Comparative point prevalence survey of antimicrobial consumption between a hospital in Northern Ireland and a hospital in Jordan 11 Medical and Health Sciences 1103 Clinical Sciences

Feras Darwish Elhajji, Ghaith M. Al-Taani, Lana Anani, Sahar Al-Masri, Haneen Abdalaziz, Su'Ad H. Qabba'H, Abdel Qader Al Bawab, Michael Scott, David Farren, Fiona Gilmore, Ann Versporten, Herman Goossens, Mamoon A. Aldeyab

Research output: Contribution to journalArticle

Abstract

Background: To assess antimicrobial prescribing in a Northern Ireland hospital (Antrim Area Hospital (AAH)) and compare them with those of a hospital in Jordan (Specialty Hospital). Methods: Using the Global-PPS approach, the present study surveyed patients admitted to the hospital in 2015, the prescribed antibiotics, and a set of quality control indicators related to antibiotics. Results: Ultimately, 444 and 112 inpatients in the AAH and the Specialty Hospital, respectively, were surveyed. For the medical group, 165 inpatients were prescribed 239 antibiotics in the AAH, while 44 patients in the Specialty Hospital were prescribed 65 antibiotics. In relation to the surgical group, 34 inpatients treated for infection were prescribed 66 antibiotics in the AAH, while 41 patients in the Specialty Hospital treated for infection were prescribed 56 antibiotics. For the medical patients, the most frequently prescribed antibiotics in the AAH were a combination of penicillins (18.8%) and penicillins with extended spectrum (18.8%). For the surgical patients, the most frequently prescribed antibiotics in the AAH were imidazole derivatives (24.2%). For the medical and surgical patients in the Specialty Hospital, the most frequently prescribed antibiotics were third-generation cephalosporins (26.2 and 37.5%, respectively). In medical patients, compliance to guidelines was 92.2% in the Specialty Hospital compared to 72.0% in the AAH (p < 0.001). In surgical patients, compliance to guidelines was 92.7% in the Specialty Hospital compared to 81.8% in the AAH (p = 0.012). Conclusions: The present study highlighted differences in the utilisation of antimicrobials between two hospitals in two distinct regions and benchmarked antibiotic prescriptions across two hospitals.

LanguageEnglish
Article number849
JournalBMC Health Services Research
Volume18
Issue number1
DOIs
Publication statusPublished - 12 Nov 2018

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Northern Ireland
Jordan
Health
Anti-Bacterial Agents
Surveys and Questionnaires
Inpatients
Patient Compliance
Penicillins
Guidelines

Keywords

  • Antimicrobial surveillance
  • Antimicrobials
  • Global point prevalence survey
  • Jordan
  • Northern Ireland
  • Point prevalence survey

Cite this

Elhajji, Feras Darwish ; Al-Taani, Ghaith M. ; Anani, Lana ; Al-Masri, Sahar ; Abdalaziz, Haneen ; Qabba'H, Su'Ad H. ; Al Bawab, Abdel Qader ; Scott, Michael ; Farren, David ; Gilmore, Fiona ; Versporten, Ann ; Goossens, Herman ; Aldeyab, Mamoon A. / Comparative point prevalence survey of antimicrobial consumption between a hospital in Northern Ireland and a hospital in Jordan 11 Medical and Health Sciences 1103 Clinical Sciences. In: BMC Health Services Research. 2018 ; Vol. 18, No. 1.
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title = "Comparative point prevalence survey of antimicrobial consumption between a hospital in Northern Ireland and a hospital in Jordan 11 Medical and Health Sciences 1103 Clinical Sciences",
abstract = "Background: To assess antimicrobial prescribing in a Northern Ireland hospital (Antrim Area Hospital (AAH)) and compare them with those of a hospital in Jordan (Specialty Hospital). Methods: Using the Global-PPS approach, the present study surveyed patients admitted to the hospital in 2015, the prescribed antibiotics, and a set of quality control indicators related to antibiotics. Results: Ultimately, 444 and 112 inpatients in the AAH and the Specialty Hospital, respectively, were surveyed. For the medical group, 165 inpatients were prescribed 239 antibiotics in the AAH, while 44 patients in the Specialty Hospital were prescribed 65 antibiotics. In relation to the surgical group, 34 inpatients treated for infection were prescribed 66 antibiotics in the AAH, while 41 patients in the Specialty Hospital treated for infection were prescribed 56 antibiotics. For the medical patients, the most frequently prescribed antibiotics in the AAH were a combination of penicillins (18.8{\%}) and penicillins with extended spectrum (18.8{\%}). For the surgical patients, the most frequently prescribed antibiotics in the AAH were imidazole derivatives (24.2{\%}). For the medical and surgical patients in the Specialty Hospital, the most frequently prescribed antibiotics were third-generation cephalosporins (26.2 and 37.5{\%}, respectively). In medical patients, compliance to guidelines was 92.2{\%} in the Specialty Hospital compared to 72.0{\%} in the AAH (p < 0.001). In surgical patients, compliance to guidelines was 92.7{\%} in the Specialty Hospital compared to 81.8{\%} in the AAH (p = 0.012). Conclusions: The present study highlighted differences in the utilisation of antimicrobials between two hospitals in two distinct regions and benchmarked antibiotic prescriptions across two hospitals.",
keywords = "Antimicrobial surveillance, Antimicrobials, Global point prevalence survey, Jordan, Northern Ireland, Point prevalence survey",
author = "Elhajji, {Feras Darwish} and Al-Taani, {Ghaith M.} and Lana Anani and Sahar Al-Masri and Haneen Abdalaziz and Qabba'H, {Su'Ad H.} and {Al Bawab}, {Abdel Qader} and Michael Scott and David Farren and Fiona Gilmore and Ann Versporten and Herman Goossens and Aldeyab, {Mamoon A.}",
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Elhajji, FD, Al-Taani, GM, Anani, L, Al-Masri, S, Abdalaziz, H, Qabba'H, SAH, Al Bawab, AQ, Scott, M, Farren, D, Gilmore, F, Versporten, A, Goossens, H & Aldeyab, MA 2018, 'Comparative point prevalence survey of antimicrobial consumption between a hospital in Northern Ireland and a hospital in Jordan 11 Medical and Health Sciences 1103 Clinical Sciences', BMC Health Services Research, vol. 18, no. 1, 849. https://doi.org/10.1186/s12913-018-3656-y

Comparative point prevalence survey of antimicrobial consumption between a hospital in Northern Ireland and a hospital in Jordan 11 Medical and Health Sciences 1103 Clinical Sciences. / Elhajji, Feras Darwish; Al-Taani, Ghaith M.; Anani, Lana; Al-Masri, Sahar; Abdalaziz, Haneen; Qabba'H, Su'Ad H.; Al Bawab, Abdel Qader; Scott, Michael; Farren, David; Gilmore, Fiona; Versporten, Ann; Goossens, Herman; Aldeyab, Mamoon A.

In: BMC Health Services Research, Vol. 18, No. 1, 849, 12.11.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Comparative point prevalence survey of antimicrobial consumption between a hospital in Northern Ireland and a hospital in Jordan 11 Medical and Health Sciences 1103 Clinical Sciences

AU - Elhajji, Feras Darwish

AU - Al-Taani, Ghaith M.

AU - Anani, Lana

AU - Al-Masri, Sahar

AU - Abdalaziz, Haneen

AU - Qabba'H, Su'Ad H.

AU - Al Bawab, Abdel Qader

AU - Scott, Michael

AU - Farren, David

AU - Gilmore, Fiona

AU - Versporten, Ann

AU - Goossens, Herman

AU - Aldeyab, Mamoon A.

PY - 2018/11/12

Y1 - 2018/11/12

N2 - Background: To assess antimicrobial prescribing in a Northern Ireland hospital (Antrim Area Hospital (AAH)) and compare them with those of a hospital in Jordan (Specialty Hospital). Methods: Using the Global-PPS approach, the present study surveyed patients admitted to the hospital in 2015, the prescribed antibiotics, and a set of quality control indicators related to antibiotics. Results: Ultimately, 444 and 112 inpatients in the AAH and the Specialty Hospital, respectively, were surveyed. For the medical group, 165 inpatients were prescribed 239 antibiotics in the AAH, while 44 patients in the Specialty Hospital were prescribed 65 antibiotics. In relation to the surgical group, 34 inpatients treated for infection were prescribed 66 antibiotics in the AAH, while 41 patients in the Specialty Hospital treated for infection were prescribed 56 antibiotics. For the medical patients, the most frequently prescribed antibiotics in the AAH were a combination of penicillins (18.8%) and penicillins with extended spectrum (18.8%). For the surgical patients, the most frequently prescribed antibiotics in the AAH were imidazole derivatives (24.2%). For the medical and surgical patients in the Specialty Hospital, the most frequently prescribed antibiotics were third-generation cephalosporins (26.2 and 37.5%, respectively). In medical patients, compliance to guidelines was 92.2% in the Specialty Hospital compared to 72.0% in the AAH (p < 0.001). In surgical patients, compliance to guidelines was 92.7% in the Specialty Hospital compared to 81.8% in the AAH (p = 0.012). Conclusions: The present study highlighted differences in the utilisation of antimicrobials between two hospitals in two distinct regions and benchmarked antibiotic prescriptions across two hospitals.

AB - Background: To assess antimicrobial prescribing in a Northern Ireland hospital (Antrim Area Hospital (AAH)) and compare them with those of a hospital in Jordan (Specialty Hospital). Methods: Using the Global-PPS approach, the present study surveyed patients admitted to the hospital in 2015, the prescribed antibiotics, and a set of quality control indicators related to antibiotics. Results: Ultimately, 444 and 112 inpatients in the AAH and the Specialty Hospital, respectively, were surveyed. For the medical group, 165 inpatients were prescribed 239 antibiotics in the AAH, while 44 patients in the Specialty Hospital were prescribed 65 antibiotics. In relation to the surgical group, 34 inpatients treated for infection were prescribed 66 antibiotics in the AAH, while 41 patients in the Specialty Hospital treated for infection were prescribed 56 antibiotics. For the medical patients, the most frequently prescribed antibiotics in the AAH were a combination of penicillins (18.8%) and penicillins with extended spectrum (18.8%). For the surgical patients, the most frequently prescribed antibiotics in the AAH were imidazole derivatives (24.2%). For the medical and surgical patients in the Specialty Hospital, the most frequently prescribed antibiotics were third-generation cephalosporins (26.2 and 37.5%, respectively). In medical patients, compliance to guidelines was 92.2% in the Specialty Hospital compared to 72.0% in the AAH (p < 0.001). In surgical patients, compliance to guidelines was 92.7% in the Specialty Hospital compared to 81.8% in the AAH (p = 0.012). Conclusions: The present study highlighted differences in the utilisation of antimicrobials between two hospitals in two distinct regions and benchmarked antibiotic prescriptions across two hospitals.

KW - Antimicrobial surveillance

KW - Antimicrobials

KW - Global point prevalence survey

KW - Jordan

KW - Northern Ireland

KW - Point prevalence survey

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UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233602/

U2 - 10.1186/s12913-018-3656-y

DO - 10.1186/s12913-018-3656-y

M3 - Article

VL - 18

JO - BMC Health Service Research

T2 - BMC Health Service Research

JF - BMC Health Service Research

SN - 1472-6963

IS - 1

M1 - 849

ER -