Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador
BACKGROUND: Surveillance of the appropriateness of antimicrobial prescribing can identify targets for quality improvement in antimicrobial stewardship. Our objective was to measure antibiotic prescription prevalence, indication, and appropriateness at three rural community hospitals in a 1-day point...
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ftpubmed:oai:pubmedcentral.nih.gov:9608699 2023-05-15T17:22:25+02:00 Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador Wheeler, Evan D McDonald, Gerry Daley, Peter 2021-07-20 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608699/ https://doi.org/10.3138/jammi-2020-0041 en eng University of Toronto Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608699/ http://dx.doi.org/10.3138/jammi-2020-0041 Copyright © 2021, Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada) J Assoc Med Microbiol Infect Dis Can Original Research Text 2021 ftpubmed https://doi.org/10.3138/jammi-2020-0041 2022-11-06T01:47:54Z BACKGROUND: Surveillance of the appropriateness of antimicrobial prescribing can identify targets for quality improvement in antimicrobial stewardship. Our objective was to measure antibiotic prescription prevalence, indication, and appropriateness at three rural community hospitals in a 1-day point prevalence study. METHODS: Inpatient antibiotic prescriptions given at three community hospitals on April 24, 2019 were provided by the hospital pharmacies. These prescriptions were analyzed using the Australian National Antimicrobial Prescribing Survey (NAPS) tool. Prescriptions were assessed by an infectious diseases physician and analyzed per prescription. RESULTS: Eighty prescriptions given to 58 inpatients were included. Antibiotic treatment prevalence was 58/120 beds (48.3%), and overall appropriateness was 37/80 prescriptions (46.3%). The most prescribed antibiotics were ceftriaxone (17 [21.3%]; 47.1% appropriate), piperacillin–tazobactam (10 [12.5%]; 10.0% appropriate), and moxifloxacin (9 [11.3%]; 0% appropriate). The most common indications were respiratory tract infections (36 [45.0%]; 36.1% appropriate), skin and soft tissue infections (14 [17.5%]; 78.6% appropriate), and urinary tract infections (9 [11.3%]; 11.1% appropriate). Of the 80 prescriptions, 50 (62.5%) documented an indication, and 71 (88.8%) documented a stop or review date. CONCLUSIONS: We observed a high treatment prevalence and low appropriateness. Overall appropriateness was lower than in urban hospitals. Text Newfoundland PubMed Central (PMC) Newfoundland Official Journal of the Association of Medical Microbiology and Infectious Disease Canada 6 2 114 118 |
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Original Research Wheeler, Evan D McDonald, Gerry Daley, Peter Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador |
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Original Research |
description |
BACKGROUND: Surveillance of the appropriateness of antimicrobial prescribing can identify targets for quality improvement in antimicrobial stewardship. Our objective was to measure antibiotic prescription prevalence, indication, and appropriateness at three rural community hospitals in a 1-day point prevalence study. METHODS: Inpatient antibiotic prescriptions given at three community hospitals on April 24, 2019 were provided by the hospital pharmacies. These prescriptions were analyzed using the Australian National Antimicrobial Prescribing Survey (NAPS) tool. Prescriptions were assessed by an infectious diseases physician and analyzed per prescription. RESULTS: Eighty prescriptions given to 58 inpatients were included. Antibiotic treatment prevalence was 58/120 beds (48.3%), and overall appropriateness was 37/80 prescriptions (46.3%). The most prescribed antibiotics were ceftriaxone (17 [21.3%]; 47.1% appropriate), piperacillin–tazobactam (10 [12.5%]; 10.0% appropriate), and moxifloxacin (9 [11.3%]; 0% appropriate). The most common indications were respiratory tract infections (36 [45.0%]; 36.1% appropriate), skin and soft tissue infections (14 [17.5%]; 78.6% appropriate), and urinary tract infections (9 [11.3%]; 11.1% appropriate). Of the 80 prescriptions, 50 (62.5%) documented an indication, and 71 (88.8%) documented a stop or review date. CONCLUSIONS: We observed a high treatment prevalence and low appropriateness. Overall appropriateness was lower than in urban hospitals. |
format |
Text |
author |
Wheeler, Evan D McDonald, Gerry Daley, Peter |
author_facet |
Wheeler, Evan D McDonald, Gerry Daley, Peter |
author_sort |
Wheeler, Evan D |
title |
Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador |
title_short |
Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador |
title_full |
Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador |
title_fullStr |
Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador |
title_full_unstemmed |
Appropriateness of antibiotic use in community hospitals in rural Newfoundland and Labrador |
title_sort |
appropriateness of antibiotic use in community hospitals in rural newfoundland and labrador |
publisher |
University of Toronto Press |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608699/ https://doi.org/10.3138/jammi-2020-0041 |
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Newfoundland |
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Newfoundland |
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Newfoundland |
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Newfoundland |
op_source |
J Assoc Med Microbiol Infect Dis Can |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9608699/ http://dx.doi.org/10.3138/jammi-2020-0041 |
op_rights |
Copyright © 2021, Association of Medical Microbiology and Infectious Disease Canada (AMMI Canada) |
op_doi |
https://doi.org/10.3138/jammi-2020-0041 |
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Official Journal of the Association of Medical Microbiology and Infectious Disease Canada |
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6 |
container_issue |
2 |
container_start_page |
114 |
op_container_end_page |
118 |
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1766109063560560640 |