A point prevalence survey of antibiotic prescriptions: benchmarking and patterns of use

被引:40
作者
Aldeyab, Mamoon A. [1 ]
Kearney, Mary P. [2 ]
McElnay, James C. [1 ]
Magee, Fidelma A. [2 ]
Conlon, Geraldine [2 ]
Gill, Dianne [2 ]
Davey, Peter [3 ]
Muller, Arno [4 ]
Goossens, Herman [4 ]
Scott, Michael G. [2 ]
机构
[1] Queens Univ Belfast, Sch Pharm, Clin & Practice Res Grp, Belfast BT9 7BL, Antrim, North Ireland
[2] No Hlth & Social Care Trust, Antrim BT42 2RL, North Ireland
[3] Univ Dundee, Sch Med, Qual Safety & Informat Res Grp, Dundee, Scotland
[4] Univ Antwerp, Microbiol Lab, Vaccine & Infect Dis Inst, B-2020 Antwerp, Belgium
关键词
antibiotic policy; ESAC; point prevalence survey; INFECTION-CONTROL PRACTICES; PROGRAMS; IMPACT;
D O I
10.1111/j.1365-2125.2010.03840.x
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
center dot Inappropriate antimicrobial use has been associated with increased morbidity and hospital costs. center dot Antibiotic policies aim to improve patient outcomes whilst reducing adverse effects associated with antimicrobial use. center dot More insight into the actual implementation of antibiotic policies is needed in order to explore patterns of antibiotic prescribing. WHAT THIS STUDY ADDS center dot This study assessed the current patterns of antibiotic prescribing and the impact of a hospital antibiotic policy on these practices. center dot It demonstrated the value of point prevalence surveys in informing antibiotic stewardship and identifying targets for quality improvements. center dot The study emphasized the importance of participating in international networks, such as the European Surveillance of Antimicrobial Consumption (ESAC), in supporting optimal antibiotic use. AIM The aim of the study was to assess current patterns of antibiotic prescribing and the impact of a hospital antibiotic policy on these practices. METHODS The study involved collecting information regarding hospitalized patients utilizing the ESAC audit tool. RESULTS In the study site hospital, the use of the restricted agents was low whilst the use of the non-restricted agents was high. Compliance with the hospital antibiotic guidelines was 70%. DISCUSSION The findings identified monitoring non-restricted antibiotics and compliance with guidelines as targets for quality improvements in our hospital. Point prevalence surveys may offer a simple method of monitoring antibiotic policies, thus, informing antibiotic stewardship.
引用
收藏
页码:293 / 296
页数:4
相关论文
共 10 条
[1]   Modelling the impact of antibiotic use and infection control practices on the incidence of hospital-acquired methicillin-resistant Staphylococcus aureus:: a time-series analysis [J].
Aldeyab, Mamoon A. ;
Monnet, Dominique L. ;
Maria Lopez-Lozano, Jose ;
Hughes, Carmel M. ;
Scott, Michael G. ;
Kearney, Mary P. ;
Magee, Fidelma A. ;
McElnay, James C. .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2008, 62 (03) :593-600
[2]   Quasiexperimental Study of the Effects of Antibiotic Use, Gastric Acid-Suppressive Agents, and Infection Control Practices on the Incidence of Clostridium difficile-Associated Diarrhea in Hospitalized Patients [J].
Aldeyab, Mamoon A. ;
Harbarth, Stephan ;
Vernaz, Nathalie ;
Kearney, Mary P. ;
Scott, Michael G. ;
Funston, Chris ;
Savage, Karen ;
Kelly, Denise ;
Aldiab, Motasem A. ;
McElnay, James C. .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2009, 53 (05) :2082-2088
[3]   The European Surveillance of Antimicrobial Consumption (ESAC) Point-Prevalence Survey of Antibacterial Use in 20 European Hospitals in 2006 [J].
Ansari, Faranak ;
Erntell, Mats ;
Goossens, Herman ;
Davey, Peter .
CLINICAL INFECTIOUS DISEASES, 2009, 49 (10) :1496-1504
[4]   Quality measures of antimicrobial drug use [J].
Gyssens, IC .
INTERNATIONAL JOURNAL OF ANTIMICROBIAL AGENTS, 2001, 17 (01) :9-19
[5]   Antimicrobial stewardship programs in health care systems [J].
MacDougall, C ;
Polk, RE .
CLINICAL MICROBIOLOGY REVIEWS, 2005, 18 (04) :638-+
[6]   AUDIT OF ANTIBIOTIC USAGE IN A MEDIUM-SIZED GENERAL-HOSPITAL OVER AN 11-YEAR PERIOD - THE IMPACT OF ANTIBIOTIC POLICIES [J].
MCELNAY, JC ;
SCOTT, MG ;
SIDARA, JY ;
KEARNEY, P .
PHARMACY WORLD & SCIENCE, 1995, 17 (06) :207-213
[7]   The role of antimicrobial management programs in optimizing antibiotic prescribing within hospitals [J].
Paterson, DL .
CLINICAL INFECTIOUS DISEASES, 2006, 42 :S90-S95
[8]  
Pelle B., 2006, HOSP PHARMACIST, V13, P133
[9]   Antimicrobial formularies: Can they minimize antimicrobial resistance? [J].
Polk, RE .
AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2003, 60 (10) :S16-S19
[10]  
WHO Collaborating Center for Drug Statistics Methodology, 2002, GUID ATC CLASS DDDS