The study used a retrospective descriptive research design and analyzed data from outpatients
with fresh traumatic wounds (FTW) treated at Phitsanulok community hospitals during the fiscal year
2020. The sample group consisted of 979 FTW outpatients, and the results showed that 57.20% of these
patients received antibiotics. However, according to the clinical practice guideline for the prevention of
infection, only 71.09% of these prescriptions were considered rational, while 28.91% were deemed irrational.
The study concludes that the target for rational antibiotic use in the treatment of FTW at community
hospitals in Phitsanulok had not yet been met, although most prescriptions were considered rational. It is
suggested that the reporting format be adjusted to show the appropriateness of prescribing more clearly,
in order to better reflect the results of the rational drug use policy.