Gerçek zamanlı yatan hasta antibiyotik tüketimi izleme aracı

Inappropriate antibiotic use poses significant health threats on both local and global scale. Therefore, for the aim of improving antibiotic usage, antibiotic management programs are being implemented by health institutions worldwide. The main objectives of these programs are to ensure that prescribing complies with certain criteria, to monitor the trends of antibiotic consumption and to make corrective interventions when necessary. In order to achieve these objectives, several types of medical information must be evaluated simultaneously. However, software used for the evaluation of this information in healthcare facilities is often insufficient to meet the needs such as processing large data sets and managing relationships between various data groups. STEWARD, a web application to be utilized in antibiotic consumption monitoring, is introduced in this thesis. The application has an easy-to-use interface and allows users to perform in-depth investigations without the need for technical knowledge. Moreover, it helps users evaluate antibiotic use accuracy by combining information stored in several data sets. Since the application is developed using open source technologies, it is free to use, and at the same time, advanced in terms of technical capabilities. When synchronized with central data management systems of health centers, it allows for real-time antibiotic consumption monitoring, which is particularly valuable at patient level antibiotic stewardship. The proposed application is field tested using the data of İstanbul American Hospital. This way, the capabilities of the application have been affirmed and the tool is shown to be able to operate integrally with existing healthcare systems. And finally, antibiotic consumption trends in İstanbul American Hospital are examined and observations are presented.