title: [Evaluation of antibiotic prescriptions in the Emergency Department of the Military Hospital of Instruction Mohammed V (HMIMV)].
abstract: The objectives of this study are to describe prescribing practices, to evaluate their appropriateness and their compliance with guidelines and to examine their influencing factors. We conducted a cross-sectional study of antibiotic prescriptions data of 105 patients in the medical and surgical Emergency Department of the Military Hospital of Instruction Mohammed V in Rabat over a period of one month. Data were collected by means of a questionnaire including demographic and anamnestic data, patient's history, allergies, specific clinical examination data, paraclinical data, detailed antibiotic prescription. Collected data were then evaluated by a referring physician, who was responsible for detecting any treatment error. Among infections requiring the prescription of antibiotics, respiratory and urinary system diseases were at the forefront, the most commonly used antibiotic families were penicillins, quinolones and cephalosporins. 74 prescriptions (70.5%) were both pertinent and compliant versus 9 prescriptions (8.6%) justified but nonpertinent and 6 prescriptions (5.7%) which were considered unjustified by the referring physician due to absence of infection. The evaluation of the existing medical practice is rarely conducted in health facilities; with this in mind, our case study aims to improve appropriate antibiotic prescribing and to optimize its compliance with guidelines.
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Anass
authors.initials: A
authors.lastname: Elbouti
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Rafai
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Naoufal
authors.initials: N
authors.lastname: Chouaib
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Said
authors.initials: S
authors.lastname: Jidane
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Belkouch
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Hicham
authors.initials: H
authors.lastname: Bakkali
authors.affiliation: Service des Urgences Médico-chirurgicales, Hôpital Militaire d'Instruction Mohammed V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V, Rabat, Maroc.
authors.forename: Lahcen
authors.initials: L
authors.lastname: Belyamani
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use*; D003430:Cross-Sectional Studies; D004636:Emergency Service, Hospital; D005260:Female; D019983:Guideline Adherence; D006772:Hospitals, Military; D006801:Humans; D057970:Inappropriate Prescribing / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D009018:Morocco; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000592:standards / Q000706:statistics & numerical data*
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antibiotics; appropriateness and compliance; emergencies