Évaluation sur 2006 et 2007 de la politique de bon usage des antibiotiques dans les établissements de santé de la région Poitou-Charentes

Abstract: Method: In 2007, a questionnaire covering all items of a Ministry of Health circular was sent to healthcare institutions in the French Poitou-Charentes region to assess the good antibiotic use policy. Results: A comparison with the Nosocomial Infection Committee 2006 activity report concerning measures included in the ICATB (antibiotic use) indicator revealed widespread implementation of surveillance and of protocols for first-line antibiotics and surgical antibiotic prophylaxis (88% of all healthcare institutions). The assessment of protocol monitoring and of professional practice was to be implemented. Antibiotic therapy training sessions were deficient because of a shortage of expert physicians (50% of healthcare institutions), and mirrored by a lack of treatment re-evaluation at 48 or 72hours (58% of healthcare institutions). However, nominative prescription use was widespread (90% of healthcare institutions). Securing drugs circuit with online drug prescriptions, computerized patient file, sharing data with other services (microbiology laboratory, pharmacy) were difficult to integrate to hospital information systems. Pharmaceutical-economic indicators used to monitor antibiotic consumption were rarely given to units using antibiotics. The average ICATB indicator in 2006 ranged between 6 and 8/20. Comments: Antibiotic therapy training sessions and evaluation of professional practices must be improved. Computerizing the drug circuit should improve interdisciplinary practices. [Copyright &y& Elsevier]