title: [Selection of indicators for continuous monitoring of the impact of programs optimizing antimicrobial use in Primary Care].
abstract: OBJECTIVE
  To determine core indicators for monitoring quality prescribing in Primary Care based on the evidence, and to assess the feasibility of these indicators for monitoring the use of antibiotics.
  
  
  METHODS
  A literature review was carried out on quality indicators for antimicrobial prescribing through an electronic search limited to the period 2001-2012. It was completed with an "ad hoc" search on the websites of public national and international health services. Finally, indicators were chosen by consensus by a multidisciplinary group of professionals dedicated to managing infections from several areas. The feasibility and applicability of these indicators was verified through the reporting and use of data in the prescription database.
  
  
  RESULTS
  Twenty two indicators were found. The consensus group selected 16 indicators. Eleven of them measure the specific antimicrobial selection, and 5 are consumption rates. The indicators were successfully applied to the prescription database, being able to make comparisons between different geographical areas and to observe trends in prescriptions.
  
  
  CONCLUSIONS
  The definition of a basic set of indicators to monitor antibiotic use adapted to local conditions is required. The results of these indicators can be used for feedback to professionals and for evaluating the impact of programs aimed at improving antimicrobial use.
authors.affiliation: Servicio de Farmacia, Distrito Aljarafe-Sevilla Norte, Sevilla, España. Electronic address: rocio.fernandez.sspa@juntadeandalucia.es.
authors.forename: Rocío
authors.initials: R
authors.lastname: Fernández-Urrusuno
authors.affiliation: Servicio de Farmacia, Distrito Aljarafe-Sevilla Norte, Sevilla, España.
authors.forename: Macarena
authors.initials: M
authors.lastname: Flores-Dorado
authors.affiliation: Servicio de Farmacia, Área de Gestión Sanitaria de Ronda, Ronda, Málaga, España.
authors.forename: Eva
authors.initials: E
authors.lastname: Moreno-Campoy
authors.affiliation: Servicio de Farmacia, Distrito Aljarafe-Sevilla Norte, Sevilla, España.
authors.forename: M Carmen
authors.initials: MC
authors.lastname: Montero-Balosa
mesh_terms: D000890:Anti-Infective Agents / Q000627:therapeutic use*; D004363:Drug Utilization / Q000592:standards*; D006801:Humans; D011320:Primary Health Care; D019984:Quality Indicators, Health Care
chemical_list: D000890:Anti-Infective Agents
keywords: Antibiotics; Antibióticos; Atención Primaria; Enfermedades infecciosas; Indicadores de calidad de prescripción; Infections; Primary Care; Quality prescribing indicators