Prescriptions of restricted use antimicrobials in patients admitted in a teaching hospital

Authors

  • RAMON GOMES SANTOS
  • CARLOS DANIEL SILVA ALVES
  • LUCAS BRASILEIRO LEMOS
  • GISELE DA SILVEIRA LEMOS
  • INOCÊNCIO SILVA DE JESUS

Keywords:

Anti-infecciosos; prescrições de medicamentos; serviços de controle de infecção hospitalar.

Abstract

To evaluate the rationality of restricted use of antimicrobial prescriptions audited by the Hospital Infection  Control Commission of a teaching hospital. Follow-up study with prospective follow-up non-competitive 50 charts of patients admitted to a hospital  for  evaluation  of  antimicrobial  prescriptions  for  restricted  use.  The  parameter  used  to  assess  prescription   rationality was the antimicrobial guide Sanford Guide and the diagnoses were classified by ICD-10.The  most  prescribed  antibiotic  piperacillin  +  tazobactam  was  32%.  There  was  a  combination  of  two  or   more  antibiotics  in  44%  of  the  studied  prescriptions.  The  ICU  was  the  clinic  where  the  largest  amount  of  use  of  these  drugs.  Empirical  treatment  occurred  in  86%  of  cases.  56%  of  the  evaluated  prescriptions  were   inadequate when compared with the Sanford Guide .. Statistical analysis using Chi-square test, one can make  an association suggesting that the empirical use of antimicrobial leads to greater irrationality prescription (p <0.002). It is necessary to use antimicrobial stewadship for restricted use antimicrobial, rationalizing its use in the institution which the survey was conducted.

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Published

2019-03-11

How to Cite

1.
SANTOS RG, ALVES CDS, LEMOS LB, LEMOS GDS, JESUS ISD. Prescriptions of restricted use antimicrobials in patients admitted in a teaching hospital. Rev Bras Farm Hosp Serv Saude [Internet]. 2019Mar.11 [cited 2024Mar.28];7(1). Available from: https://rbfhss.org.br/sbrafh/article/view/242

Issue

Section

ARTIGOS PUBLICADOS

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