[Relevance of fluoroquinolones prescriptions in medical service]. / Pertinence des prescriptions de fluoroquinolones dans un service de médecine.
Rev Pneumol Clin
; 74(6): 458-466, 2018 Dec.
Article
en Fr
| MEDLINE
| ID: mdl-30017751
ABSTRACT
INTRODUCTION:
Fluoroquinolones (FQ) are antibiotics which favour the emergence of resistance and remain widely prescribed in the French hospital environment. A focus of prescription recommendation was published by the French Infectious Diseases Society (SPILF) in 2015 in order to preserve their use. The pneumology-oriented medical service of Salon de Provence's hospital had high FQ consumption for the year 2015; thus a relevant assessment of prescriptions was carried out.METHODS:
This retrospective study was conducted between January 1 and December 31, 2015 and concerned patients who received at least one FQ administration during their hospitalization.RESULTS:
Thirty-eight per cent of the prescriptions were justified, 37 % were inappropriate and 25 % unjustified. The majority of unjustified prescriptions were for lung infections. Only 35 % of the patients received bacteriological documentation and 53 % of the prescriptions were reassessed at 48-72hours. Twenty-two per cent of the justified prescriptions showed non-conformities concerning the duration of prescriptions, the dosage or an association with another antibiotic.CONCLUSION:
The diffusion of these results, combined with the implementation of corrective actions, should make it possible to improve the relevance of the FQ prescription.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pautas de la Práctica en Medicina
/
Fluoroquinolonas
Tipo de estudio:
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Europa
Idioma:
Fr
Revista:
Rev Pneumol Clin
Año:
2018
Tipo del documento:
Article