SciELO - Scientific Electronic Library Online

 
vol.43 issue3Pilot study to develop and validate a questionnaire based on HIV symptoms indexEffectiveness and pharmacoeconomic analysis of the treatment of severe asthma with omalizumab in clinical practice author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Farmacia Hospitalaria

On-line version ISSN 2171-8695Print version ISSN 1130-6343

Abstract

GUTIERREZ-URBON, José María et al. Indicators of the hospital use of antimicrobial agents based on consumption. Farm Hosp. [online]. 2019, vol.43, n.3, pp.94-100.  Epub Oct 14, 2019. ISSN 2171-8695.  https://dx.doi.org/10.7399/fh.11163.

Objective

To identify indicators of hospital use of antimicrobials from the benchmark analysis of consumption data between hospitals at the same level through the collective judgement of a group of experts.

Method

A committee formed by members of the Spanish Societies of Hospital Pharmacy and Infectious Diseases and Clinical Microbiology prepared a proposal of indicators which was submitted to consensus by a panel of 21 experts on infectious diseases, microbiology and antimicrobial therapy, through a modified Delphi method. The panel underwent two rounds of scores by e-mail. Participants assigned a score from 1 (completely disagree) to 9 (completely agree) to the relevance of each indicator in four dimensions: scientific evidence, efficacy and safety, ecological impact and cost. Scores were processed according to the RAND-UCLA method. An indicator was considered to be relevant if at least one dimension other than cost obtained a median score equal to or higher than 7 without disagreement among the panel.

Results

The committee submitted an initial proposal of 14 indicators. After the first round of panel scores, one indicator was ruled out and two were modified for moving on to the second round. Finally, 13 indicators were considered relevant.

Conclusions

Determining indicators of the hospital use of antimicrobial agents based on consumption can allow the antimicrobial steward-ship programs to detect any potential problems with the use of antimicrobial agents, and to help guide their efforts in order to implement actions of improvement, as well as to assess the impact of the measures implemented.

Keywords : Antiinfective agents, therapeutic use; Antimicrobial stewardship; Drug utilization; Policy making; Quality indicators, health care.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf ) | Spanish ( pdf )