Objectives: To investigate the pathogens and initial empirical antibiotic use in the treatment of skin and soft tissue infections at Becamex International Hospital.
Materials and methods: A cross-sectional descriptive study was conducted on inpatients with skin and soft tissue infections from May 2022 to December 2022.
Results: The most prevalent pathogen isolated was Staphylococcus aureus (55.6%). The majority of S. aureus strains were Methicillin-resistant (92%). In patients without bacterial culture test, 50.6% received initial empirical antibiotics appropriately according to the guideline. In patients with antibiotic susceptibility testing, only 31% received antibiotics appropriately. Multivariate logistic regression models did not reveal any association between prolonged antibiotic use (> 7 days) and risk factors.
Conclusion: The rate of appropriate initial empirical antibiotic prescription according to both treatment guidelines and susceptibility results remains low. It is necessary to improve initial empirical antibiotic selection, particularly based on microbiological characteristics of local.