[Analysis of the program of control of the use of antimicrobials at the Hospital São Paulo--Escola Paulista de Medicina].
OBJECTIVE
Antimicrobial agents represent a group of drugs that are frequently used in hospitals. Approximately, 50% of hospitalized patients receive at least one antimicrobial drug during the hospitalization period. However, half of these drugs are prescribed incorrectly. The objective of this paper was to analyse the antimicrobial control program that has been used at Escola Paulista de Medicina since 1989.


METHODS
The prescription of eleven controlled antibiotics should be done in a special form. Any requisition of a controlled antibiotic was evaluated, within 24 hours, by an infection diseases specialist who was hired exclusively for this function.


RESULTS
During 1989, 5,573 controlled antimicrobials were requested by the hospital staff, and 17.6% of them were considered inadequate and were refused. Such a percentage was high considering that our institution is a university hospital where the antibiotic usage should be more precise and adequate. We also should take into account that the indication of only 11 antimicrobial drugs were evaluated.


CONCLUSIONS
The results allow us to conclude that each hospital should have not only a policy on antimicrobial usage but also an effective program of control of these drugs.
Pereira
C A
CA
Disciplina de Doenças Infecciosas e Parasitárias, Universidade Federal de São Paulo.
Corrêa
L
L
Pignatari
A C
AC
Wey
S B
SB
D000900:Anti-Bacterial Agents; D006785:Hospitals, University; D006801:Humans; D015397:Program Evaluation
D000900:Anti-Bacterial Agents
Análise do programa de controle do uso de antimicrobianos no Hospital São Paulo--Escola Paulista de Medicina.