Vol.67 No.1 January 2019
Rate of proper antimicrobial use in Niigata: Evaluation of correlations between the rate of proper use and relevant factors
1)Department of Pharmacy, Niigata City General Hospital, 463-7 Shumoku, Chūou-ku, Niigata, Niigata, Japan
2)Department of Pharmacy, Kaetsu Hospital
3)Department of Clinical Pharmacy, Faculty of Pharmaceutical Sciences, Niigata University of Pharmacy and Applied Life Sciences
4)Department of Respiratory Medicine, Niigata Prefectural Shibata Hospital
Abstract
To determine the rate of proper use of antimicrobials throughout in Niigata, we conducted a questionnaire survey from June 2015 to July 2015. Responses were obtained from 103 out of 125 facilities. The result of the survey revealed, in regard to antimicrobial stewardship activities, that the rate of development of guidance on antimicrobial use increased from 34% in 2007 to 68% in 2015, the rate of restriction of antimicrobial use increased from 35% in 2007 to 64% in 2015, and the rate of monitoring of consumption of antimicrobials in pharmacies increased from 61% in 2007 to 80% in 2015. On the other hand, the rate of monitoring of susceptibility to antimicrobials in pharmacies only increased from 34% in 2007 to 37% in 2015. Also, antibiograms were prepared only in 50% of the institutions. Multivariable analysis identified each of the five antimicrobial stewardship program activities as being positively associated with the criteria approved by the Japan council for quality health care, establishment of infection control team (ICT) and number of registered board-certified pharmacists. In conclusion, all of the rate of development of guidance on antimicrobial use, restriction of antimicrobial use and monitoring of consumption of antimicrobials were increased in 2015 as compared to 2007, and were associated with the establishment of ICT and with the criteria approved by the Japan council for quality health care. These results suggest that organized action is important for promoting proper use of antimicrobials. Moreover, establishment of ICT and involvement of board-certified pharmacists in pharmacies are important for monitoring the susceptibilities to antimicrobials. Further, laboratory technologists have a central role in preparing antibiograms; however, in hospitals with no microbiology laboratories, board-certified pharmacists should take on the central role in preparing antibiograms.
Key word
antimicrobial, appropriate use, surveillance, infection control team
Received
January 19, 2018
Accepted
July 10, 2018
Jpn. J. Chemother. 67 (1): 44-50, 2019
