Results of Amultidisciplinary Antimicrobial Stewardship Program
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Epidemiologia e Controle de Infecção |
Texto Completo: | https://online.unisc.br/seer/index.php/epidemiologia/article/view/7279 |
Resumo: | Background and Objectives: The aim of this study was to evaluate the results of the PCA developed by the Infection Control Service of a university hospital in southern Brazil from January / 2013 to July / 2014. Methods: The PCA is developed by two doctors and a pharmacist infectious disease. They are evaluated all prescriptions carbapenems, vancomycin, polymyxin B, daptomycin, tigecycline, linezolid, voriconazole, micafungin and amphotericin b lipid complex. In need of intervention the same is conducted by telephone with guidance to prescribers or alert in the electronic medical record. Moreover, they are made rounds with teams of cardiac intensive care unit (ICU-CV) for case discussion. Results and Conclusion: 5118 requirements were evaluated with an average of 297 prescriptions month. The percentage of crops request in half 1 (January to June / 13), 2 (July to December / 13) and 3 (January to July / 14) was respectively 25%, 35% and 83%. on average they were performed 70 operations / month, where the percentage of accepted interventions in the semester 1,2 and 3 was respectively 61%, 70% and 84%. The defined daily dose (DDD) of meropenem in UTI-CV for the period was 231.4 DDD / 1000 patient-days in semestre1, 108.13 DDD / 1000 patient-days in semester 2 and 83.79 DDD / 1000-patient -day in half 3.Nossos data allow to conclude that actions such as encouraging the targeted treatment (culture collection), education and feedback to prescribers (guiding the rational use) and active participation in rounds together the care teams can be strategies in the fight against the resistance. KEY WORDS: Infection control. Anti-Infective Agents. Interdisciplinary research. |
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Results of Amultidisciplinary Antimicrobial Stewardship ProgramResultados de un Programa Multidisciplinario de Optimización del Uso de AntimicrobianosResultados de um Programa Multidisciplinar de Otimização do Uso de AntimicrobianosBackground and Objectives: The aim of this study was to evaluate the results of the PCA developed by the Infection Control Service of a university hospital in southern Brazil from January / 2013 to July / 2014. Methods: The PCA is developed by two doctors and a pharmacist infectious disease. They are evaluated all prescriptions carbapenems, vancomycin, polymyxin B, daptomycin, tigecycline, linezolid, voriconazole, micafungin and amphotericin b lipid complex. In need of intervention the same is conducted by telephone with guidance to prescribers or alert in the electronic medical record. Moreover, they are made rounds with teams of cardiac intensive care unit (ICU-CV) for case discussion. Results and Conclusion: 5118 requirements were evaluated with an average of 297 prescriptions month. The percentage of crops request in half 1 (January to June / 13), 2 (July to December / 13) and 3 (January to July / 14) was respectively 25%, 35% and 83%. on average they were performed 70 operations / month, where the percentage of accepted interventions in the semester 1,2 and 3 was respectively 61%, 70% and 84%. The defined daily dose (DDD) of meropenem in UTI-CV for the period was 231.4 DDD / 1000 patient-days in semestre1, 108.13 DDD / 1000 patient-days in semester 2 and 83.79 DDD / 1000-patient -day in half 3.Nossos data allow to conclude that actions such as encouraging the targeted treatment (culture collection), education and feedback to prescribers (guiding the rational use) and active participation in rounds together the care teams can be strategies in the fight against the resistance. KEY WORDS: Infection control. Anti-Infective Agents. Interdisciplinary research.Antecedentes y Objetivos: Resulta cada vez más necesario mejorar el uso de los antimicrobianos mediante un equipo de profesionales con programas de capacitación al prescriptor, frente al aumento de la resistencia bacteriana y la falta de nuevos antibióticos para tratar infecciones graves provocadas por gram-negativos. Se objetivó evaluar los resultados del Programa de Control de Antimicrobianos (PCA) desarrollado por el Servicio de Control de Infecciones de un hospital universitario del sur del país, desde enero/2013 a julio/2014. Métodos: El PCA es desarrollado por dos médicos infectólogos y una farmacéutica. Son evaluadas todas las prescripciones de carbapenémicos, vancomicina, polimixina B, daptomicina, tigeciclina, linezolida, voriconazol, micafungina y anfotericina B complejo lipídico. En necesidad de intervención, la misma es realizada telefónicamente, con indicaciones al prescriptor o alerta en la historia clínica electrónica. Además, se realizan rondas con los equipos de terapia intensiva cardiológica (UTI-CV) para discusión de caso. Resultados: Fueron evaluadas 5.348 prescripciones, promedio de 297 mensuales. El porcentaje de solicitud de cultivos de los semestres 1 (enero-junio/13), 2 (julio- -diciembre/13) y 3 (enero-junio/14) fue, respectivamente: 25%, 35% y 83%. Fueron realizadas en promedio 70 intervenciones/mes, siendo el porcentaje de aceptación de intervenciones en semestres 1, 2, 3, respectivamente, de 61%, 70% y 84%. La dosis diaria definida (DDD) de meropenem en UTI-CV en el período fue de 231,4 DDD/1000-pacientes-día en el semestre 1; 108,13 DDD/1000/pacientes/día en el semestre 2 y 83,79 DDD/1000-pacientes-día en el semestre 3. Conclusión: Nuestros datos permiten concluir en que acciones como: incentivo del tratamiento dirigido (recolección de cultivos), educación y feedback al prescriptor (indicando el uso racional) y participación activa en rondas junto a los equipos asistenciales, pueden ser estrategias de lucha contra la resistencia microbiana. Palabras clave: Controle de infecções. Antimicrobianos, Pesquisa Interdisciplinar.Justificativa e Objetivo: O objetivo deste estudo foi avaliar os resultados do PCA desenvolvido pelo Serviço de Controle de Infecção de um hospital universitário do sul do país no período de janeiro/2013 a julho/2014. Métodos: O PCA é desenvolvido por dois médicos infectologistas e uma farmacêutica. São avaliadas todas as prescrições de carbapenêmicos, vancomicina, polimixina B, daptomicina, tigeciclina, linezolida, voriconazol, micafungina e anfotericina b complexo lipídico. Na necessidade de intervenção a mesma é realizada por telefone com orientação ao prescritor ou alerta no prontuário eletrônico. Além disso, são realizados rounds com as equipes de terapia intensiva cardíaca (UTI-CV) para discussão de caso. Resultados e Conclusão: Foram avaliadas 5118 prescrições, com uma média de 297 prescrições mês. O percentual de solicitação de culturas no semestre 1 (janeiro-junho/13), 2 (julho-dezembro/13) e 3 (janeiro-julho/14) foi respectivamente: 25%, 35% e 83%. Foram realizadas em média 70 intervenções/mês, onde o percentual de aceite das intervenções, no semestre 1,2 e 3 foi respectivamente: 61%, 70% e 84%. A dose diária definida (DDD) de meropenem na UTI-CV no período foi de 231,4 DDD/1000 paciente-dia no semestre1, 108,13 DDD/1000 paciente-dia no semestre 2 e 83,79 DDD/1000-paciente-dia no semestre 3.Nossos dados permitem concluir que ações como: incentivo ao tratamento dirigido (coleta de culturas), educação e feedback ao prescritor (orientando o uso racional) e participação ativa em rounds juntos as equipes assistenciais podem ser estratégias na luta contra a resistência. DESCRITORES: Controle de infecções. Antimicrobianos, Pesquisa Interdisciplinar.Unisc2017-01-17info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/727910.17058/reci.v7i1.7279Revista de Epidemiologia e Controle de Infecção; Vol. 7 No. 1 (2017); 47-51Revista de Epidemiologia e Controle de Infecção; v. 7 n. 1 (2017); 47-512238-3360reponame:Revista de Epidemiologia e Controle de Infecçãoinstname:Universidade de Santa Cruz do Sul (UNISC)instacron:UNISCporhttps://online.unisc.br/seer/index.php/epidemiologia/article/view/7279/5644Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecçãoinfo:eu-repo/semantics/openAccessLobo, Letícia GomesRamos, FabianoMoretti, Miriane MeloAlves, Paola Hoff2019-01-21T12:53:09Zoai:ojs.online.unisc.br:article/7279Revistahttps://online.unisc.br/seer/index.php/epidemiologia/indexONGhttp://online.unisc.br/seer/index.php/epidemiologia/oai||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com2238-33602238-3360opendoar:2019-01-21T12:53:09Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC)false |
dc.title.none.fl_str_mv |
Results of Amultidisciplinary Antimicrobial Stewardship Program Resultados de un Programa Multidisciplinario de Optimización del Uso de Antimicrobianos Resultados de um Programa Multidisciplinar de Otimização do Uso de Antimicrobianos |
title |
Results of Amultidisciplinary Antimicrobial Stewardship Program |
spellingShingle |
Results of Amultidisciplinary Antimicrobial Stewardship Program Lobo, Letícia Gomes |
title_short |
Results of Amultidisciplinary Antimicrobial Stewardship Program |
title_full |
Results of Amultidisciplinary Antimicrobial Stewardship Program |
title_fullStr |
Results of Amultidisciplinary Antimicrobial Stewardship Program |
title_full_unstemmed |
Results of Amultidisciplinary Antimicrobial Stewardship Program |
title_sort |
Results of Amultidisciplinary Antimicrobial Stewardship Program |
author |
Lobo, Letícia Gomes |
author_facet |
Lobo, Letícia Gomes Ramos, Fabiano Moretti, Miriane Melo Alves, Paola Hoff |
author_role |
author |
author2 |
Ramos, Fabiano Moretti, Miriane Melo Alves, Paola Hoff |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Lobo, Letícia Gomes Ramos, Fabiano Moretti, Miriane Melo Alves, Paola Hoff |
description |
Background and Objectives: The aim of this study was to evaluate the results of the PCA developed by the Infection Control Service of a university hospital in southern Brazil from January / 2013 to July / 2014. Methods: The PCA is developed by two doctors and a pharmacist infectious disease. They are evaluated all prescriptions carbapenems, vancomycin, polymyxin B, daptomycin, tigecycline, linezolid, voriconazole, micafungin and amphotericin b lipid complex. In need of intervention the same is conducted by telephone with guidance to prescribers or alert in the electronic medical record. Moreover, they are made rounds with teams of cardiac intensive care unit (ICU-CV) for case discussion. Results and Conclusion: 5118 requirements were evaluated with an average of 297 prescriptions month. The percentage of crops request in half 1 (January to June / 13), 2 (July to December / 13) and 3 (January to July / 14) was respectively 25%, 35% and 83%. on average they were performed 70 operations / month, where the percentage of accepted interventions in the semester 1,2 and 3 was respectively 61%, 70% and 84%. The defined daily dose (DDD) of meropenem in UTI-CV for the period was 231.4 DDD / 1000 patient-days in semestre1, 108.13 DDD / 1000 patient-days in semester 2 and 83.79 DDD / 1000-patient -day in half 3.Nossos data allow to conclude that actions such as encouraging the targeted treatment (culture collection), education and feedback to prescribers (guiding the rational use) and active participation in rounds together the care teams can be strategies in the fight against the resistance. KEY WORDS: Infection control. Anti-Infective Agents. Interdisciplinary research. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-01-17 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/7279 10.17058/reci.v7i1.7279 |
url |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/7279 |
identifier_str_mv |
10.17058/reci.v7i1.7279 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://online.unisc.br/seer/index.php/epidemiologia/article/view/7279/5644 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecção info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Epidemiologia e Controle de Infecção |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Unisc |
publisher.none.fl_str_mv |
Unisc |
dc.source.none.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção; Vol. 7 No. 1 (2017); 47-51 Revista de Epidemiologia e Controle de Infecção; v. 7 n. 1 (2017); 47-51 2238-3360 reponame:Revista de Epidemiologia e Controle de Infecção instname:Universidade de Santa Cruz do Sul (UNISC) instacron:UNISC |
instname_str |
Universidade de Santa Cruz do Sul (UNISC) |
instacron_str |
UNISC |
institution |
UNISC |
reponame_str |
Revista de Epidemiologia e Controle de Infecção |
collection |
Revista de Epidemiologia e Controle de Infecção |
repository.name.fl_str_mv |
Revista de Epidemiologia e Controle de Infecção - Universidade de Santa Cruz do Sul (UNISC) |
repository.mail.fl_str_mv |
||liapossuelo@unisc.br|| julia.kern@hotmail.com||reci.unisc@gmail.com |
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1800218810518601728 |