Assessment of antibiotic prescriptions in pediatric care units in a regional university hospital - 20/02/21
, S. Ménétré a, A. Charmillon b, C. Schweitzer c, d, B. Demoré a, eBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
| pages | 6 |
| Iconographies | 0 |
| Vidéos | 0 |
| Autres | 0 |
Highlights |
• | Antibiotic misuse is a major public health challenge. |
• | The implementation of an operational team made of an infectious disease specialist and a pharmacist in adult wards contributed to reducing antibiotic misuse: would such a team be justified in pediatric settings? |
• | The rate of relevance was 71%. |
• | The overall rate of adequacy was 28%; most often, doses and treatment durations were not adequate. |
Abstract |
Objectives |
The main objective was to assess the relevance of antibiotic prescriptions in the pediatric wards of a regional university hospital in France. Secondary objectives were to assess adequacy of the dose, administration frequency, administration route, treatment duration, adaptation to bacteriological results, and treatment reevaluation.
Patients and methods |
We assessed antibiotic prescriptions in pediatric settings. We included all patients under 18 years of age hospitalized in a pediatric ward who received a computerized prescription for antibiotic treatment between June 1st and June 30th, 2018; 163 clinical cases for 157 patients were analyzed. Patients hospitalized in neonatology, pediatric intensive care unit, and onco-hematology wards were excluded.
Results |
The rate of relevance was 71%. The rates of adequacy for the other criteria were 60% for the dose, 99% for the administration frequency, 98% for the administration route, 72% for treatment duration, 98% for treatment adaptation to microbiological results, and 100% for treatment revaluation. All criteria combined, the overall rate of adequacy was 28%.
Conclusions |
Effort should be made regarding doses and treatment durations. Areas for improvement have been suggested to the wards: standardized prescription protocols, pediatric prescription guide, training of residents, setting up of the operational team in pediatric wards and a second clinical evaluation.
Le texte complet de cet article est disponible en PDF.Keywords : Antibiotic stewardship, Assessment of professional practices, Pediatrics
Plan
Vol 51 - N° 1
P. 55-60 - février 2021 Retour au numéro
Article précédent
- Knowledge, attitudes, and behaviors of healthcare professionals at the start of an Ebola virus epidemic
- Mapendo Ndaliko Augustin, Jean-Bosco Kahindo Mbeva
- Antibiotic guidelines coupled with selective reporting of antibiograms
- C. Michelangeli, D. Girard-Lamoulere, A. Assi, M. Della Guardia, P.-M. Roger
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’achat d’article à l’unité est indisponible à l’heure actuelle.
Déjà abonné à cette revue ?