title: [Adherence between antibiotic prescriptions and guidelines in an internal medicine ward: an evaluation of professional practices].
abstract: BACKGROUND
  This is an evaluation of professional practices (EPP) on antibiotic therapy in an internal medicine ward.
  
  
  METHODS
  A 6-month prospective review of antibiotic prescriptions and their comparisons with local and national guidelines (drug, daily dose, administration, and duration) were performed.
  
  
  RESULTS
  Antibiotic therapy on 227 infectious episodes was collected. According to local guidelines, we found 56% of totally respected (lower respiratory tract infections: 38%, urinary tract infections: 88% and skin infections: 73%), 33% of partially respected and 11% of non-appropriate prescriptions. Considering national guidelines for lower respiratory tract infections as references, the results were: totally respected prescriptions 81%, partially respected prescriptions 16%, and non-appropriate prescriptions 3%.
  
  
  CONCLUSIONS
  This evaluation of the prescriptions allowed setting up long-lasting actions to improve clinical practice. This approach anticipates the procedures of EPP that will be needed for hospital accreditation and highlights the importance of considering several guidelines for the interpretation of the results.
authors: Pharmacie, groupe hospitalier Saint-André, 1 rue Jean-Burguet, Bordeaux cedex, France.
authors: C
authors: C
authors: Peix
authors: M-A
authors: MA
authors: Vandenhende
authors: F
authors: F
authors: Bonnet
authors: D
authors: D
authors: Lacoste
authors: N
authors: N
authors: Bernard
authors: J
authors: J
authors: Youssef
authors: M
authors: M
authors: Hessamfar
authors: J-P
authors: JP
authors: Pometan
authors: P
authors: P
authors: Morlat
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D003141:Communicable Diseases / Q000188:drug therapy / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology / Q000517:prevention & control; D004305:Dose-Response Relationship, Drug; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006757:Hospital Units; D006801:Humans; D007388:Internal Medicine; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D012141:Respiratory Tract Infections / Q000188:drug therapy / Q000453:epidemiology; D012874:Skin Diseases, Infectious / Q000188:drug therapy / Q000453:epidemiology; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotics; Antibiotiques; Evaluation of professional practices; Guidelines; Recommandations; Évaluation des pratiques professionnelles