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Inappropriate Antibiotic Use in a Tertiary Care Center in Thailand: An Incidence Study and Review of Experience in Thailand

  • Anucha Apisarnthanarak (a1), Somwang Danchaivijitr (a2), Thomas C. Bailey (a3) and Victoria J. Fraser (a3)


The incidence and patterns of and factors associated with inappropriate antibiotic use were studied in a tertiary care center in Thailand. The incidence of inappropriate antibiotic use was 25%. Admission to the surgical department (adjusted odds ratio, 2.0; P = .02) and to the obstetrics and gynecology department (adjusted odds ratio, 2.0; P = .03) were associated with inappropriate antibiotic use, whereas consultation with an infectious diseases specialist was protective against inappropriate antibiotic use (adjusted odds ratio, 0.15; P = .01).


Corresponding author

Division of Infectious Diseases, Thammasart University Hospital, Pratumthani, Thailand12120 (


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