Cisneros José Miguel, Pérez-Moreno M Antonia, Gil-Navarro M Victoria
Unidad de Gestión Clínica Intercentros de Enfermedades Infecciosas, Microbiología y Medicina Preventiva, Hospital Universitario Virgen del Rocío/IBIS, Sevilla, España.
Unidad Clínica de Farmacia Hospitalaria, Hospital Universitario Virgen del Rocío/IBIS, Sevilla, España.
Enferm Infecc Microbiol Clin. 2014 Oct;32(8):533-6. doi: 10.1016/j.eimc.2014.01.008. Epub 2014 Mar 19.
The antibiotic policy is the set of strategies and activities undertaken to organize the antimicrobial treatment in the hospital, and achieve health outcomes for patients. The basic principles are to be direct evidence-based medicine, local epidemiology and freedom for prescribing physicians. An antibiotic policy is now more necessary than ever for clinical, epidemiological and economic reasons. The Infection Committee is responsible for the antibiotics policy in hospitals. Its functions as an advisory body to the medical directorate are the analysis of the epidemiology of the infections in the center, measures for its prevention and control, improving the appropriate use of antimicrobials, training, and knowledge production. To achieve clinical, environmental and economic policy objectives of antibiotics is not easy. The agreement of hundreds of professionals for recommendations on indications, dosage and duration of antibiotic treatment, based on the best scientific evidence and local guides is complex, but it can be done. The key to this is that the Infection Committee develops antimicrobial stewardship through a multidisciplinary team and professional leadership, and has the institutional support to ensure that the proper use of antimicrobials is a priority for the center, and therefore of each of the services involved, and that the team has the resources for antimicrobial stewardship.
抗生素政策是为在医院组织抗菌治疗并为患者实现健康结果而采取的一系列策略和活动。其基本原则是遵循循证医学、当地流行病学情况，并给予开处方医生自主权。出于临床、流行病学和经济原因，抗生素政策如今比以往任何时候都更加必要。感染委员会负责医院的抗生素政策。它作为医务部的咨询机构，其职能包括分析中心内感染的流行病学情况、预防和控制感染的措施、促进抗菌药物的合理使用、培训以及知识产出。要实现抗生素在临床、环境和经济方面的政策目标并非易事。基于最佳科学证据和当地指南，让数百名专业人员就抗生素治疗的适应症、剂量和疗程的建议达成一致意见很复杂，但这是可以做到的。关键在于感染委员会通过多学科团队和专业领导力来开展抗菌药物管理工作，并且获得机构支持，以确保抗菌药物的合理使用是中心的优先事项，因此也是每个相关科室的优先事项，而且该团队拥有开展抗菌药物管理工作所需的资源。
