病棟担当薬剤師と抗菌薬適正使用支援チームが連携したメロペネム適正使用への取り組みの評価

抄録

At Hiroshima City Hospital, the Antimicrobial Stewardship Team and ward pharmacists monitor cases where the administration of carbapenem antibiotics has been started, and make proposals to the doctor regarding the dose and selection of the antimicrobial agent, and so forth. In the present study, we verified the effectiveness of this approach. As a result, it is suggested that the de-escalation rate and the proposed prescription rate increased significantly, the antimicrobial agent use density / days of therapy value improved, and that this approach had certain utility. In contrast, there was no change in the administration days until de-escalation and the total administration period, and it was considered that the approach should be reviewed and further appropriate use of an antimicrobial agent should be promoted.