Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique

Detalhes bibliográficos
Autor(a) principal: Noblat, Lúcia de Araújo Costa Beisl
Data de Publicação: 2006
Outros Autores: Jesus, Rogerio Santos de, Noblat, Antonio Carlos Beisl, Oliveira, Márcio Galvão Guimarães de, Badaró, Roberto José da Silva
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/4807
Resumo: p. 173-178
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spelling Noblat, Lúcia de Araújo Costa BeislJesus, Rogerio Santos deNoblat, Antonio Carlos BeislOliveira, Márcio Galvão Guimarães deBadaró, Roberto José da SilvaNoblat, Lúcia de Araújo Costa BeislJesus, Rogerio Santos deNoblat, Antonio Carlos BeislOliveira, Márcio Galvão Guimarães deBadaró, Roberto José da Silva2011-12-12T12:54:45Z2011-12-12T12:54:45Z20061678-4391http://www.repositorio.ufba.br/ri/handle/ri/480710(3)p. 173-178The Delphi technique has been used since the 1950s to collect the opinions of experts; to gauge their indications, and in some instances, to develop a consensus. This systematic collection and aggregation of informed judgments from a group of experts on specific questions or issues is a highly efficient and cost-effective means to establish guidelines and policies, when compared to other strategies, such as committee meetings or personal interviews. Objective. Examine the content validation process of the proposed criteria of the American Society of Health System Pharmacists (ASHP) for amikacin use in hospital settings. Material and Method. The Delphi technique was applied using the proposed ASHP criteria questionnaire containing 102 specific questions related to the nosocomial use of amikacin by individual patients. The questionnaire contained six groups of questions: 1) Identification and basic demographic data, 2) Relevant data for the use of amikacin, 3) Justification of its usage, 4) Critical parameters of amikacin use, 5) Complications, 6) Measurement of results. Eight hospital specialist medical doctors were selected, including five in the area of infectious diseases, one surgeon, one nephrologist and one in critical care medicine. The questionnaire was e-mailed to the doctors and they were asked for their opinion about the appropriateness of the questions. They were to say whether the general concept seemed totally or partially adequate to the proposed process, what grade (0 to 10) they would give to each section, and if there were any perceived deficiencies, they could add, omit or modify individual questions. A second questionnaire containing the questions for which there had been no consensus based on the answers to the previous one was resent to the participants for consolidation. Results. Feedback revealed an agreement of 75% concerning the utility and appropriateness of sections 1 and 2. The section about the justification of amikacin usage was agreed on by 50%. There was a total agreement of 62% for the critical parameters of amikacin use, and a partial agreement of 37%. The complication of usage of the questionnaire was agreed upon by 50% of the participants, and positive measurement of the results was totally agreed on by 62%, and partially by 37%. The overall score for the questionnaire was 8.77 ± 0.25. Conclusion. The usage criteria for amikacin recommended by ASHP were validated by the Delphi technique for utilization in Brazilian hospital settings. The Delphi technique applied to validate a questionnaire instrument for monitoring the correct use of a specific strategic antibiotic indicated for the treatment and prophylaxis of serious antibiotic-resistant Gram-negative bacteria, proved to be a reliable and simple tool for designing guidelines and a consensus document for hospital use of antibiotics.Submitted by Ana Valéria de Jesus Moura (anavaleria_131@hotmail.com) on 2011-12-12T12:54:44Z No. of bitstreams: 1 a04v10n3.pdf: 127258 bytes, checksum: 11bcc409895c0b0a67f33e9942422c17 (MD5)Made available in DSpace on 2011-12-12T12:54:45Z (GMT). No. of bitstreams: 1 a04v10n3.pdf: 127258 bytes, checksum: 11bcc409895c0b0a67f33e9942422c17 (MD5) Previous issue date: 2006Delphi techniquecontent validationdrug use utilizationamikacinconsensus techniqueValidation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi TechniqueBrazilian Journal of Infectious Diseasesinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAinfo:eu-repo/semantics/openAccessORIGINALa04v10n3.pdfa04v10n3.pdfapplication/pdf127258https://repositorio.ufba.br/bitstream/ri/4807/1/a04v10n3.pdf11bcc409895c0b0a67f33e9942422c17MD51LICENSElicense.txtlicense.txttext/plain1748https://repositorio.ufba.br/bitstream/ri/4807/2/license.txt8a4605be74aa9ea9d79846c1fba20a33MD52TEXTa04v10n3.pdf.txta04v10n3.pdf.txtExtracted texttext/plain31605https://repositorio.ufba.br/bitstream/ri/4807/3/a04v10n3.pdf.txt4d1d0cc80e84e36696ee9184f315e7ddMD53ri/48072022-07-05 14:03:16.862oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:16Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
dc.title.alternative.pt_BR.fl_str_mv Brazilian Journal of Infectious Diseases
title Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
spellingShingle Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
Noblat, Lúcia de Araújo Costa Beisl
Delphi technique
content validation
drug use utilization
amikacin
consensus technique
title_short Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
title_full Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
title_fullStr Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
title_full_unstemmed Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
title_sort Validation of Criteria for Nosocomial Use of Amikacin in Brazil With the Delphi Technique
author Noblat, Lúcia de Araújo Costa Beisl
author_facet Noblat, Lúcia de Araújo Costa Beisl
Jesus, Rogerio Santos de
Noblat, Antonio Carlos Beisl
Oliveira, Márcio Galvão Guimarães de
Badaró, Roberto José da Silva
author_role author
author2 Jesus, Rogerio Santos de
Noblat, Antonio Carlos Beisl
Oliveira, Márcio Galvão Guimarães de
Badaró, Roberto José da Silva
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Noblat, Lúcia de Araújo Costa Beisl
Jesus, Rogerio Santos de
Noblat, Antonio Carlos Beisl
Oliveira, Márcio Galvão Guimarães de
Badaró, Roberto José da Silva
Noblat, Lúcia de Araújo Costa Beisl
Jesus, Rogerio Santos de
Noblat, Antonio Carlos Beisl
Oliveira, Márcio Galvão Guimarães de
Badaró, Roberto José da Silva
dc.subject.por.fl_str_mv Delphi technique
content validation
drug use utilization
amikacin
consensus technique
topic Delphi technique
content validation
drug use utilization
amikacin
consensus technique
description p. 173-178
publishDate 2006
dc.date.issued.fl_str_mv 2006
dc.date.accessioned.fl_str_mv 2011-12-12T12:54:45Z
dc.date.available.fl_str_mv 2011-12-12T12:54:45Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/4807
dc.identifier.issn.none.fl_str_mv 1678-4391
dc.identifier.number.pt_BR.fl_str_mv 10(3)
identifier_str_mv 1678-4391
10(3)
url http://www.repositorio.ufba.br/ri/handle/ri/4807
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
instname:Universidade Federal da Bahia (UFBA)
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reponame_str Repositório Institucional da UFBA
collection Repositório Institucional da UFBA
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