Effectiveness of the antibiotic policy by bed-side consultation
Abstract number: 1733_1442
Alzubaidy A.K., Bronsveld W., Steenhoek A., Vlaspolder F., Sloos J.H.
Objectives: Restrictive use of antibiotics is important in the prevention of resistance against these medicaments in hospitals. This study describes the effect of bed-side consultations on the maintenance of antibiotic guidelines. In the MCA a medical doctor under supervision of the consultant microbiologist is comparing the antibiotic use with the hospital guide lines of each individual admitted patient on the wards internal medicine, geriatrics, and cardiology. After physical examination a written advice is given to the clinician. In case of discrepancy between this advice and the initially started antibiotics, the consultant microbiologists advices the clinician additionally.
Results: From March-July 2005, and the same period in 2006 a total number of 469 consultations were performed (318 internal medicine ward, 97 geriatrics, 48 cardiology, and 6 of other wards). For 360 (76.8%) cases guidelines for antibiotic treatment were available, whereas for 28 (6.0%) cases no indication for antibiotics existed. 389 (82.9%) of the given advices were directly followed and 24 (5.1%) additional consultation were necessary for success. In 25 (5.3%) cases the clinician has deviated from the guidelines rightly. In 216 (46.1%) cases continuing the initially chosen antibiotics was the option chosen, whereas in 160 (34.1%) antibiotic has to be changed, and in 82 (17.5%) to stop the antibiotic treatment.
Conclusion: Bed-side consultations results in uniformity and reduction of the use of antibiotics on clinical wards.
|Session name:||European Society of Clinical Microbiology and Infectious Diseases|
|Location:||ICC, Munich, Germany|
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