Diseño de un panel de indicadores para programas de optimización del uso de antimicrobianos en los Servicios de Urgencias

Ruiz-Ramos, Jesús; Perrín, M.R. Santolaya; Castillo, Juan González del; Candel, Francisco Javier; Quirós, Alejandro Martín; González, Joaquín López-Contreras; Jiménez, Agustín Julián; Grande, Ana Suárez-Lledó

doi:10.1016/j.farma.2023.06.011

Cited by 3 publications

(1 citation statement)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…El diseño de la encuesta se realizó por tres farmacéuticos clínicos con experiencia en programas PROA. Como base de la encuesta se utilizó el documento "Diseño de un panel de indicadores para programas de optimización del uso de antimicrobianos en los Servicios de Urgencias" [14], elaborado por miembros de la Sociedad de Farmacia Hospitalaria, la Sociedad de Urgencias y Emergencias (SEFH), con la colaboración de infectólogos y microbiólogos. De los 42 indicadores de alta prioridad considerados en el proyecto, el equipo coordinador seleccionó 21 en base a su relevancia y facilidad de obtención.…”

Section: Materials Y Métodosunclassified

Antibiotic stewardship programs in the Spanish emergency services: PROA-URG Study

Ruiz Ramos,

Suárez-Lledó Grande,

Santolaya Perrín

et al. 2024

Rev Esp Quimioter

View full text Add to dashboard Cite

Introduction. Antimicrobial stewardship programs (ASP) have become a key tool in the adaptation of these drugs to the health system. The information available on the application and indicators used in these programs in emergency departments is scarce. The objective of this study is to know the extent of ASP implementation in the emergency departments, as well as the use of antimicrobials in these units. Material and methods. Multicenter retrospective study. An invitation was sent to all participants of the REDFASTER-SEFH emergency pharmacist working group. A questionnaire was used consisting of 21 items, answered by a team made up of a pharmacist, emergency room specialist, infectious disease specialist and microbiologist. Results. Eighteen hospitals completed the survey. Fourteen (77.8%) had an ASP manager. The DDD value per 1000 admissions ranged between 36.5 and 400.5 (median: 100.4 [IQR:57.2-157.3]). Both carbapenem and macrolide group presented wide variability in use. Six (33.3%) hospitals had an annual report on the specific resistance profile for urine and blood cultures. The percentage of multi-drug resistant strains in urine cultures was 12.5% and in blood cultures 12.2%. The percentage of adequacy in the bacteremia treatment was 81.0% (IQR:74.6-85.0%), while in urinary tract infections was 78.0% (IQR:71.5-88.0). Conclusions. Despite the existence of ASP members in emergency services, as well as the training activity and local guidelines is common. knowledge of the use of antimicrobials and resistances is limited. Future activities must be aimed at improving information about the ASP results in these units.

show abstract

Section: Materials Y Métodosunclassified