The protocols, which already we merely will be recommendations, will have binding character and will create tracking equipment
SEVILLA, 16 (EUROPA PRESS)
The Andalusian regional Ministry of Health established from January 2012, through the contratos-programa that this Department subscribes to all hospitals on fulfilment of a minimum of cost-efficient therapeutic targets, a protocol binding beyond “of exceptionally specific cases” on correct use of antibiotics, a measure which responds to the “alarming increase” in resistance that bacteria are generating against the current family of antimicrobial – mainly antibiotics – a “misuse” of these drugs.
In press conference in Seville, the managing director of the service Andalusian of health (SAS), José Luis Gutiérrez, and the Vice President of the Andalusian society of infectious diseases, Jesús Gómez Mateo, have ensured that this measure, “that have nothing to do with economic criteria”, responds to a “new clinical reality” increase of resistance to antimicrobials and reducing the chances of a diagnosed patient of infection respond well to treatment.
Gutierrez, which has advanced this multidisciplinary action Protocol linked to the contratos-programa to come into force from January 1, 2012, will create within hospitals professional teams devoted specifically to improve the use of antibiotics in Andalusia, which shall be composed of microbiologists and hospital pharmacists, among other specialist, and must be “cross” to “audit” the correct use and dosage of these drugs.
According to have explained both specialists, who have been released this measure in the framework of the European day of the prudent use of antibiotics, to be held on 18 November, the Andalusian programme guidelines are being developed according to the recommendations of the program optimization of antimicrobial (bow), which has jointly edited the group for the study of the hospital infection of the Spanish society of clinical microbiology and infectious diseases with the Spanish society of hospital pharmacy and with the Spanish society of preventive medicine and health public.
, Including consumption and resistance monitoring, the assessment of the quality of prescribing and clinical outcomes, as well as educational interventions aimed to raise awareness of the correct use of these medications.
Situation prior to the FLEMING of
Mateo Gómez, who has filed an appeal at all times that this is a measure that is guided by “strictly medical” criteria, has in fact emphasized that its proper use will improve the parameters of morbidity and mortality of many infectious diseases, has warned that the problem of resistance to antibiotics is currently “that we are witnessing a reality ever more frequent in which arsenal of drugs that we are leaving work””, something similar to what happened in the era prior to Fleming.
We made around us that if you have a problem one takes an antibiotic and nothing happens, has regretted this specialist, who has warned that such a scenario “would be valid for 20 or 30 years, but not now”.
Micro-organisms with “Millions of years of experience”
Also pointed out that bacteria “are a tremendously smart microorganisms, both already living on the planet millions of years before the human apareciéramos as a species, and certainly will be here when we are not already”.
As to the whys of this resistance, this specialist has pointed to two major problems. One linked to the pharmaceutical industry, “for reasons which are not the case, has decided not to investigate much in antibiotics, to the extent that in some cases years have passed up antimicrobial appear new”.
“The second reason, which concerns us all, is that not why bacteria are no longer expanded, for example through the genetic material, and though all continue to make bad use of antibiotics,” has stressed.
Figures of consumption
Proof of this, the SAS own manager stated that Andalusia consume “24 daily doses of antibiotics per each thousand of inhabitants”, when reason would be “at least half of that rate”, as it has apostils Meanwhile Mateo Gómez.
Has also detailed that in 2010, spending on antibiotics amounted to 54.8 million euros, with 6.7 million containers of antimicrobial consumption. “But apart from these numbers should be a qualitative reflection, as the main cause is the inappropriate use of antibiotics.” “For example, in Spain, the third part of the antibiotics that consume the population are result of a self-medication when one has a respiratory infection or a simple infection in the mouth”, has deepened sectional.
In the same way, you are warned that there is a fork, “ranging between three and 20 citizens percent each, when you notice fever taking on its own initiative an antibiotic, that without knowing if the antibiotic was right or if the dose was right”, has been reproached.
Thus, and by way of example, the director of the unity of management clinic of infections in the Hospital Virgen Macarena of Seville, Jesus RodrÃguez-Baño, mentioned a study conducted in which it was revealed that the mortality of patients affected by generalised bacterial infections caused by the micro-organism Escherichia coli “is nine percent if the bacterium is sensitive to the initial treatment””, and 35 per cent when it is resistant”.
