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Inappropriate Use of Antifungal Medications in a Tertiary Care Center in Thailand: A Prospective Study

  • Apisada Sutepvarnon (a1), Anucha Apisarnthanarak (a1), Bernard Camins (a2), Kristin Mondy (a2) and Victoria J. Fraser (a2)...

The incidence and factors associated with inappropriate use of antifungal medications were studied in a Thai tertiary care center. The incidence of inappropriate antifungal use was 74% (in 42 of 57 patients). Isolation of Candida species from urine (P = .004) was a risk factor, whereas receipt of an infectious diseases consultation (P = .004) was protective.

Corresponding author
Division of Infectious Diseases, Faculty of Medicine, Thammasart University Hospital, Pratumthani, Thailand12120 (
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1.Loeffler J, Stevens DA. Antifungal drug resistance. Clin Infect Dis 2003;36(suppl 1):S3141.
2.NCCLS. Methods for antifungal disk diffusion susceptibility testing of yeasts: Approved guideline. NCCLS document. Wayne, PA: NCCLS, 2004:M44A.
3.Mandel GL, Bennett JE, Dolin R, eds. Mandeli, Douglas and Bennett's Principles and Practice of Infectious Diseases. 6th ed. New York, NY: Churchill Livingstone; 2005.
4.Kunin CM, Tupasi T, Craig WA. Use of antibiotics: a brief exposition of the problem and some tentative solutions. Ann Intern Med 1973;79:555560.
5.Warren JW, Abrutyn E, Hebel JR. Guidelines for antimicrobial treatment of uncomplicated acute bacterial cystitis and acute pyelonephritis. Clin Infect Dis 1999;29:745758.
6.Lundstrom T, Sobel J. Nosocomial candiduria: a review. Clin Infect Dis 2001;32:16021607.
7.Gutierrez F, Patrick GW, Cohen J. Antimicrobial practice: an audit of the use of antifungal agents. J Antimicrob Chemother 1996;37:175185.
8.Apisarnthanarak A, Danchaivijitr S, Bailey TC, Fraser VJ. Inappropriate antibiotic use in a tertiary care center in Thailand: an incidence study and review of experience in Thailand. Infect Control Hosp Epidemiol 2006;27:416420.
9.Classen DC, Burk JP, Wenzel RP. Infectious diseases consultation: impact on outcomes for hospitalized patients and results of a preliminary study. Clin Infect Dis 1997;24:468470.
10.Petrak RM, Sexton DJ, Butera ML, et al.The value of an infectious diseases specialist. Clin Infect Dis 2003;36:10131017.
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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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