|Former: Atención Farmacéutica|
|Journal edited by Rasgo Editorial since 1983|
Virginia Hernández Corredoira
EDITOR IN CHIEF
Manuela Velázquez Prieto
Jaime E. Poquet Jornet
Ramón Jódar Masanés
Lluís Campins Bernadas
Tomás Casasín Edo
Juan Carlos Juárez Giménez
Carles Quiñones Ribas
Volume 21 - Issue 4, October-December 2019
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