[Surveillance of antibiotic utilization and bacterial resistance profiles in tertiary level hospitals in Mexico City].
OBJECTIVE
To identify the levels of antibiotic utilization and the resistance profiles of nosocomial bacteria, as well as the strategies to diminish resistance to antibiotics.


METHODS
A descriptive, retrospective (1994-1995) study was conducted in six tertiary level hospitals in Mexico City.


RESULTS
A total of 86% antibiotic resistance was observed in these hospitals. The overall consumption of antibiotics per hospital ranged between 44 and 195 Defined Daily Doses/100 day-beds.


CONCLUSIONS
We identified the components to frame an integral surveillance system aimed at improving the use of antibiotics and the quality of the bacterial resistance assessment in these hospitals.
Benavides-Plascencia
Lilia
L
Departamento de Sistemas Biológicos, DCBS, UAM-X Universidad Autónoma Metropolitana, Unidad Xochimilco, México, DF, México. benavidl@correo.xoc.uam.mx
Aldama-Ojeda
Alejandro Leonardo
AL
Javier Vázquez
Héctor
H
D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use*; D001419:Bacteria / Q000187:drug effects / Q000302:isolation & purification; D001424:Bacterial Infections / Q000188:drug therapy / Q000382:microbiology; D003430:Cross-Sectional Studies; D024881:Drug Resistance, Bacterial; D024901:Drug Resistance, Multiple, Bacterial; D004363:Drug Utilization / Q000706:statistics & numerical data; D006786:Hospitals, Urban / Q000706:statistics & numerical data*; D006801:Humans; D008800:Mexico; D016134:Organizational Policy; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents