O uso de antimicrobianos em um hospital de ensino: uma breve avalia？？o

objective: antimicrobials are used interchangeably in medical practice, contributing to the emergence of resistant microbial strains. methods: this study describes the antimicrobial audit performed by forecasting analysis of medical records of 846 patients at the hospital santa cruz, santa cruz do sul - rio grande do sul - brazil. results: of the patients studied, 134 (15.8%) received antimicrobials. the audit was conducted interactively, with intervention and discussion with the prescriber. considering the presumptive diagnosis and prescribed drug, it was verified that 74.6% of patients on antimicrobials received what was considered the first choice treatment. inadequate antimicrobial agent for clinical diagnosis (5.2%) and lack of adjustment for renal function (43.7%) were the most frequent errors. conclusion: a strategic plan aimed at the rational use of antimicrobials based on educational and interventionist practices can help the infection control professional to adjust the routines to improve healthcare quality.