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

A point prevalence survey of antibiotic prescriptions: benchmarking and patterns of use
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DOI:
10.1111/j.1365-2125.2010.03840.x
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发表时间:
2011-02-01
影响因子:
3.4
通讯作者:
Scott, Michael G.
Scott, Michael G.
中科院分区:
医学3区
文献类型:
--
作者:
Aldeyab, Mamoon A.;Kearney, Mary P.;Scott, Michael G.

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center dot不适当的抗菌药物使用与发病率增加和costs.center相关抗生素政策旨在改善患者的治疗结果,同时减少与抗菌药物相关的不良反应use.center为了探索抗生素处方的模式,需要对抗生素政策的实际实施有更多的了解。本研究补充内容center dot本研究评估了抗生素处方的当前模式和医院抗生素政策对这些抗生素处方的影响practices.center证明了点流行率调查在告知抗生素管理和确定质量目标方面的价值improvements.center。在支持最佳的抗生素使用.AIMThe目的的研究是评估目前的模式抗生素处方和医院抗生素政策对这些practices.METHODSThe研究涉及收集信息住院患者利用ESAC审计tool. OUTS在研究地点的医院,使用的限制性药物是低的,而使用的非限制性药物是高的影响。对医院抗生素指南的依从性为70%。结论该研究结果确定了监测非限制性抗生素和依从性指南作为我们医院质量改进的目标。点流行率调查可以提供一个简单的方法来监测抗生素政策,从而通知抗生素管理。
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 ADDScenter 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.AIMThe aim of the study was to assess current patterns of antibiotic prescribing and the impact of a hospital antibiotic policy on these practices.METHODSThe study involved collecting information regarding hospitalized patients utilizing the ESAC audit tool.RESULTSIn 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%.DISCUSSIONThe 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.