logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Implementation of an educational program and an antibiotic order form to optimize quality of antimicrobial drug use in a department of internal medicine.

    Article - En anglais

    In a study designed to evaluate the effects of an educational program and an antibiotic order form on the quality of antimicrobial drug use, a prospective analysis was conducted in the department of internal medicine of a 948-bed university hospital.

    Following a quality-of-use review of all consecutive courses of antimicrobial drugs prescribed during four weeks, an educational program was conducted and an antibiotic order form introduced.

    After four years, an identical review was performed.

    In the first review, 109 (31%) of 347 patients were prescribed antimicrobial drugs.

    Only 40% of the prescriptions were considered definitely appropriate, and 13% were considered unjustified.

    There was a certain degree of underutilization, and only 67% of clinical isolates were susceptible to empirical therapy.

    In the review performed after intervention, 164 (21%) of 796 patients were given antimicrobial drugs.

    Defined daily doses per 100 bed days increased from 59.8 to 72.6. Fifty-three percent of the prescriptions were judged optimal, and only 9% were judged unjustified.

    Ninety percent of the clinical isolates were susceptible to empirical therapy.

    After one year, compliance with the antibiotic order forms on a voluntary basis reached 77%, documenting 86% of antimicrobial drug costs.

    As a result, the antibiotic order form will be useful for surveillance, if logistic support is provided by the pharmacy.

    The combination of several measures leads to improved quality of use. (...)

    Mots-clés Pascal : Prescription médicale, Utilisation, Chimioprophylaxie, Traitement, Prévention, Programme enseignement, Antibiotique, Antimicrobien, Indication, Coût, Qualité, Soin, Programme sanitaire, Hôpital, Economie santé

    Mots-clés Pascal anglais : Medical prescription, Use, Chemoprophylaxis, Treatment, Prevention, Educational program, Antibiotic, Antimicrobial agent, Indication, Costs, Quality, Care, Sanitary program, Hospital, Health economy

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0098828

    Code Inist : 002B30A01C. Création : 22/06/1998.