Calidad de prescripción de antimicrobianos en servicios seleccionados en hospitales clínico quirúrgicos

objective: to assess the quality of antimicrobials prescription in two university hospitals of havana. method: puntual prevalence study were carry out in general surgery, internal medicine, urology, and critical care unit services, in june 2008. information was obtained of those that used antimicrobials, the one that was analyzed by experts that determined those with inadequate prescription. it was calculated the proportion antimicrobials use and the proportion of inadequate prescription. results: 25,3% and 33,2% of the patients used antimicrobials in hospitals. internal medicine of the hospital b had an use proportion (28.7%) superior to the hospital a (6.06%). the hospital a highest frecuencies of inadequate use (77,1%) (p <0,05), being the fundamental causes the use without infection evidences, the incorrect election of the treatment and the inappropriate prophylaxis. conclusion: deficiencies are demonstrated in the quality of prescription that require to strengthen of political institutional, controls of quality and formative programs on antimicrobials.