Evaluation of a tool to benchmark hospital antibiotic prescribing in the United Kingdom

Fitzpatrick, R; Edwards, Catherine

doi:10.1007/s11096-007-9147-6

Cited by 10 publications

(4 citation statements)

References 3 publications

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“…The UK, for example, has successfully managed to reduce the use of the third-generation cephalosporins by introducing antimicrobial stewardship programs [65,66], providing guidance to others. In addition, a lower proportion of broad-spectrum antibiotics indicates better practice [67]. It is also important that ASP also include quality targets, a timeline as well as a dedicated budget to achieve desired goals.…”

Section: Discussionmentioning

confidence: 99%

A multicenter point prevalence survey of antibiotic use in Punjab, Pakistan: findings and implications

Saleem

Hassali

Versporten

et al. 2019

Expert Review of Anti-infective Therapy

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Objective:In line with the recent global action plan for antimicrobial resistance, the first time such a comprehensive survey has been undertaken in Pakistan, sixth most populous country. Method:This point prevalence survey (PPS) was conducted in 13 hospitals among 7 different cities of Pakistan. The survey included all inpatients receiving an antibiotic on the day of PPS. A web-based application was used for data entry, validation, and reporting as designed by the University of Antwerp. Results:Out of 1954 patients, 1516 (77.6%) were treated with antibiotics. Top three most reported indications for antibiotic use were prophylaxis for obstetrics or gynaecological indications (16.5%) and gastrointestinal indications (12.6%) and lower respiratory tract infections (12.0%). Top three most commonly prescribed antibiotics were ceftriaxone (35.0%), metronidazole (16.0%) and ciprofloxacin (6.0%). Out of total indications, 34.2% of antibiotics were prescribed for community-acquired infections (CAI), 5.9% for healthcare-associated infections (HAI), and 57.4% for either surgical or medical prophylaxis. Of total surgical prophylaxis, 97.4% of antibiotics were given for more than one day. Conclusion:Study concluded that unnecessary prophylactic antibiotic use is extremely high and broad-spectrum prescribing is common. There is a considerable need to work on a national action plan of Pakistan on antibiotic resistance.

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Section: Discussionmentioning

confidence: 99%

A multicenter point prevalence survey of antibiotic use in Punjab, Pakistan: findings and implications

Saleem

Hassali

Versporten

et al. 2019

Expert Review of Anti-infective Therapy

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“…In general, a higher proportion of narrow-spectrum agents suggests a better performance than a higher proportion of broad-spectrum second-line antimicrobials. 22 In the case of hospital-specific antimicrobials this is much less of a bias issue. An elevated use of hospital-specific antimicrobials either in the general wards or for CAI is another quality indicator that should be targeted.…”

Section: Discussionmentioning

confidence: 99%

Identification of targets for quality improvement in antimicrobial prescribing: the web-based ESAC Point Prevalence Survey 2009

Zarb

Amadéo

Müller

et al. 2010

Journal of Antimicrobial Chemotherapy

138

121

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The ESAC PPS provided useful information on the quality of prescribing, which identified a number of targets for quality improvement. These could apply to specific departments or whole hospitals. Intensive care, which has different characteristics, should not be compared with general wards with respect to combination therapy, hospital-acquired infections or parenteral proportion. The study confirmed that the ESAC PPS methodology can be used on a large number of hospitals at regional, national, continental or global level.

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“…The use of the number of admissions as an alternative to the number of occupied bed-days as a denominator will enable researchers to take account of reductions of length of stay. This measure can be expressed as admission numbers or as fi nished consultant episodes ( Curtis et al, 2004 ;Fitzpatrick and Edwards, 2008 ). A fi nished consultant episode is defi ned as 'a period of healthcare under one consultant in one provider hospital' ( Department of Health, 2004 ).…”

Section: Denominatorsmentioning

confidence: 99%

Indicators for the monitoring of antibiotic use

Curtis

2010

Journal of Infection Prevention

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Increasing rates of antibiotic resistance have been related to increased rates of antibiotic prescribing. This paper describes the use of indicators to measure and compare antibiotic use and enable hospitals to benchmark their practice. The Defined Daily Dose measure may be combined with a number of denominators that quantify patient activity in order to correct for workload variations between hospitals. This may be combined with data from mandatory surveillance schemes for various infections to inform prescribing practice.

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Evaluation of a tool to benchmark hospital antibiotic prescribing in the United Kingdom

Cited by 10 publications

References 3 publications

A multicenter point prevalence survey of antibiotic use in Punjab, Pakistan: findings and implications

A multicenter point prevalence survey of antibiotic use in Punjab, Pakistan: findings and implications

Identification of targets for quality improvement in antimicrobial prescribing: the web-based ESAC Point Prevalence Survey 2009

Indicators for the monitoring of antibiotic use

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