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

M.A. Aldeyab; M.P. Kearney; J.C. McElnay; F.A. Magee; G. Conlon; D. Gill; P. Davey; A. Muller; H. Goossens; M.G. Scott

doi:10.1111/j.1365-2125.2010.03840.x

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

M.A. Aldeyab, M.P. Kearney, J.C. McElnay, F.A. Magee, G. Conlon, D. Gill, P. Davey, A. Muller, H. Goossens, M.G. Scott

Dept of Mgmt, Leadership & Marketing

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Abstract

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. © 2011 The Authors. British Journal of Clinical Pharmacology © 2011 The British Pharmacological Society.

Original language	English
Pages (from-to)	293-296
Number of pages	4
Journal	British Journal of Clinical Pharmacology
Volume	71
Issue number	2
DOIs	https://doi.org/10.1111/j.1365-2125.2010.03840.x
Publication status	Published (in print/issue) - 2011

Bibliographical note

Cited By :20

Export Date: 15 September 2018

CODEN: BCPHB

Correspondence Address: Aldeyab, M.A.; Clinical and Practice Research Group, School of Pharmacy, Queen's University, Belfast-BT9 7BL, United Kingdom; email: [email protected]

Chemicals/CAS: Anti-Bacterial Agents

References: Paterson, D.L., The role of antimicrobial management programs in optimizing antibiotic prescribing within hospitals (2006) Clin Infect Dis, 42 (2 SUPPL.), pp. S90-5; Gyssens, I.C., Quality measures of antimicrobial drug use (2001) Int J Antimicrob Agents, 17, pp. 9-19; MacDougall, C., Polk, R.E., Antimicrobial stewardship programs in health care systems (2005) Clin Microbiol Rev, 18, pp. 638-56; McElnay, J.C., Scott, M.G., Sidara, J.Y., Kearney, P., Audit of antibiotic usage in a medium-sized general hospital over an 11-year period. The impact of antibiotic policies (1995) Pharm World Sci, 17, pp. 207-13; Ansari, F., Erntell, M., Goossens, H., Davey, P., The European Surveillance of Antimicrobial Consumption (ESAC) point-prevalence survey of antibacterial use in 20 European hospitals in 2006 (2009) Clin Infect Dis, 49, pp. 1496-504; Guidelines for ATC Classifications and Ddds Assignment (2002), WHO Collaborating Center for Drug Statistics Methodology. Oslo: WHO Collaborating Center; Pelle, B., Gilchrist, M., Lawson, W., Jacklin, A., Franklin, B.D., Using defined daily doses to study the use of antibacterials in UK hospitals (2006) Hosp Pharmacist, 13, pp. 133-6; Aldeyab, M.A., Monnet, D.L., López-Lozano, J.M., Hughes, C.M., Scott, M.G., Kearney, M.P., Magee, F.A., McElnay, J.C., Modelling the impact of antibiotic use and infection control practices on the incidence of hospital-acquired methicillin-resistant Staphylococcus aureus: a time-series analysis (2008) J Antimicrob Chemother, 62, pp. 593-600; Aldeyab, M.A., Harbarth, S., Vernaz, N., Kearney, M.P., Scott, M.G., Funston, C., Savage, K., McElnay, J.C., 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 (2009) Antimicrob Agents Chemother, 53, pp. 2082-8; Polk, R.E., Antimicrobial formularies: can they minimize antimicrobial resistance? (2003) Am J Health Syst Pharm, 60 (1 SUPPL.), pp. S16-9

Keywords

Antibiotic policy
ESAC
Point prevalence survey
aminoglycoside derivative
antibiotic agent
beta lactam antibiotic
carbapenem derivative
cephalosporin derivative
glycopeptide
imidazole derivative
macrolide
monobactam derivative
penicillin derivative
penicillin G derivative
quinoline derived antiinfective agent
tetracycline derivative
trimethoprim derivative
adult
aged
article
drug use
health survey
hospital policy
human
major clinical study
practice guideline
prescription
prevalence
priority journal
quality control
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents
Benchmarking
Drug Prescriptions
Drug Utilization
Drug Utilization Review
Europe
Guideline Adherence
Hospitalization
Humans
Middle Aged
Northern Ireland
Physician's Practice Patterns
Practice Guidelines as Topic

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1111/j.1365-2125.2010.03840.x

https://www.scopus.com/inward/record.uri?eid=2-s2.0-78650977066&doi=10.1111%2fj.1365-2125.2010.03840.x&partnerID=40&md5=4bf311f952f804e2f57c95cbca320256

Cite this

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abstract = "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. {\textcopyright} 2011 The Authors. British Journal of Clinical Pharmacology {\textcopyright} 2011 The British Pharmacological Society.",

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author = "M.A. Aldeyab and M.P. Kearney and J.C. McElnay and F.A. Magee and G. Conlon and D. Gill and P. Davey and A. Muller and H. Goossens and M.G. Scott",

note = "Cited By :20 Export Date: 15 September 2018 CODEN: BCPHB Correspondence Address: Aldeyab, M.A.; Clinical and Practice Research Group, School of Pharmacy, Queen's University, Belfast-BT9 7BL, United Kingdom; email: [email protected] Chemicals/CAS: Anti-Bacterial Agents References: Paterson, D.L., The role of antimicrobial management programs in optimizing antibiotic prescribing within hospitals (2006) Clin Infect Dis, 42 (2 SUPPL.), pp. S90-5; Gyssens, I.C., Quality measures of antimicrobial drug use (2001) Int J Antimicrob Agents, 17, pp. 9-19; MacDougall, C., Polk, R.E., Antimicrobial stewardship programs in health care systems (2005) Clin Microbiol Rev, 18, pp. 638-56; McElnay, J.C., Scott, M.G., Sidara, J.Y., Kearney, P., Audit of antibiotic usage in a medium-sized general hospital over an 11-year period. The impact of antibiotic policies (1995) Pharm World Sci, 17, pp. 207-13; Ansari, F., Erntell, M., Goossens, H., Davey, P., The European Surveillance of Antimicrobial Consumption (ESAC) point-prevalence survey of antibacterial use in 20 European hospitals in 2006 (2009) Clin Infect Dis, 49, pp. 1496-504; Guidelines for ATC Classifications and Ddds Assignment (2002), WHO Collaborating Center for Drug Statistics Methodology. Oslo: WHO Collaborating Center; Pelle, B., Gilchrist, M., Lawson, W., Jacklin, A., Franklin, B.D., Using defined daily doses to study the use of antibacterials in UK hospitals (2006) Hosp Pharmacist, 13, pp. 133-6; Aldeyab, M.A., Monnet, D.L., L{\'o}pez-Lozano, J.M., Hughes, C.M., Scott, M.G., Kearney, M.P., Magee, F.A., McElnay, J.C., Modelling the impact of antibiotic use and infection control practices on the incidence of hospital-acquired methicillin-resistant Staphylococcus aureus: a time-series analysis (2008) J Antimicrob Chemother, 62, pp. 593-600; Aldeyab, M.A., Harbarth, S., Vernaz, N., Kearney, M.P., Scott, M.G., Funston, C., Savage, K., McElnay, J.C., 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 (2009) Antimicrob Agents Chemother, 53, pp. 2082-8; Polk, R.E., Antimicrobial formularies: can they minimize antimicrobial resistance? (2003) Am J Health Syst Pharm, 60 (1 SUPPL.), pp. S16-9",

year = "2011",

doi = "10.1111/j.1365-2125.2010.03840.x",

language = "English",

volume = "71",

pages = "293--296",

journal = "British Journal of Clinical Pharmacology",

issn = "0306-5251",

publisher = "John Wiley & Sons, Inc.",

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TY - JOUR

T1 - A point prevalence survey of antibiotic prescriptions: Benchmarking and patterns of use

AU - Aldeyab, M.A.

AU - Kearney, M.P.

AU - McElnay, J.C.

AU - Magee, F.A.

AU - Conlon, G.

AU - Gill, D.

AU - Davey, P.

AU - Muller, A.

AU - Goossens, H.

AU - Scott, M.G.

N1 - Cited By :20 Export Date: 15 September 2018 CODEN: BCPHB Correspondence Address: Aldeyab, M.A.; Clinical and Practice Research Group, School of Pharmacy, Queen's University, Belfast-BT9 7BL, United Kingdom; email: [email protected] Chemicals/CAS: Anti-Bacterial Agents References: Paterson, D.L., The role of antimicrobial management programs in optimizing antibiotic prescribing within hospitals (2006) Clin Infect Dis, 42 (2 SUPPL.), pp. S90-5; Gyssens, I.C., Quality measures of antimicrobial drug use (2001) Int J Antimicrob Agents, 17, pp. 9-19; MacDougall, C., Polk, R.E., Antimicrobial stewardship programs in health care systems (2005) Clin Microbiol Rev, 18, pp. 638-56; McElnay, J.C., Scott, M.G., Sidara, J.Y., Kearney, P., Audit of antibiotic usage in a medium-sized general hospital over an 11-year period. The impact of antibiotic policies (1995) Pharm World Sci, 17, pp. 207-13; Ansari, F., Erntell, M., Goossens, H., Davey, P., The European Surveillance of Antimicrobial Consumption (ESAC) point-prevalence survey of antibacterial use in 20 European hospitals in 2006 (2009) Clin Infect Dis, 49, pp. 1496-504; Guidelines for ATC Classifications and Ddds Assignment (2002), WHO Collaborating Center for Drug Statistics Methodology. Oslo: WHO Collaborating Center; Pelle, B., Gilchrist, M., Lawson, W., Jacklin, A., Franklin, B.D., Using defined daily doses to study the use of antibacterials in UK hospitals (2006) Hosp Pharmacist, 13, pp. 133-6; Aldeyab, M.A., Monnet, D.L., López-Lozano, J.M., Hughes, C.M., Scott, M.G., Kearney, M.P., Magee, F.A., McElnay, J.C., Modelling the impact of antibiotic use and infection control practices on the incidence of hospital-acquired methicillin-resistant Staphylococcus aureus: a time-series analysis (2008) J Antimicrob Chemother, 62, pp. 593-600; Aldeyab, M.A., Harbarth, S., Vernaz, N., Kearney, M.P., Scott, M.G., Funston, C., Savage, K., McElnay, J.C., 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 (2009) Antimicrob Agents Chemother, 53, pp. 2082-8; Polk, R.E., Antimicrobial formularies: can they minimize antimicrobial resistance? (2003) Am J Health Syst Pharm, 60 (1 SUPPL.), pp. S16-9

PY - 2011

Y1 - 2011

N2 - 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. © 2011 The Authors. British Journal of Clinical Pharmacology © 2011 The British Pharmacological Society.

AB - 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. © 2011 The Authors. British Journal of Clinical Pharmacology © 2011 The British Pharmacological Society.

KW - Antibiotic policy

KW - ESAC

KW - Point prevalence survey

KW - aminoglycoside derivative

KW - antibiotic agent

KW - beta lactam antibiotic

KW - carbapenem derivative

KW - cephalosporin derivative

KW - glycopeptide

KW - imidazole derivative

KW - macrolide

KW - monobactam derivative

KW - penicillin derivative

KW - penicillin G derivative

KW - quinoline derived antiinfective agent

KW - tetracycline derivative

KW - trimethoprim derivative

KW - adult

KW - aged

KW - article

KW - drug use

KW - health survey

KW - hospital policy

KW - human

KW - major clinical study

KW - practice guideline

KW - prescription

KW - prevalence

KW - priority journal

KW - quality control

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Anti-Bacterial Agents

KW - Benchmarking

KW - Drug Prescriptions

KW - Drug Utilization

KW - Drug Utilization Review

KW - Europe

KW - Guideline Adherence

KW - Hospitalization

KW - Humans

KW - Middle Aged

KW - Northern Ireland

KW - Physician's Practice Patterns

KW - Practice Guidelines as Topic

U2 - 10.1111/j.1365-2125.2010.03840.x

DO - 10.1111/j.1365-2125.2010.03840.x

M3 - Article

SN - 0306-5251

VL - 71

SP - 293

EP - 296

JO - British Journal of Clinical Pharmacology

JF - British Journal of Clinical Pharmacology

IS - 2

ER -

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

Abstract

Bibliographical note

Keywords

UN SDGs

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