[Impact of a quality control program on antibiotic prescription in a hospital in Havana, Cuba]

Rev Panam Salud Publica. 2011 Dec;30(6):598-602. doi: 10.1590/s1020-49892011001200017.
[Article in Spanish]

Abstract

Objective: Demonstrate the efficacy of a quality control program on antibiotic prescription in Joaquín Albarrán Hospital in Havana, Cuba.

Methods: An interventional study was conducted from 1 May 2008 to 31 March 2011. The study included evaluation of prescription quality, information feedback, educational activities, the operations of an antibiotic committee, and the preparation of protocols on antimicrobial drug use. A simple arithmetic graph of the time series was constructed, and the absolute values of the series percentages were compared. In order to verify the existence of a series trend, a simple linear regression model was applied.

Results: Antibiotic prescription was evaluated in 2 941 patients. An irregular series was observed, with inappropriate use in 30.7%-48.4% of these patients in the first three months analyzed. The value of the regression slope was close to zero, although it was negative and significantly different from zero (β = -0.29; P = 0.02).

Conclusions: The antibiotic control program improved the quality of prescribing for hospital patients.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use*
  • Cuba
  • Drug Prescriptions / standards*
  • Drug Prescriptions / statistics & numerical data
  • Drug Resistance, Microbial
  • Drug Utilization / statistics & numerical data
  • Drug and Narcotic Control / organization & administration
  • Female
  • Guideline Adherence / statistics & numerical data*
  • Hospitals, Teaching / statistics & numerical data*
  • Hospitals, Urban / statistics & numerical data*
  • Humans
  • Inappropriate Prescribing / prevention & control*
  • Inappropriate Prescribing / statistics & numerical data
  • Male
  • Middle Aged
  • Personnel, Hospital / education
  • Pharmacy and Therapeutics Committee
  • Practice Guidelines as Topic
  • Practice Patterns, Physicians' / statistics & numerical data
  • Program Evaluation
  • Quality Assurance, Health Care / organization & administration*
  • Quality Assurance, Health Care / standards
  • Quality Control
  • Time and Motion Studies

Substances

  • Anti-Bacterial Agents