Evaluating carbapenem restriction practices at a private hospital in Manila, Philippines as a strategy for antimicrobial stewardship.

ABSTRACT:

Background

Hospital antimicrobial stewardship programs are especially critical in countries such as the Philippines, where antibiotic resistant infections are highly prevalent. At the study institution in Manila, Philippines, a Prior Approval for Restricted Antimicrobials (PARA) is required for non-infectious disease specialists to prescribe certain antimicrobials, including carbapenems. PARA request forms include specification of empiric or definitive therapy based on diagnostic tests. Recommended duration of therapy is typically 3 days for empiric use and 7 days for definitive, with possible extension upon specialist approval.

Methods

The study took place at an 800-bed tertiary hospital. We performed a retrospective review of patient medical records and laboratory reports

SUBMITTER: Mitchell KF 

PROVIDER: S-EPMC6610803 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature