Dergiler / Ahi Evran Tıp Dergisi / 2026 / Volume: 10 Issue: 2

Drugs Destroyed in Intensive Care and Their Annual Financial Burden

Havva Kubat(ADANA ŞEHİR EĞİTİM VE ARAŞTIRMA HASTANESİ)0000-0003-0958-9045
Elif Karabacak(Duzce University, Faculty of Pharmacy, Department of Pharmacology, Duzce, Turkey)0000-0003-2054-4542
Esra Aybal(Adana City Training and Research Hospital, General Intensive Care Unit, Adana, Turkey)0000-0002-3237-4838
Sayfa
—
Yayın Tarihi
2026-08-31
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

The extent and causes of drug waste should be determined in each clinic, and waste reduction strategies should be developed by optimizing drug preparation.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Purpose: Unused medications can be considered a waste of resources.
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Temel Bulgular & Veri:Materials and Methods: In a tertiary care unit with 15 beds at Adana City Hospital, the wasted drugs in one year were prospectively recorded.
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Sonuç & Katkı:The extent and causes of drug waste should be determined in each clinic, and waste reduction strategies should be developed by optimizing drug preparation.
🔬Tür:Research Article
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:general intensive care · drug disposal · drug cost

Abstract

Purpose: Unused medications can be considered a waste of resources. By reducing waste, the cost of healthcare services can be lowered without compromising the quality of patient care. This study aims to measure pharmaceutical waste in intensive care, draw attention to the economic dimension of waste, identify the causes of waste, and discuss possible preventive measures. Materials and Methods: In a tertiary care unit with 15 beds at Adana City Hospital, the wasted drugs in one year were prospectively recorded. Results: In a tertiary care unit where 1245 patients were treated in one year, the total cost of drugs annually was 226241.7 TL (approximately 5258 US dollars). Enteral nutrition solutions were the most wasted drug by volume, accounting for 33% of wasted drug volume. Levofloxacin caused the greatest cost loss among the wasted drugs, accounting for 18.4% of the total wasted drug cost. At least one drug was wasted in 30.4% (n=379/1245) of the patients. A total of 580 drug waste events were recorded. Disposal was detected in drugs with 26 different active ingredients. The most common reasons for drug waste were identified as: disposal of diluted solutions (59.7%, n=346), disposal of partially used drugs due to lack of small doses (31.7%, n=184), and disposal of contaminated drugs (8.6%, n=50). Conclusion: Identifying the causes of waste is essential for initiating preventive measures. The extent and causes of drug waste should be determined in each clinic, and waste reduction strategies should be developed by optimizing drug preparation.

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Bu Makaleye Atıf Yap

Kubat, H., Karabacak, E., Aybal, E. (2026). Drugs Destroyed in Intensive Care and Their Annual Financial Burden. Ahi Evran Tıp Dergisi, Volume: 10 Issue: 2. https://doi.org/10.46332/aemj.1873050

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Kaynakça (23)

  1. Badem AC,Başyiğit H. Üniversite hastanelerinde ilaç ve medikal malzeme maliyetlerinin değerlendirilmesi. Kocaeli Üniv Sos Bil Derg. 2017;34:62-84. https://izlik.org/JA79BR53YM
  2. Biçer İ. OECD ülkelerinde ilaç harcamalarının belirleyicileri. TARR. 2025;10(4):920-935. doi: 10.30622/tarr.1800377
  3. Barbariol F, Deana C, Lucchese F, et al. Evaluation of drug wastage in the operating rooms and ıntensive care units of a regional health service. Anesth Analg. 2021;132(5):1450-1456. doi:10.1213/ANE.0000000000005457
  4. Fidan C, Ağırbaş İ. Yoğun bakım maliyetleri ve yoğun bakım maliyet çalışmalarının incelenmesi. Hacettepe Sağlık İdaresi Derg. 2020;23(3):485-504. https://izlik.org/JA74HD38UG
  5. Majara P, Leballo G. Evaluation of wastage of commonly used anaesthetic agents in the operating theatres of a South African teaching hospital. S Afr Med J. 2025;115(2):29. doi:10.7196/SAMJ.2025.v115i2.2339
  6. Karliner J, Slotterback S, Boyd R, Ashby B, Steele K, Wang J. Health care’s climate footprint: the health sector contribution and opportunities for action. Eur J Public Health. 2020;30(Supplement_5):ckaa165.843. doi:10.1093/eurpub/ckaa165.843
  7. Sherman J, Thiel C, MacNeill A, et al. The green Print: advancement of environmental sustainability in healthcare. Resour, Conserv and Recycl. 2020;161:104882. doi:10.1016/j.resconrec.2020.104882
  8. Sağlık Bakanlığı, https://akilciilac.titck.gov.tr/home/nedenakilcilackullanimi son erişim 25.05.2026
  9. Merkez Bankası, https://www.turkiye.gov.tr/doviz-kurlari son erişim 27.11.2025
  10. Tıbbi atıkların kontrolü yönetmeliği. https://www.mevzuat.gov.tr/mevzuat Mevzuat No=23273
  11. Atcheson CLH, Spivack J, Williams R, Bryson EO. Preventable drug waste among anesthesia providers: opportunities for efficiency. J Clin Anesth. 2016;30:24-32. doi:10.1016/j.jclinane.2015.12.005
  12. Tomson C. Reducing the carbon footprint of hospital-based care. Future Hosp J. 2015;2(1):57-62. doi:10.7861/futurehosp.2-1-57
  13. Kurutkan MN, Usta E, Simsir I, Orhan F, Bagis M. Waste Management Approaches in Hospital Organizations and an Example of Practice. Balkan Mil Med Rev. 2014;17(1):10-15. DOI 10.5455/bmmr.159148
  14. Doğanay M, Akçay K, Çil T, et al. KEPAN enteral beslenme rehberi. Clin Sci Nutr. 2023;5:1-29. doi:10.5152/ClinSciNutr.2023.23061
  15. Aslan Y, Kanmaz Demir L. A General Evaluation of the Reasons for Medication Wastage: A University Hospital Example. SHYD. 2023;10(1):79-86. doi:10.54304/SHYD.2023.47113
  16. Özdemir A, Esen ES, Esen M fevzi, Kaya BM. İlaç imhalarının değerlendirilmesi: Bir hastane örneği. Sag Aka Derg. 2024;11(2):286-292. doi:10.52880/sagakaderg.1434457
  17. Hamilton TE. Office of Clinical Standards and Quality/Survey Certification Group Safe Use of Single Dose/Single Use Medications to Prevent Healthcare-associated Infections Ref: S&C: 12-35-ALL2012. https://www.cms.gov/medicare/provider-enrollment-and-certification/surveycertificationgeninfo/downloads/survey-and-cert-letter-12-35.pdf
  18. Forshay CM, Hansen KN, Eckel SF. Using intravenous pump infusion data to optimize continuous infusion concentrations and reduce drug and fluid waste. Am J Health Syst Pharm. 2020;77(18):1497-1503. doi:10.1093/ajhp/zxaa199
  19. Kahveci FŞ, Demirkan SK, Doğanay M, et al. KEPAN parenteral nütrisyon rehberi. Clin Sci Nutr. 2022;4:36-63. doi:10.5152/ClinSciNutr.2022.220124
  20. AlSamanhodi H, Almeshary M, Amoh K, et al. Evaluation of the causes and cost impact of returned intravenous medications at a tertiary care hospital in Riyadh, Saudi Arabia. Trop J Pharm Res. 2017;16(1):231-237. doi:10.4314/tjpr.v16i1.31
  21. Şimşir İ, Bağış M, Kurutkan MN, Oğuz B. Sağlık Hizmetlerinde İsraf Yönetimi. IV. Sağlıkta Kalite ve Performans Kongresi Sözel Bildiriler Kitabı. 2013;1:21-38.
  22. SKS Hastane (Sürüm 6.1) 1. Baskı: Ankara, Haziran 2020.
  23. Eckelman MJ, Huang K, Lagasse R, Senay E, Dubrow R, Sherman JD. Health Care Pollution And Public Health Damage In The United States: An Update. Health Aff (Millwood). 2020;39(12):2071-2079. doi:10.1377/hlthaff.2020.01247