Optimum Use Carbapenem Antimicrobial Agents Recommended by Pharmacists and Drug Susceptibility of Pseudomonas aeruginosa / 日本農村医学会雑誌

ABSTRACT

Among the bacteria isolated from clinical specimens of hospitalized patients, one of the most intractable species was Pseudomonas aeruginosa, the causative agent of P. aeruginosa. It resists a variety of antibacterial agents. Carbapenem is known as one of a few that are efficacious for P. aeruginosa infections. Maintaining the drug susceptibility of pathogens leads to the favorable clinical outcome in patients with infections diseases. The excessive use of carbapenem and other antimicrobial agents results in the increase of drug-resistant mutants of P. aeruginosa. At a meeting of the Health Ministry's infectious disease control committee in June 2007, the necessity of using antibacterial agents in more rational ways was highlighted on the suggestion of some member pharmacists. Incidentally, during the periods from January to June and from July to December 2007, we studied the antimicrobial use density (AUD) of carbapenem agents and the occurrence ratio of carbapenem-resistant mutamts of P. aeruginosa. The results showed that the occurrence of drug-resistant mutants decreased in proportion to the decrease of AUD. We believe the investigation of the AUD of any antibacterial agents is an important task pharmacists should take upon themselves to control infectious diseases. By reporting the results of our investigation on a regular basis, we are going to make a modest contribution toward the optimum use of antimicrobial agents.