IMPLANTAÇÃO DO PROGRAMA STEWARDSHIP DE ANTIMICROBIANOS EM HOSPITAL DE ENSINO: UM PROJETO PILOTO
2021
The worldwide increase in bacterial resistance to antimicrobials (ATM) leads to monitoring these drugs’ rational use. This research aimed to describe the Antimicrobial Stewardship Program (ASP) implementation of ATM clinical management in a teaching hospital in the Brazilian Northeast, the pilot project’s initial actions, and results through a descriptive study, divided into three phases. First: To choose program and ATM strategies and prepare the form. Second: Training of pharmacists and identification of potential application strategies. Third: Pilot study; team definition, monitoring, and institutionalization flow. The strategies chosen were time management of treatment, antimicrobial discontinuation, sequential oral therapy, and continuing education. The training focused on the pharmaceutical management of antimicrobial therapy and the application of the strategies listed. The pilot study recommended 22 strategies to optimize the pharmacotherapy. The Antimicrobial Stewardship Program’s implementation took place in an institutionalized way by the direction of the hospital, being the guidelines agreed between pharmacy service, infection control committee, and a center for pharmaceutical studies. The pilot project indicated an acceptance of about 68% of the strategies for optimizing antimicrobial therapy. After analyzing the pilot project, it can be concluded with the implantation of ASP the great and urgent importance of ATM management for the optimal use of this therapy in times of pan-resistance.
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