Session Type: ePosters
Session Title: ePosters
Authors(s): H.P. Lopes Campos E Reis (1), J.C. Castro Silva (2), A. Rocha De Oliveira (2), L.K. Estevam Da Silva (2), A.B. Ferreira Rodrigues (2), D. Maciel De Araújo (2), L. Oliveira Lima (2), M.G. Oliveira E Silva Linhares (2), M. Verde Ramo Soares (2), J.W. Brilhante Junior (2), T. Moreira Silva (2), C. Cavalcante De Andrade (1), E. Santana Girão (1), J.L. Nobre Rodrigues (1), R.M. Oliveira De Araujo (1)
Authors Affiliations(s): (1) Hospital Universitário Walter Cantídio - Fortaleza (Brazil), Brazil, (2) Universidade Federal do Ceará - Fortaleza (Brazil), Brazil
Background:
The Antimicrobial Stewardship Program (ASP) is represented by the performance of an interdisciplinary team in order to achieve increasingly positive clinical outcomes from therapeutic optimization. In this context, the ASP strategy bundle refers to strategies that go through prospective audits with feedback, therapeutic optimization strategies, as well as continuing education. The objective of this study is to analyze the profile and the rate of adherence to the optimization strategies of the ASP pharmacotherapeutic bundle in a reference hospital in Brazil.
Methods:This is a retrospective observational cross-sectional study conducted at a university hospital in Brazil. The acceptance rates of the strategies and the topography of infections of adult patients using inpatients restricted antimicrobials (ATM) were analyzed, inserted in an electronic database. Approved by the Research Ethics Committee No. 3,697,674.
Results:Of the 368 patients followed up, for whom a recommendation was made, the mean age was 53 years (18–94 years). Blood infections [N = 546 (47.43%)] and respiratory tract infections [N = 246 (21.37%)] were the most common. The ASP team performed 1408 strategies during the year 2020. The profile of the ASP strategies showed how the most frequently applied categories were: spectrum change [N = 372 (26.42%)], treatment time management [N = 686 (48.72%)], dose monitoring [N = 327 (23.22%)], ATM change [N = 30 (2.13%)], others [N = 6 (0.4%)]. The most common strategies were: reduction of treatment time [N = 413 (29.33%)], scheduling of therapy [N = 252 (17.89%)] and dose adjustment [N = 220 (15.62% )], with an acceptance rate of 99.29%.
Conclusions:The ASP team carried out a considerable number of strategies seeking to optimize antimicrobial pharmacotherapy, improving the quality of use of these drugs with a high rate of adherence by prescribers.
Session Type: ePosters
Session Title: ePosters
Authors(s): H.P. Lopes Campos E Reis (1), J.C. Castro Silva (2), A. Rocha De Oliveira (2), L.K. Estevam Da Silva (2), A.B. Ferreira Rodrigues (2), D. Maciel De Araújo (2), L. Oliveira Lima (2), M.G. Oliveira E Silva Linhares (2), M. Verde Ramo Soares (2), J.W. Brilhante Junior (2), T. Moreira Silva (2), C. Cavalcante De Andrade (1), E. Santana Girão (1), J.L. Nobre Rodrigues (1), R.M. Oliveira De Araujo (1)
Authors Affiliations(s): (1) Hospital Universitário Walter Cantídio - Fortaleza (Brazil), Brazil, (2) Universidade Federal do Ceará - Fortaleza (Brazil), Brazil
Background:
The Antimicrobial Stewardship Program (ASP) is represented by the performance of an interdisciplinary team in order to achieve increasingly positive clinical outcomes from therapeutic optimization. In this context, the ASP strategy bundle refers to strategies that go through prospective audits with feedback, therapeutic optimization strategies, as well as continuing education. The objective of this study is to analyze the profile and the rate of adherence to the optimization strategies of the ASP pharmacotherapeutic bundle in a reference hospital in Brazil.
Methods:This is a retrospective observational cross-sectional study conducted at a university hospital in Brazil. The acceptance rates of the strategies and the topography of infections of adult patients using inpatients restricted antimicrobials (ATM) were analyzed, inserted in an electronic database. Approved by the Research Ethics Committee No. 3,697,674.
Results:Of the 368 patients followed up, for whom a recommendation was made, the mean age was 53 years (18–94 years). Blood infections [N = 546 (47.43%)] and respiratory tract infections [N = 246 (21.37%)] were the most common. The ASP team performed 1408 strategies during the year 2020. The profile of the ASP strategies showed how the most frequently applied categories were: spectrum change [N = 372 (26.42%)], treatment time management [N = 686 (48.72%)], dose monitoring [N = 327 (23.22%)], ATM change [N = 30 (2.13%)], others [N = 6 (0.4%)]. The most common strategies were: reduction of treatment time [N = 413 (29.33%)], scheduling of therapy [N = 252 (17.89%)] and dose adjustment [N = 220 (15.62% )], with an acceptance rate of 99.29%.
Conclusions:The ASP team carried out a considerable number of strategies seeking to optimize antimicrobial pharmacotherapy, improving the quality of use of these drugs with a high rate of adherence by prescribers.