Implantação de programa de geranciamento de antimicrobianos para o âmbito hospitalar

Abstract

Objective: Microbial drug resistance is one of the biggest public health problems. The consumption of antimicrobials is a factor that directly contributes to the emergence and dissemination of multi resistant bacteria. Therefore, to meet an institutional demand for improvements and advances in the management of antimicrobial use in the hospital environment in which the master's student works, it was proposed to elaborate a protocol for the implementation of an antimicrobial stewardship program, since there is no protocol assistance focused on antimicrobial monitoring and management. This project is aligned with the research line Quality in Adult Health Care. Objective: elaborate a protocol for the Implementation of an Antimicrobial Management Program for the hospital environment and publish a scientific article on the profile of antimicrobial consumption in an Intensive Care Unit. Methods: For the development of the scientific article product, an observational, analytical, and retrospective study was carried out from March to December 2020 in the Intensive Care Unit of a hospital in the Federal District. In a second moment, a protocol was developed based on the results obtained in the scientific article with proposals for actions to implement the protocol. Results/Product: Two products were developed: a scientific article, which evaluated the profile of antimicrobial use in the Intensive Care Unit and the development of a protocol for the implementation of the Antimicrobial Stewardship Program in the hospital environment. The implantation protocol is considered innovative, since there is no official protocol applied in hospital care aimed at managing the use of antimicrobials. Conclusion: This research has the potential to generate impact and be applied at the local and regional level, as it systematically describes the steps and resources needed to implement the Antimicrobial Stewardship Program in a hospital environment. The protocol is relevant in reducing the spread of antimicrobial resistance and for enabling the comparison of data on consumption and processes between institutions and, thus, contributing to improvements in the prescription and use of antimicrobials, considered fundamental to effectively treat infections, protect patients from harm caused by unnecessary use of antibiotics and combating antimicrobial resistance.