[Prudent use of antibiotics and suggestions for improvement from community and hospital pharmacy].
| Autor: | Sánchez OD; Servicio de Farmacia, Hospital Universitario Son Dureta, Palma de Mallorca, España. odelgados@sefh.es, Palomo JB, Ortega MS, Ribas FM |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Enfermedades infecciosas y microbiologia clinica [Enferm Infecc Microbiol Clin] 2010 Nov; Vol. 28 Suppl 4, pp. 36-9. |
| DOI: | 10.1016/S0213-005X(10)70041-0 |
| Abstrakt: | Appropriate use of antibiotics requires an interdisciplinary approach in which hospital and community pharmacies play a key role. The activities carried out in hospital pharmacy can be divided into 3 stages: a) before prescription: through the selection of antimicrobial agents, the creation of guides on prophylaxis and empirical treatments, and incorporation of the decisions into computer programmes that provide detailed electronic prescriptions; b) during prescription: prescription assessment, dose adjustment, patient information and infection data, preparation of doses to be used, pharmacokinetic adjustments and monitoring of treatment duration, and c) after treatment: clinical audits and measurements of the use of antibiotics. In community pharmacy, activities include promoting patient compliance, pharmacotherapeutic follow-up of patients to prevent and detect drug-related problems and avoidance of over-the-counter drug dispensation. Suggestions for improvement include mainly training in monitoring the use of antimicrobials, integration in interdisciplinary teams and avoiding the sale of over-the-counter antibiotics. (Copyright © 2010 Elsevier España S.L. All rights reserved.) |
| Databáze: | MEDLINE |
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