Antibiotic Prescribing Patterns in Outpatient Emergency Clinics at Queen Rania Al Abdullah II Children's Hospital, Jordan, 2013

Al-Niemat, Sahar I.; Aljbouri, Tareq M.; Goussous, Lana S.; Efaishat, Rania; Salah, Rehab K.

doi:10.5001/omj.2014.67

Cited by 43 publications

(58 citation statements)

References 16 publications

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“…These findings can be compared with a study conducted in Jordan (Al-Niemat et al 2014), which showed that out of 85% prescriptions with antibiotics, 88% prescriptions had one antibiotic, 11% had two and 1% had three antibiotics. Likewise in a Turkish study involving 39.4% prescriptions with antibiotics, 73.6% prescriptions had one antibiotic, 19.6% had two, 5.7% had three and 1.1% had four antibiotics (Erbay et al 2003).…”

Section: Discussionmentioning

confidence: 73%

“…An Indian study showed that the highest prescribed antibiotics were cefixime (37.98%), ceftriaxone (7.97%), azithromycin (6.33%) and gentamicin (6.25%) (Khan et al 2011). In another study, azithromycin contributed the highest percentage share (97%) of the total antibiotics (Al-Niemat et al 2014). It is clear from this body of literature that the extent of antibiotic prescription is high but that there is considerable variation in the number and types of antibiotics selected to prescribe.…”

Section: Discussionmentioning

confidence: 96%

“…Another study showed that cephalosporins were the most frequently prescribed antibiotics (34%) followed by penicillins (33%), aminoglycosides (16%) and fluoroquinolones (6%) (Palikhe 2008). A study from Jordan revealed that penicillins (46%) and macrolides (39%) were the most frequently prescribed antibiotic classes (Al-Niemat et al 2014). With regard to individual antibiotics, the findings of our study revealed that ceftriaxone (71.8%) contributed the highest percentage share amongst all the antibiotics followed by cefotaxime (5.6%), metronidazole (4.7%), amoxicillin (4.7%), ciprofloxacin (4.2%) and moxifloxacin (1.9%).…”

Section: Discussionmentioning

confidence: 99%

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WHO/INRUD prescribing indicators and prescribing trends of antibiotics in the Accident and Emergency Department of Bahawal Victoria Hospital, Pakistan

et al. 2016

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A descriptive, retrospective and cross sectional study was conducted to assess the prescribing practices and antibiotic use patterns in the Accident and Emergency department of the Bahawal Victoria Hospital, Bahawalpur, Pakistan. A sample of 4320 prescriptions (systematic random sampling) was drawn out of a total of 1,080,000 prescriptions written during the period 1st January–31st December 2014. The standard World Health Organization/International Network for Rational Use of Drugs prescribing indicators were used to determine the prescribing practices of physicians. Published ideal standards for each of the indicators were used to identify irrational drug use. We also utilized an additional indicator to report the percentage share of antibiotics prescribed. The average number of drugs prescribed per encounter was 2.3 (SD = 1.3) (optimal value 1.6–1.8). Drugs prescribed by generic name occurred 83.1% of the time (optimal value 100%). Antibiotics and injections were prescribed 52.4% (optimal value 20.0–26.8%) and 98.0% (optimal value 13.4–24.1%) of the time respectively. Drugs prescribed from the Essential Drugs List equated to 81.5% (optimal value 100%). Out of 52.4% (n = 2262) prescriptions with antibiotics prescribed, 77.7% (n = 1758) had one antibiotic, 22.1% (n = 499) included two antibiotics, and 0.2% (n = 5) had three antibiotics. Cephalosporins were the most commonly prescribed class of antibiotics (81.5%) followed by penicillins (6.4%) and fluoroquinolones (6.2%). Among the individual antibiotics, ceftriaxone contributed the highest percentage share at 71.8% followed by cefotaxime (5.6%) and metronidazole (4.7%). The most frequently prescribed antibiotic combination was ciprofloxacin with metronidazole (52.1%). Irrational prescribing practices were common. Continuous education and training of physicians is required to ensure rational prescribing at Bahawal Victoria Hospital in the future.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

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WHO/INRUD prescribing indicators and prescribing trends of antibiotics in the Accident and Emergency Department of Bahawal Victoria Hospital, Pakistan

et al. 2016

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“…Studies on antibiotic appropriateness in emergency department settings are very limited and largely focused on in-patients and pediatrics age groups [8,9,10].…”

Section: Introductionmentioning

confidence: 99%

Patterns of antibiotic prescriptions and appropriateness in the emergency room in a major secondary care hospital in Bahrain

Salman¹,

Alawi²,

Albasri³

et al. 2015

int. arab. j antimicrob. agents

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Objective: To describe the pattern and appropriateness of antibiotics prescribed in the emergency room in a major secondary care hospital in Bahrain. Methods:Patients aged more than or equal to 14 years old that attended emergency room and was prescribed antibiotics from 1 to 31 July 2014 were included. Data were obtained from patients' emergency records. Antibiotic treatment was classified to appropriate, inappropriate or unjustified use according to the local or international guidelines. Chi Square was performed to evaluate the variables associated to appropriateness antibiotic treatment.Results: A total of 1313 patients were included (52.6% males), mostly in the age group 14-30 years old (45.3%). The most frequent diseases attended were upper respiratory and urinary tract infections (27.3% and 22.1%,respectively). Cefuroxime was the most prescribed antibiotic (37.5%) followed by ciprofloxacin (20.8%). Percentage of inappropriate antibiotics prescription was 81.9% mostly due to unjustified use. Inappropriate antibiotic treatment was significantly more common in males (87.1%; P-value <0.001), in patients without mentioned diagnosis, then upper respiratory tract infection (100%, 96.9%. P-value <0.001) and prescriptions written by emergency physicians (85.5%; P-value <0.001).

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“…8,9 Several investigations showed difference in consumption and utilization of antibiotics from one country to another with an emphasis on emergency services. 10,11 It is based on antibiotics prescribing regulations and infectious diseases treatment guidelines. To the best of our knowledge there is no investigation in the KSA or Gulf and Middle East countries about antibiotics consumption at ER services.…”

Section: Introductionmentioning

confidence: 99%

Antimicrobial Drug Consumption in Emergency Services at North West (Tabuk) Region Hospitals, Saudi Arabia

Alomi¹,

Almasoudi²,

Alghamdi³

et al. 2019

PTB Reports

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Objectives: This article describes antimicrobial medication use among different age groups and the cost associated with it in emergency department at Northern West (Tabuk) hospitals, Saudi Arabia. The aim of this study to declare the antimicrobial medication use in emergency Units at North West Region Hospitals, Ministry of Health, Saudi Arabia. Methods: It is a 12-month antimicrobial drug consumption by emergency services at North West region hospitals. It included all adults, pediatrics and neonatal population. The medications were selected by Central Antibiotics committee at MOH as part of the National Antimicrobial Stewardship program. The consumption is driven from pharmacy database and calculated based on off stranded unit of antimicrobial per hospital. The cost of antibiotics consumption was calculated by using Ministry of Health National Cost database. All cost used was as US currency. Results: The total number of Antimicrobial standard units at Emergency departments were (8,805.00) with average (1,761.00) per hospital. The highest general drug consumption was Azithromycin PO 200 mg/15 ml (4253) and Ceftriaxone IV 1 g (805) and Gentamicin IV 80 mg (401) at Emergency departments. The total cost of antimicrobial consumption was (24,822.60 USD) and (4,964.52 USD) per hospital. The highest cost medication consumption from Adults Emergency departments was 59.85% (24,822.60 USD) followed by pediatrics Emergency departments 28.99% (7,197.03 USD) and Neonates Emergency departments of 11.16% (2,769.98 USD). The highest medication cost was for very broad-spectrum antibiotics like Meropenem IV, Azithromycin PO and Moxifloxacin IV. It consumed more than 60 % of the cost burden. Conclusion: The Emergency department had a high consumption of antimicrobial drugs with burden cost. Antimicrobial stewardship program at Emergency services are necessary to prevent bugs related resistance, improve patient outcome and avoid necessary additional economic burden on healthcare system in the Kingdom of Saudi Arabia.

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Antibiotic Prescribing Patterns in Outpatient Emergency Clinics at Queen Rania Al Abdullah II Children's Hospital, Jordan, 2013

Abstract: Our results showed high consumption of antibiotics by emergency department pediatricians which highlight the importance for interventions to promote rational and judicious prescribing. An insight into factors influencing antibiotics prescribing patterns by military prescribers is required.

Cited by 43 publications

References 16 publications

WHO/INRUD prescribing indicators and prescribing trends of antibiotics in the Accident and Emergency Department of Bahawal Victoria Hospital, Pakistan

WHO/INRUD prescribing indicators and prescribing trends of antibiotics in the Accident and Emergency Department of Bahawal Victoria Hospital, Pakistan

Patterns of antibiotic prescriptions and appropriateness in the emergency room in a major secondary care hospital in Bahrain

Antimicrobial Drug Consumption in Emergency Services at North West (Tabuk) Region Hospitals, Saudi Arabia

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