Abstract

FITERRE LANCIS, Irene et al. Quality of antimicrobials prescription in patient admitted in clinical services. Rev cubana med [online]. 2011, vol.50, n.1, pp. 49-56. ISSN 1561-302X.

Introduction: The microbial resistance is considered as a worldwide emerging phenomenon and the prescription quality of the antimicrobials is an essential element in its control. Objective: To determine the prescription quality of the antimicrobials in patients admitted in clinical services. Methods: A point prevalence in the "Joaquín Albarrán" Hospital from May, 2008 to February, 2009 was carry out by means of assessment of patients admitted for one day of each of months of the study period. A tool was used applied by two researchers and in a second stage were analyzed by experts in antimicrobials use, determining those with an inappropriate prescription. The use ratio of antimicrobials was estimated as well as the inappropriate prescription ratio. Results: A total of 1 175 patients were assessed, from which 456 used antimicrobials (38,80 %) reported in an inappropriate way in 66 patients (14,5 %). The leading cause of inappropriate prescription was its use when it was not prescribed or was not necessary (51 patients) and the wrong length of treatment (40 patients). It was possible to identify deficiencies in antimicrobials prescription quality in patients admitted in the clinical services being necessary educational and organizational interventions.

Keywords : Antimicrobials; inappropriate prescription; rational use; hospital.

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