title: [Prudent use of antibiotics and suggestions for improvement from community and hospital pharmacy].
abstract: Appropriate use of antibiotics requires an interdisciplinary approach in which hospital and community pharmacies play a key role. The activities carried out in hospital pharmacy can be divided into 3 stages: a) before prescription: through the selection of antimicrobial agents, the creation of guides on prophylaxis and empirical treatments, and incorporation of the decisions into computer programmes that provide detailed electronic prescriptions; b) during prescription: prescription assessment, dose adjustment, patient information and infection data, preparation of doses to be used, pharmacokinetic adjustments and monitoring of treatment duration, and c) after treatment: clinical audits and measurements of the use of antibiotics. In community pharmacy, activities include promoting patient compliance, pharmacotherapeutic follow-up of patients to prevent and detect drug-related problems and avoidance of over-the-counter drug dispensation. Suggestions for improvement include mainly training in monitoring the use of antimicrobials, integration in interdisciplinary teams and avoiding the sale of over-the-counter antibiotics.
authors: Servicio de Farmacia, Hospital Universitario Son Dureta, Palma de Mallorca, España. odelgados@sefh.es
authors: Olga Delgado
authors: OD
authors: Sánchez
authors: Javier Bautista
authors: JB
authors: Palomo
authors: Mercedes Sora
authors: MS
authors: Ortega
authors: Francisco Moranta
authors: FM
authors: Ribas
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003157:Community Pharmacy Services / Q000592:standards*; D024881:Drug Resistance, Bacterial; D004363:Drug Utilization / Q000592:standards; D006801:Humans; D010607:Pharmacy Service, Hospital / Q000592:standards*
chemical_list: D000900:Anti-Bacterial Agents