Antibiotic stewardship programs in the Spanish emergency services: PROA-URG Study
Por:
Ramos, JR, Grande, AS, Perrín, MRS, Requejo, CC, Vega, MH, Vinardell, LL, Martín, AG, Baeta, YC, González, AJM, Díez, MA, Giner, SC, Carranza, SH, Diáz, AS, Riera, MP, Liendo, LM, Blanch, CT, Amallo, AR, Blanco, CC
Publicada:
1 abr 2024
Resumen:
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.
Filiaciones:
Ramos, JR:
Hosp Santa Creu & Sant Pau, Inst Recerca St Pau, Barcelona, Spain
Grande, AS:
Hosp Univ Bellvitge, Barcelona, Spain
Perrín, MRS:
Hosp Principe Asturias, Serv Farm, Madrid, Spain
Requejo, CC:
Hosp Gen Univ Reina Sofia, Murcia, Spain
Vega, MH:
Hosp Univ Getafe, Madrid, Spain
Vinardell, LL:
Hosp Mataro, Barcelona, Spain
Martín, AG:
Hosp Univ La Paz, Madrid, Spain
Baeta, YC:
Fdn St Joan de Deu, Martorell, Spain
González, AJM:
Ctr Med Teknon, Barcelona, Spain
Díez, MA:
Hosp Univ Basurto, Bilbao, Spain
Giner, SC:
Hosp Univ Joan XXIII, Tarragona, Spain
Carranza, SH:
Hosp Univ Fdn Alcorcon, Madrid, Spain
Diáz, AS:
Hosp Infanta Leonor, Madrid, Spain
Riera, MP:
Hosp Can Misses, Ibiza, Spain
Liendo, LM:
Hosp Galdakao Usansolo, Galdakao, Spain
Blanch, CT:
Hosp Univ Dr Josep Trueta, Girona, Spain
Amallo, AR:
Hosp San Eloy, Baracaldo, Spain
Blanco, CC:
Hosp Cent Asturias, Oviedo, Spain
gold, Green Published
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