title: [The antibiotic policy. The Infection Committee and antimicrobial use].
abstract: The antibiotic policy is the set of strategies and activities undertaken to organize the antimicrobial treatment in the hospital, and achieve health outcomes for patients. The basic principles are to be direct evidence-based medicine, local epidemiology and freedom for prescribing physicians. An antibiotic policy is now more necessary than ever for clinical, epidemiological and economic reasons. The Infection Committee is responsible for the antibiotics policy in hospitals. Its functions as an advisory body to the medical directorate are the analysis of the epidemiology of the infections in the center, measures for its prevention and control, improving the appropriate use of antimicrobials, training, and knowledge production. To achieve clinical, environmental and economic policy objectives of antibiotics is not easy. The agreement of hundreds of professionals for recommendations on indications, dosage and duration of antibiotic treatment, based on the best scientific evidence and local guides is complex, but it can be done. The key to this is that the Infection Committee develops antimicrobial stewardship through a multidisciplinary team and professional leadership, and has the institutional support to ensure that the proper use of antimicrobials is a priority for the center, and therefore of each of the services involved, and that the team has the resources for antimicrobial stewardship.
authors.affiliation: Unidad de Gestión Clínica Intercentros de Enfermedades Infecciosas, Microbiología y Medicina Preventiva, Hospital Universitario Virgen del Rocío/IBIS, Sevilla, España. Electronic address: jmcisnerosh@gmail.com.
authors.forename: José Miguel
authors.initials: JM
authors.lastname: Cisneros
authors.affiliation: Unidad Clínica de Farmacia Hospitalaria, Hospital Universitario Virgen del Rocío/IBIS, Sevilla, España.
authors.forename: M Antonia
authors.initials: MA
authors.lastname: Pérez-Moreno
authors.affiliation: Unidad Clínica de Farmacia Hospitalaria, Hospital Universitario Virgen del Rocío/IBIS, Sevilla, España.
authors.forename: M Victoria
authors.initials: MV
authors.lastname: Gil-Navarro
mesh_terms: D026683:Advisory Committees / Q000458:organization & administration; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D019072:Antibiotic Prophylaxis / Q000592:standards; D001424:Bacterial Infections / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control; D003428:Cross Infection / Q000188:drug therapy* / Q000453:epidemiology / Q000517:prevention & control; D004363:Drug Utilization; D006291:Health Policy; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control; D010607:Pharmacy Service, Hospital / Q000706:statistics & numerical data; D013030:Spain / Q000453:epidemiology
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antimicrobial stewardship; Antimicrobial treatment; Comisión de Infecciones; Infection Committee; Programas de optimización de antimicrobianos; Tratamiento antimicrobiano