Opinions of medical personnel about RDU in Phitsanulok province on reporting data indication of antibiotic use in fresh traumatic wounds.

Abstract

           The objective of this research was to study the opinions of medical personnel regarding the reporting of antibiotic usage indicators for fresh traumatic wound injuries resulting from accidents under the Ministry of Public Health. This qualitative research used an interview that has been verified by experts involved interviews with medical personnel from the Rational Drug Use (RDU) of 25 personnel in Phitsanulok province. In content analysis the opinions of RDU medical personnel in Phitsanulok province on reporting data indication of antibiotic use in fresh traumatic wounds. The data were analyzed to draw the following conclusions:
           Reporting indicators from the Health Data Center (HDC) are perceived as easy, convenient, and fast. However, there is a need for improvements to enhance efficiency. HDC should categorize ICD-10 codes into four groups following Clinical Practice Guidelines (CPG) to provide clear and categorized data that explain the rationale for antibiotic prescriptions.
           Opinions on the target criteria for antibiotic usage in fresh wound injuries from accidents not exceeding 50% were considered appropriate. However, these criteria may need revision to better suit the hospital context.
           The RDU operations faced challenges, including issues related to physician prescribing practices, understanding policies, prioritizing tasks, and comprehending the rationale behind antibiotic prescriptions and infection data. To address these issues, it is recommended that basic training and understanding of RDU be provided to newly graduated physicians and medical personnel before they begin their professional practice.
           In summary, the current reporting of antibiotic usage indicators for fresh wound injuries from accidents under the Ministry of Public Health is deemed insufficient in reflecting the rationale behind antibiotic prescriptions. Relevant agencies responsible for data reporting should consider incorporating the findings of this research to ensure that the indicators can more accurately reflect the logical reasoning behind antibiotic usage in the future.