The impact of antibiotic policy on prescribing in a London Teaching Hospital A one–day prevalence survey as an indicator of antibiotic use

Cooke, Deborah M.; Salter, A. J.; Phillips, Ian

doi:10.1093/jac/11.5.447

Cited by 27 publications

(15 citation statements)

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“…This is considered to be the main reason why microorganisms isolated from hospital infections show more resistant profiles than microorganisms from community infections [17]. Various hospital PPSs on antimicrobial use were carried out in the last three decades [18][19][20][21][22]. Also these PPS varied greatly in aims, protocols and populations surveyed, thus making comparison of their results difficult.…”

Section: Introductionmentioning

confidence: 99%

The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use

et al. 2012

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A standardised methodology for a combined point prevalence survey (PPS) on healthcare-associated infections (HAIs) and antimicrobial use in European acute care hospitals developed by the European Centre for Disease Prevention and Control was piloted across Europe. Variables were collected at national, hospital and patient level in 66 hospitals from 23 countries. A patient-based and a unit-based protocol were available. Feasibility was assessed via national and hospital questionnaires. Of 19,888 surveyed patients, 7.1% had an HAI and 34.6% were receiving at least one antimicrobial agent. Prevalence results were highest in intensive care units, with 28.1% patients with HAI, and 61.4% patients with antimicrobial use. Pneumonia and other lower respiratory tract infections (2.0% of patients; 95% confidence interval (CI): 1.8-2.2%) represented the most common type (25.7%) of HAI. Surgical prophylaxis was the indication for 17.3% of used antimicrobials and exceeded one day in 60.7% of cases. Risk factors in the patient-based protocol were provided for 98% or more of the included patients and all were independently associated with both presence of HAI and receiving an antimicrobial agent. The patient-based protocol required more work than the unit-based protocol, but allowed collecting detailed data and analysis of risk factors for HAI and antimicrobial use.

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Section: Introductionmentioning

confidence: 99%

The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use

et al. 2012

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“…Bu bakımdan, nokta prevalansı çalışmaları, antibiyotik kullanım özellikleri ve spesifik ajanlar üzerine odaklanmış denetim bildirimleriyle ilgili faydalı bilgiler sağlamaktadır (4). Son 30 yıldır çeşitli hastanelerde antimikrobiyal kullanımıyla ilgili nokta prevalansı çalışmaları yapılmaktadır (5,6). Burada nokta prevalansı çalışmasıyla bir üniversite hastanesindeki bir günlük antibiyotik kullanımı değerlendirilmiştir.…”

Section: Introductionunclassified

Evaluation of Antibiotic Consumption in a University Hospital

Yılmaz¹,

Oztürk²,

Ayhan³

et al. 2015

Klimik Dergisi

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“…The first report on antimicrobial use measured in prevalence surveys was published in 1983 [1]. More recently a European project -the European Surveillance of Antimicrobial Consumption (ESAC) -has standardised a method to determine the prevalence of antimicrobial therapy (AMT) in hospitals [2].…”

Section: Introductionmentioning

confidence: 99%

Appropriateness of antimicrobial therapy: a multicentre prevalence survey in the Netherlands, 2008–2009

et al. 2010

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A survey was carried out to determine the prevalence and appropriateness of antimicrobial therapy (AMT) in the Netherlands and to identify determinants for inappropriate AMT. Prevalence surveys of patients hospitalised in the Netherlands were performed three times in 2008 and 2009. Patients' demographic, infectionrelated and AMT-related data were collected from hospital wards. A total of 19 hospitals participated, consisting of a mix of university, teaching and general hospitals, which were distributed evenly across the country. The appropriateness of AMT was assessed using a standardised algorithm based on local AMT prescription guidelines. A total of 7,853 patients were included, of which 2,327 (29.6%) patients were on AMT (range: 20.8-39.5%). In 372 patients (16% of patients on AMT), treatment was considered inappropriate. In 265 (11.4%) patients on AMT, appropriateness of treatment was not judged because of insufficient information. The percentage of patients without a judgment varied considerably between the participating hospitals (range: 1.3-36.2%). Appropriate AMT use was significantly associated with a patient being in an intensive care unit, having a central venous catheter and being given beta-lactamase-sensitive penicillins. The use of fluoroquinolones was significantly associated with more frequent inappropriate use. There was considerable and significant variation between the participating hospitals in the amount of antimicrobials prescribed and the appropriateness of their use. To improve the completeness and reliability of such surveys, there is a need for intensive training of observers and medical staff in recording information.

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The impact of antibiotic policy on prescribing in a London Teaching Hospital A one–day prevalence survey as an indicator of antibiotic use

Cited by 27 publications

References 0 publications

The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use

The European Centre for Disease Prevention and Control (ECDC) pilot point prevalence survey of healthcare-associated infections and antimicrobial use

Evaluation of Antibiotic Consumption in a University Hospital

Appropriateness of antimicrobial therapy: a multicentre prevalence survey in the Netherlands, 2008–2009

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