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Volume 21 - Issue 4, October-December 2019
ORIGINAL
IMPLEMENTATION OF A PROGRAM FOR OPTIMIZING THE USE OF ANTIMICROBIALS: OUTCOMES AFTER SIX MONTHS OF ACTIVITY
CORTE GARCÍA JUAN JOSÉ, LÓPEZ PELÁEZ VANESSA MARÍA, GARCÍA-ALCALDE SUÁREZ EVA, DÍAZ GIGANTE JULIO, RODRÍGUEZ ZÚÑIGA DANIEL, MATA PEÓN ESTHER


Optimization programs for the use of antibiotics (PROA) have become a keystone
to promote the appropriate use of these therapeutic resources in Hospitals. This
work describes the process of implementation, activity and acceptance of a multidisciplinary team,
formed in the Hospital in order to develop a program of this characteristics after the first six months of activity.
Method: A quasi-experimental prospective intervention study conducted in a
second level Hospital during the period May-October 2018. In April 2018, the
managers of the Center approved to develop the PROA Group and empowered it
as an advisory/consultancy organ on any antimicrobial use that takes place in the
Hospital. The performed interventions are of individualized, non-restrictive or imposed,
advisory nature and executed through specific alerts in the Electronic Medical
Record or after a direct visit with the physician in charge of the patient.
Results: The infectious condition of 304 patients was analyzed; the antibiotic
treatment was considered optimizable in 37.2% (113/304). The main causes and
rates of such optimizable prescription were: narrow therapeutic-spectrum (12.6%),
broad-spectrum (10.3%), need for antibiotics without prescription (4.3%) and inappropriate dose (3.3%). The 89.1% of recommendations were fully accepted, partially 2.3% and 4.3% rejected.
Conclusions: The multidisciplinary team’s activity after six months of work is
satisfactory. There is a high percentage of accepted interventions. The team has
become a key platform for the antibiotic management in Hospital.

MULTIDISCIPLINARY TEAM – USE OF ANTIMICROBIALS – PROGRAMS FOR OPTIMIZING THE USE OF ANTIMICROBIALS




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