Antibiotic Optimization Program (PROA)

The Antibiotic Optimization Program (PROA) arises as a answer to the'progressive increase of them multi-resistant bacterial infections which can condition the morbidity and mortality of patients and prolong the hospital stay.

The correct use of antibiotics involves choosing the most suitable antibiotic in each situation, adjusting the dose and duration. We know that it has a positive impact on the patient's own microbial flora, prevents the selection of resistant bacteria, reduces infections resulting from intestinal dysbiosis caused by antibiotic treatment, minimizes side effects and can help ensure cost-effective treatments.

Historically, our hospital has had a team dedicated to the control of antibiotic prescriptions and since 2014 Parc Taulí has ​​joined the PROA, promoted by the National Antibiotic Resistance Plan.

This is a multidisciplinary team integrated by all the members of the Infectious Diseases Service, Pharmacy Service, Microbiology and Infection Control nursing, and which has as targets:

  • Review them weekly antibiotic prescriptions of most medical and surgical services, evaluating each patient with antibiotic treatment, adjusting the regimen if deemed necessary and making a feedback to the patient's manager in order to improve future prescriptions.
  • Daily assessment of presenting patients bacteremia and/or infections by resistant microorganisms from the results of the crops.
  • Protocolize the antibiotic treatment of the most frequent infections, adapting the recommended treatment to the antibiotic resistance in our area and disseminating it to the rest of the doctors.

In 2021, joint work began from the Hospital with the PROA group ofPrimary Care, in order to homogenize antibiotic prescriptions for the most common clinical syndromes.

Since the beginning of 2022, the PROA has been established a Emergencies, reviewing daily the antibiotic prescriptions for the last 48 hours (72 hours on Mondays or after the bridge), as well as the correct taking of microbiological samples.

In coordination with the Service's nursing staff, efforts are also being made to optimize the prescription of intravenous treatments and the early withdrawal of bladder and peripheral catheter probes.