title: [Antibiotic treatment optimization by means of antibiotic treatment experts participation].
abstract: BACKGROUND
  Antibiotics account for a high percentage of hospital pharmacy expenses. An elevated proportion of the prescriptions are considered inappropriate. Infectious diseases specialist could help other physicians in improving antibiotics prescriptions.
  
  
  METHODS
  Treatments in all patients hospitalized in four surgical wards were checked daily and recommendations were made in cases with signs of inadequate antibiotics prescriptions. The program was carried out during for 4 months and the results were compared with a similar period of the previous year.
  
  
  RESULTS
  562 treatments of 393 patients were reviewed . Five hundred twenty four recommendations were made (90% of them were accepted). There was a significant reduction in the number of inadequate prescriptions. Antibiotic expenditure decreased by 29,262 euros (7,240 euros/month), implying a reduction of 2.35 euros/hospitalization-bed/day. There were no statistically significant differences in the amount of hospital resistant bacteria nor in mortality between the two periods.
  
  
  CONCLUSIONS
  Following application of a non-compulsory control program, antibiotic prescription improved and expenditure decreased, with no change in mortality. Acceptation of the program by the physicians of the departments implicated was favourable.
authors.affiliation: Unidad de Enfermedades Infecciosas, Servicio de Medicina Interna, Hospiatal Universitario Puerta de Hierro, Universidad autónoma, Madrid. antrammar@yahoo.es
authors.forename: A
authors.initials: A
authors.lastname: Ramos Martínez
authors.forename: E
authors.initials: E
authors.lastname: Muñez Rubio
authors.forename: A
authors.initials: A
authors.lastname: Santiago Pérez
authors.forename: E
authors.initials: E
authors.lastname: García Sanz
authors.forename: M
authors.initials: M
authors.lastname: Manso Manrique
authors.forename: A
authors.initials: A
authors.lastname: Torralba Arranz
authors.forename: A
authors.initials: A
authors.lastname: Asensio Vegas
mesh_terms: D000900:Anti-Bacterial Agents / Q000191:economics / Q000627:therapeutic use*; D003428:Cross Infection / Q000188:drug therapy* / Q000191:economics; D016527:Drug Costs; D011307:Drug Prescriptions; D017721:Hospital Costs; D006801:Humans; D016357:Infection Control Practitioners; D007297:Inpatients; D013030:Spain
chemical_list: D000900:Anti-Bacterial Agents