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The Journal of the Japanese Society for Clinical Microbiology |
Biblioraphy Information
| ArticleTitle |
Changes in the Use of Antibacterial Drugs and by Active Supports of Infection Control Team |
| Language |
J |
| AuthorList |
Mikio Takahashi1), Saeko Komiya1), Osamu Kawamura1), Tsutomu Sakuma1), Kenichi Takeuchi2), Kazuyuki Gamazawa3), Yuko Fukuda4) |
| Affiliation |
1) Department of Central Clinical Laboratory, Iwate Prefectural Central Hospital
2) Department of Respiratory Disease, Iwate Prefectural Central Hospital
3) Department of Pharmaceutics, Iwate Prefectural Central Hospital
4) Department of Nursing, Iwate Prefectural Central Hospital |
| Publication |
J.J.C.M.: 19 (2), 90-96, 2009 |
| Received |
January 7, 2008 |
| Accepted |
April 24, 2009 |
| Abstract |
The infection control team (ICT) activities are considered to be effective for the nosocomial infection control. In many hospitals, as one of ICT activities, introduction of the permission system of antimicrobial agents tend to increase. In our hospital, only a permission system of the anti-Methicllin resistant Staphylococcus aureus (MRSA) drugs has been introduced and the ICT and bacteriological examination room staffs do active supports for the treatment of infectious diseases. In order to evaluate the active supports by ICT on antibiotic treatments, we examined the antimicrobial usage condition, the detection rate of the MRSA and P. aeruginosa, and change of antimicrobial susceptibility of P. aeruginosa for three years. As the result, the amount of use of penicillins has increased, and that of the fourth generation cephem antibiotics has decreased though the total amount of antimicrobial drugs has not changed. The total cost of antibiotics was significantly decreased. The detection rate of P. aeruginosa was decreased, and the antimicrobial susceptibility of piperacillin (PIPC), ceftazidime (CAZ), and meropenem (MEPM) to P. aeruginosa has improved. These results indicate that active supports from ICT and bacteriological examination room staffs give significant bacteriological and economical influences on the nosocomial infection control. |
| Keywords |
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