A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool

M.A. Aldeyab, M.P. Kearney, J.C. McElnay, F.A. Magee, G. Conlon, J. MacIntyre, B. McCullagh, C. Ferguson, A. Friel, C Gormley, S. McElroy, T. Boyce, A. McCorry, A. Muller, H. Goossens, M.G. Scott

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Abstract

The objective of this research was to assess current patterns of hospital antibiotic prescribing in Northern Ireland and to determine targets for improving the quality of antibiotic prescribing. A point prevalence survey was conducted in four acute teaching hospitals. The most commonly used antibiotics were combinations of penicillins including β-lactamase inhibitors (33.6%), metronidazole (9.1%), and macrolides (8.1%). The indication for treatment was recorded in 84.3% of the prescribing episodes. A small fraction (3.9%) of the surgical prophylactic antibiotic prescriptions was for >24 h. The results showed that overall 52.4% of the prescribed antibiotics were in compliance with the hospital antibiotic guidelines. The findings identified the following indicators as targets for quality improvement: indication recorded in patient notes, the duration of surgical prophylaxis and compliance with hospital antibiotic guidelines. The results strongly suggest that antibiotic use could be improved by taking steps to address the identified targets for quality improvement. © 2011 Cambridge University Press.
Original languageEnglish
Pages (from-to)1714-1720
Number of pages7
JournalEpidemiology and Infection
Volume140
Issue number9
Early online date24 Nov 2011
DOIs
Publication statusPublished - Sep 2012

Keywords

  • Antibiotic use
  • ESAC
  • point prevalence surveys
  • quality improvement
  • aminoglycoside antibiotic agent
  • amoxicillin plus clavulanic acid
  • antibiotic agent
  • beta lactamase inhibitor
  • carbapenem derivative
  • cephalosporin derivative
  • ciprofloxacin
  • clarithromycin
  • imidazole derivative
  • lincosamide
  • macrolide
  • metronidazole
  • monobactam derivative
  • nitrofuran derivative
  • penicillin derivative
  • piperacillin plus tazobactam
  • quinoline derived antiinfective agent
  • steroid
  • sulfonamide
  • teicoplanin
  • tetracycline derivative
  • trimethoprim
  • trimethoprim derivative
  • vancomycin
  • adult
  • aged
  • antibiotic prophylaxis
  • article
  • community acquired infection
  • drug use
  • female
  • health care quality
  • health survey
  • hospital infection
  • human
  • infection
  • Ireland
  • major clinical study
  • male
  • medical audit
  • point prevalence survey
  • postoperative infection
  • practice guideline
  • prescription
  • teaching hospital
  • treatment duration
  • treatment indication
  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents
  • Drug Prescriptions
  • Drug Utilization Review
  • Female
  • Guideline Adherence
  • Health Care Surveys
  • Hospitals, Teaching
  • Humans
  • Male
  • Middle Aged
  • Northern Ireland

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  • Cite this

    Aldeyab, M. A., Kearney, M. P., McElnay, J. C., Magee, F. A., Conlon, G., MacIntyre, J., McCullagh, B., Ferguson, C., Friel, A., Gormley, C., McElroy, S., Boyce, T., McCorry, A., Muller, A., Goossens, H., & Scott, M. G. (2012). A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool. Epidemiology and Infection, 140(9), 1714-1720. https://doi.org/10.1017/S095026881100241X