Abstract
Along with the revision of the medical payment system in 2012, an Emergency Critical Care Center (hereinafter, our institute) calculated the added preventive measures against infection 2 and simultaneously commenced a round of infections by multiple occupations. By means of carrying out a round of infections by multiple occupations, it became possible to hold discussions with the doctor in charge from a respective specialized position and give appropriate advice after confirming the treatment strategy. As the tool thereof, we prepared an original database (hereinafter, referred to as the round of infections database) and strived for effective information sharing. We believe that the use of antibacterial drugs changes depending on the disease severity, and investigated the use of antibacterial drugs according to the score obtained from the Acute Physiology and Chronic Health Evaluation II (hereinafter, referred to as APACHE II). There were no significant differences in the number of deaths by year or the death rate. Although there were no significant differences in the administration days of carbapenem antibiotic drug and the total number of vials used, as well as the number of vials used in one day regarding the use of antibacterial drugs, the resistance rate of pseudomonas aeruginosa against carbapenem antibiotic drugs significantly decreased.
