Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean
Objective. To assess antibiotic use in three hospitals in three Caribbean countries based on data from 2013 and 2018 using the World Health Organization Essential Medicines List “Access, Watch, Reserve” (AWaRe) classification. Methods. A retrospective observational study, which analyzed the World He...
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ftdoajarticles:oai:doaj.org/article:0e49af25c971455abdf07eabc68db75c 2023-05-15T15:13:28+02:00 Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo 2022-11-01T00:00:00Z https://doi.org/10.26633/RPSP.2022.186 https://doaj.org/article/0e49af25c971455abdf07eabc68db75c EN ES PT eng spa por Pan American Health Organization https://iris.paho.org/handle/10665.2/56618 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.186 https://doaj.org/article/0e49af25c971455abdf07eabc68db75c Revista Panamericana de Salud Pública, Vol 46, Iss 186, Pp 1-8 (2022) anti-infective agents antimicrobial stewardship drug resistance microbial pharmacopoeia access to essential medicines and health technologies caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2022 ftdoajarticles https://doi.org/10.26633/RPSP.2022.186 2022-12-30T19:40:09Z Objective. To assess antibiotic use in three hospitals in three Caribbean countries based on data from 2013 and 2018 using the World Health Organization Essential Medicines List “Access, Watch, Reserve” (AWaRe) classification. Methods. A retrospective observational study, which analyzed the World Health Organization Point Prevalence Survey data from three hospitals in three Caribbean countries, to examine proportional AWaRe group antibiotic use for the top ten inpatient indications. The Access-to-Watch ratio was calculated, and the top three antibiotics prescribed in each hospital were determined. Results. The final data set included 376 prescriptions for the top ten indications in 766 inpatients. The hospital antibiotic use point prevalence for Hospital 1 was 35.6%, Hospital 2 was 48.6%, and Hospital 3 was 47.1%. The Access-to-Watch ratio for the top ten indications was 2.45, 1.36, and 1.72 in the three hospitals. Access group prevalence was 71.0% in Hospital 1, 57.6% in Hospital 2, and 63.2% in Hospital 3. There were no Reserve antibiotics prescribed in any of the institutions. The most common indication for Watch prescription was skin and soft tissue infections in Hospital 1 and pneumonia in Hospital 2 and 3. Conclusions. This study draws urgent attention to evidence of a high proportion of Watch antibiotic prescribing and lack of Reserve group antibiotics in three Caribbean countries. This research provides data that may inform national formulary and antimicrobial stewardship policy-making across the settings analyzed and the wider region. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 46 1 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English Spanish Portuguese |
topic |
anti-infective agents antimicrobial stewardship drug resistance microbial pharmacopoeia access to essential medicines and health technologies caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
anti-infective agents antimicrobial stewardship drug resistance microbial pharmacopoeia access to essential medicines and health technologies caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
topic_facet |
anti-infective agents antimicrobial stewardship drug resistance microbial pharmacopoeia access to essential medicines and health technologies caribbean region Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
Objective. To assess antibiotic use in three hospitals in three Caribbean countries based on data from 2013 and 2018 using the World Health Organization Essential Medicines List “Access, Watch, Reserve” (AWaRe) classification. Methods. A retrospective observational study, which analyzed the World Health Organization Point Prevalence Survey data from three hospitals in three Caribbean countries, to examine proportional AWaRe group antibiotic use for the top ten inpatient indications. The Access-to-Watch ratio was calculated, and the top three antibiotics prescribed in each hospital were determined. Results. The final data set included 376 prescriptions for the top ten indications in 766 inpatients. The hospital antibiotic use point prevalence for Hospital 1 was 35.6%, Hospital 2 was 48.6%, and Hospital 3 was 47.1%. The Access-to-Watch ratio for the top ten indications was 2.45, 1.36, and 1.72 in the three hospitals. Access group prevalence was 71.0% in Hospital 1, 57.6% in Hospital 2, and 63.2% in Hospital 3. There were no Reserve antibiotics prescribed in any of the institutions. The most common indication for Watch prescription was skin and soft tissue infections in Hospital 1 and pneumonia in Hospital 2 and 3. Conclusions. This study draws urgent attention to evidence of a high proportion of Watch antibiotic prescribing and lack of Reserve group antibiotics in three Caribbean countries. This research provides data that may inform national formulary and antimicrobial stewardship policy-making across the settings analyzed and the wider region. |
format |
Article in Journal/Newspaper |
author |
Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo |
author_facet |
Tamarie Rocke Nathalie El Omeiri Rodolfo Ernesto Quiros Jenny Hsieh Pilar Ramon-Pardo |
author_sort |
Tamarie Rocke |
title |
Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
title_short |
Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
title_full |
Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
title_fullStr |
Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
title_full_unstemmed |
Reporting on antibiotic use patterns using the WHO Access, Watch, Reserve classification in the Caribbean |
title_sort |
reporting on antibiotic use patterns using the who access, watch, reserve classification in the caribbean |
publisher |
Pan American Health Organization |
publishDate |
2022 |
url |
https://doi.org/10.26633/RPSP.2022.186 https://doaj.org/article/0e49af25c971455abdf07eabc68db75c |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 46, Iss 186, Pp 1-8 (2022) |
op_relation |
https://iris.paho.org/handle/10665.2/56618 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2022.186 https://doaj.org/article/0e49af25c971455abdf07eabc68db75c |
op_doi |
https://doi.org/10.26633/RPSP.2022.186 |
container_title |
Revista Panamericana de Salud Pública |
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46 |
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