[Audit of clinical records: clinico-microbiologic study of urinary infections in a team of primary care].
To carry out an audit of clinical records in our center for the evaluation of the quality of care before the introduction of protocols, several prevalent conditions were selected, and among them urinary tract infections (UTI). Another aim of the study was to evaluate the autochthonous flora responsible for UTI and its resistence to commonly used antimicrobials. A series of acceptable criteria and standards were set as quality controls, and the real index was found below the preselected one in all cases. The most commonly isolated organism was E. coli, followed by Proteus, which were resistent to trimetoprim-sulfamethoxazole in 56% and 71.4% of cases, respectively. Problems of organization and knowledge, and a high resistence rate to common antimicrobials were detected; the following were suggested as measures for improvement: introduction of a protocol, need for continuing education, reduction in the care demand, health education and improvement in the antibiotic policy.
Blázquez Ballesteros
M L
ML
González López
E
E
Calvo García
E
E
Kloppe Villegas
P
P
Martín-Rabadán Muro
M
M
Ruiz de Adana Pérez
R
R
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008485:Medical Audit; D008499:Medical Records; D011320:Primary Health Care; D014552:Urinary Tract Infections / Q000382:microbiology
Auditoría de historias clínicas: estudio clinicomicrobiológico de infecciones urinarias en un equipo de atención primaria.