2017 Volume 18 Issue 3 Pages 196-199
In August 2008, Juntendo University Hospital began an antibacterial drug use notification system targeting broad-spectrum antimicrobial agents. In 2012, the addition of operations of a hospital ward pharmacy was newly established, ensuring the hospital ward time of pharmacists, and a system to promote prompt submission of notifications to the physician was provided. At this time, whether improvement in the notification rate by the hospital ward operations would effect change in antibacterial use density (AUD) was examined, by considering notification rate and AUD before and after the start of hospital ward operations. As a result, notification rate significantly increased to an average of 93.1% after the start of the hospital ward operations compared to an average of 55.8% before the start of operations. The AUD of Quinolones was decrease and Carbapenems was increase. The addition of operations of a hospital ward pharmacy has been shown to be useful for improving the notification rate. A pharmacist does not stay at AUD evaluation for achievement of last antibacterial medicine use. To ensure proper use of these medications, pharmacist intervention should be considered for each individual patient.