Gerenciamento do uso de antibióticos em hospitais de grande porte de Salvador, BA

Introduction: The management of antimicrobial use is central to the prevention of antimicrobial resistance. Objective: To analyze antimicrobial use management practices in large hospitals in Salvador-BA. Method: A quantitative and descriptive field study was carried out in large hospitals in Salvador, BA. Categories of analysis: institutional structure; existence of antimicrobial use control protocols; education of health professionals; monitoring and evaluation of antimicrobial use. Data were collected online by sending a Google Forms® form to the email address of the Hospital Infection Control Committee, which was answered by the professionals in this service. The hospitals studied were classified according to their antimicrobial use management practices. Results: Of the 23 large hospitals in Salvador and the metropolitan region, this study examined seven(30.4%) of these units. All of them have policies for the use of antimicrobials, 28.5% without a microbiology laboratory or human and technological resources for managing these drugs. Nurses and microbiologists were not part of the antimicrobial management team at any of the hospitals studied. Clinical protocols in 71.4%, sensitivity profiles in 57.1% and education programs in 42.8%. Conclusions: Antimicrobial stewardship needs to be adapted in most of the hospitals studied, pointing to a problem with the quality and safety of antibiotic use in these institutions. Despite having a formal policy for the use of antibiotics, weaknesses were identified that compromise the management of these drugs and the adoption of intervention measures to contribute to the prevention of antimicrobial resistance.