[Impact of a quality control program on antibiotic prescription in a hospital in Havana, Cuba].
作者信息
Guanche Garcell Humberto, Pisonero Socias Juan José, Enseñat Sánchez Raimy, Fiterre Lancis Irene, Mir Narbona Ioanna, García Arzola Belkis, Pardo Gómez Gilberto, Gutiérrez García Francisco
机构信息
Hospital Joaquín Albarrán, La Habana, Cuba.
出版信息
Rev Panam Salud Publica. 2011 Dec;30(6):598-602. doi: 10.1590/s1020-49892011001200017.
OBJECTIVE
Demonstrate the efficacy of a quality control program on antibiotic prescription in Joaquín Albarrán Hospital in Havana, Cuba.
METHODS
An interventional study was conducted from 1 May 2008 to 31 March 2011. The study included evaluation of prescription quality, information feedback, educational activities, the operations of an antibiotic committee, and the preparation of protocols on antimicrobial drug use. A simple arithmetic graph of the time series was constructed, and the absolute values of the series percentages were compared. In order to verify the existence of a series trend, a simple linear regression model was applied.
RESULTS
Antibiotic prescription was evaluated in 2 941 patients. An irregular series was observed, with inappropriate use in 30.7%-48.4% of these patients in the first three months analyzed. The value of the regression slope was close to zero, although it was negative and significantly different from zero (β = -0.29; P = 0.02).
CONCLUSIONS
The antibiotic control program improved the quality of prescribing for hospital patients.
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