A program to optimize the quality of antibiotic use within the hospital - impact on antibiotic consumption, cost savings and bacterial resistance

Not Applicable

Completed

Conditions: Patients on antibiotic therapy
Infections and Infestations

Registration Number: ISRCTN83234896

Lead Sponsor: Training and Research Institute, Marqués de Valdecilla (Spain)

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Completed

Sex: All

Target Recruitment: 816

Inclusion Criteria

Patients:
The reference population is composed of patients admitted in the Hospital Universitario Marqués de Valdecilla with antimicrobial treatment prescribed by their responsible doctors for more than three days.
The clinical services/units in which the study will be realized will comply with the following criteria for inclusion:
1. Stability in the physicians who participate in the study
2. Stability in the number of beds and type of assisted
3. Agreement by doctors who work in them to participate in the study

Exclusion Criteria

1. Pediatric patients
2. Patients with terminal chronic renal failure (on dialysis)
3. Patients with oral antibiotic treatment
4. Antibiotic treatment already prescribed by the Infectious Diseases Unit
Patients whose antibiotic has been prescribed by a member of the Infectious Diseases Unit as part of the usual care task shall be excluded from the study

Study & Design

Study Type: Interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. To know the current situation of antibiotic use in the Valdecilla Hospital<br>2. To evaluate the impact of an intervention designed to optimize the antibiotic consumption and cost, as well as the incidence of bacterial resistance in some hospitalization units

Secondary Outcome Measures

Name	Time	Method
1. To analyze the impact of the intervention on the microbiological and clinical prognosis of patients, as well as half of them stay<br>2. To investigate the adhesion of medical intervention and the impact of such adherence on the microbiological and clinical prognosis of patients<br>3. To investigate if the results obtained with the intervention are maintained over time