Rev Esp Quimioter 2024; 37(2): 163-169
Antibiotic stewardship programs in the Spanish emergency services: PROA-URG Study
JESÚS RUIZ RAMOS, ANA SUÁREZ-LLEDÓ GRANDE, MARÍA ROSARIO SANTOLAYA PERRÍN, CARMEN CABALLERO REQUEJO, MARIAM HIJAZI VEGA, LAIA LÓPEZ VINARDELL, ÁNGELES GARCÍA MARTÍN, YLENIA CAMPOS BAETA, ANA JOSEFA MARCOS GONZÁLEZ, MONTSERRAT ALONSO DÍEZ, SILVIA CONDE GINER, SAÚL HERRERA CARRANZA, ANA SUCH DIÁZ, MARGARITA PRATS RIERA, LARA MENENDEZ LIENDO, CRISTINA TORO BLANCH, ANA REVUELTA AMALLO, CRISTINA CALZÓN BLANCO, EN REPRESENTACIÓN DEL GRUPO PROA-URGENCIAS
Published: 19 February 2024
http://www.doi.org/10.37201/req/138.2023
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.
Rev Esp Quimioter 2024; 37(2): 163-169 [Texto completo PDF]
