The Journal of hospital infection
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The object of this study was to evaluate the appropriateness of antibiotic use in relation to diagnosis and bacteriological findings in the intensive care units (ICUs) of a 1100-bed referral and tertiary care hospital with an antibiotic restriction policy in Turkey. Between June and December 2002, patients who received antibiotics in the medical and surgical ICUs were evaluated prospectively. Two infectious diseases (ID) specialists assessed the antibiotics ordered daily. ⋯ Irrational antibiotic use was high for unrestricted antibiotics. In particular, antibiotic use was inappropriate in surgical ICUs. Additional interventions such as postgraduate training programmes and elaboration of local guidelines could be beneficial.
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This paper describes some of the difficulties of hospital management and staff in meeting the UK National Health Service (NHS) Infection Control Standards designed to protect staff and patients against bacterial and viral infections. The majority of older hospitals and clinics in the NHS do not have the financial resources to provide sterilizing equipment that will meet new acceptable standards.