Prescription quality of prolonged antibiotherapy in pediatrics. Impact of ASP program interventions
| Autor: | Susana Melendo, Pere Soler-Palacín, Meritxell Barnés-Mayolas, Aurora Fernández-Polo, Ivette Castellnou Asens, Natalia Mendoza-Palomar |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty business.industry medicine.drug_class 030106 microbiology Antibiotics Psychological intervention Inappropriate Prescriptions Antimicrobial 03 medical and health sciences 0302 clinical medicine Intravenous antibiotics Emergency medicine Medicine Antimicrobial stewardship 030212 general & internal medicine Medical prescription business |
| Zdroj: | Enfermedades infecciosas y microbiologia clinica (English ed.). 39:134-138 |
| ISSN: | 2529-993X |
| Popis: | Introduction The duration adequacy of antibiotic regimens is one of the key points of Antimicrobial Stewardship Programs (ASP) given the relationship between the risk of resistance and days of exposure to antimicrobials. Methods Monitoring activities of intravenous antibiotics longer than 7 days at Hospital Infantil Vall d’Hebron, Barcelona, by reviewing data over a 34-weeks period from weekly cross-sectional analysis, followed by recommendations to prescribers to adapt their use. Results A total of 81 patients with 146 prolonged intravenous antibiotic treatments (78.8% of prescriptions were adequate) were reviewed. A total of 190 revisions were performed. 31 interventions on inappropriate prescriptions were carried out (61.3% of adherence to recommendation). Nineteen treatments were optimized (14 suspended, 5 de-escalated) reducing their duration by 8.75%. Conclusions Active intervention of ASP group is an effective tool to improve antibiotic optimization, reducing unnecessarily prolonged treatments, mainly on these areas with a greater range of improvement. |
| Databáze: | OpenAIRE |
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