Topical antimicrobial prescribing patterns in residents of Australian aged-care facilities: use of a national point prevalence survey to identify opportunities for quality improvement

2021 ◽  
Author(s):  
Noleen Bennett ◽  
Katherine Walker ◽  
Kirsty Buising ◽  
Ron Cheah ◽  
Xin Fang ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Aged Care ◽  
Point Prevalence ◽  
Prescribing Patterns ◽  
Prevalence Survey ◽  
Antimicrobial Prescribing ◽  
Point Prevalence Survey ◽  
Care Facilities ◽  
Aged Care Facilities ◽  
Topical Antimicrobial

Burden of antibiotic allergy labels in Australian aged care residents: Findings from a national point-prevalence survey

2020 ◽  
Vol 41 (6) ◽  
pp. 641-644
Author(s):  
Laura Travis ◽  
Leon J. Worth ◽  
Jason Trubiano ◽  
Karin Thursky ◽  
Noleen Bennett
Keyword(s):  
Aged Care ◽  
Point Prevalence ◽  
Residential Aged Care ◽  
Health Record ◽  
Prevalence Survey ◽  
Antibiotic Allergy ◽  
Point Prevalence Survey ◽  
Level Data ◽  
Care Facilities ◽  
Aged Care Facilities

AbstractObjective:To determine the prevalence of antibiotic allergy labels (AALs) in Australian aged care residents and to describe the impact of labels on antibiotic prescribing practices.Design:Point-prevalence survey.Setting:Australian residential aged care facilities.Participants:We surveyed 1,489 residents in 407 aged care facilities.Methods:Standardized data were collected on a single day between June 1 and August 31, 2018, for residents prescribed an antibiotic. An AAL was reported if it was documented in the resident’s health record. Resident-level data were used to calculate overall prevalence, and antibiotic-level data were used to report relative frequency of AALs for individual antibiotics and classes.Results:Among 1,489 residents, 356 (24%) had 1 or more documented AALs. The AALs for penicillin (28.3%), amoxicillin or amoxicillin/clavulanic acid (10.5%), cefalexin (7.2%), and trimethoprim (7.0%) were most commonly reported. The presence of an AAL was associated with significantly less prescribing of penicillins (OR, 0.43; 95% CI, 0.31–0.62; P < .001) and significantly more prescribing of lincosamides (OR, 4.81; P < .001), macrolides (OR, 2.03; P = .007), and tetracyclines (OR, 1.54; P = .033). Of residents with AALs, 7 residents (1.9%) were prescribed an antibiotic that was listed on the allergy section of their health record.Conclusions:A high prevalence of AALs was observed among residents of Australian aged care facilities, comparable to the prevalence of AALs in high-risk hospitalized patients. Significant increases in prescribing of lincosamide, macrolide, and tetracycline agents poses a potential risk to aged populations, and future studies must evaluate the benefits of AAL delabelling programs tailored for aged care settings.

scholarly journals Identification of targets for quality improvement in antimicrobial prescribing: the web-based ESAC Point Prevalence Survey 2009

2010 ◽  
Vol 66 (2) ◽  
pp. 443-449 ◽  
Author(s):  
P. Zarb ◽  
B. Amadeo ◽  
A. Muller ◽  
N. Drapier ◽  
V. Vankerckhoven ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Point Prevalence ◽  
Prevalence Survey ◽  
Web Based ◽  
Antimicrobial Prescribing ◽  
Point Prevalence Survey ◽  
The Web

scholarly journals A point prevalence survey in Baghdad teaching hospital for antimicrobial prescribing pattern

2020 ◽  
Vol 101 ◽  
pp. 105
Author(s):  
J. Kurmanji ◽  
A. Hassali ◽  
M. Younus ◽  
A. Versporten ◽  
I. Pauwels ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Point Prevalence ◽  
Prescribing Pattern ◽  
Prevalence Survey ◽  
Antimicrobial Prescribing ◽  
Point Prevalence Survey

A point prevalence survey of antimicrobial prescribing in four Nigerian Tertiary Hospitals

2017 ◽  
Vol 8 (1) ◽  
pp. 42 ◽  
Author(s):  
OO Oduyebo ◽  
AT Olayinka ◽  
KC Iregbu ◽  
A Versporten ◽  
H Goossens ◽  
...  
Keyword(s):  
Point Prevalence ◽  
Prevalence Survey ◽  
Antimicrobial Prescribing ◽  
Point Prevalence Survey ◽  
Tertiary Hospitals

scholarly journals A prospective antibiotic point prevalence survey in two primary referral hospitals during and after pilgrims stay in Madinah, Saudi Arabia

2020 ◽  
Vol 19 (2) ◽  
pp. 391-399
Author(s):  
Yaser M. ◽  
Ahmad K. Aljabri ◽  
Faisal N. Alsaadi ◽  
Lamiaa M. Rizk ◽  
Renad Y. Alahmadi ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Antibiotic Therapy ◽  
Prevalence Rate ◽  
Antibiotic Use ◽  
Point Prevalence ◽  
Antibiotic Prescribing ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Significant Difference ◽  
Referral Hospitals

Purpose: To assess current patterns of antibiotic use by carrying out two point-prevalence surveys (PPS) in Madinah after the return of hajj pilgrims from Makkah and when Madinah is free from pilgrims. Methods: In September 2016 and November 2016, a prospective PPS was conducted on two separate dates (during the hajj pilgrims stay in Madinah and after they leave). Data on antibiotics use were generated during these two periods. This involved an audit from all the departments of two referral hospitals (King Fahad Hospital (KFH) - 425 beds, and Al Ansar Hospital - 100 beds) of inpatients records. Data were collected using standard forms adapted from the European Centre for Disease Control (ECDC). Results: A total of 675 inpatients were included in PPS; among them, 332 (49.18 %) patients were receiving antibiotic therapy. In September 2016, 168 patients were treated with antibiotics, with a prevalence rate of 50.60 %, whereas, in November 2016, the prevalence rate was 49.40 %. Overall, 198 patients were identified in surgical wards, of which 132 patients (66.6 %) were receiving antibiotic therapy; 121 patients in ICU of which 70 patients (57.8 %) received antibiotics; 13 patients in other wards of which 6 (46.1 %) received antibiotic treatment; and 343 patients in medical wards of which 126 patients (36.7 %) were treated with antibiotics. There was no significant difference in prevalence of antibiotic prescribing between the two surveys (Pearson Chi-square test, p = 0.56) and with regards to patient age between the two surveys (Mann-Whitney U-test, p = 0.32). Conclusion: The results demonstrate that antibiotic use with adherence to hospital guidelines and PPS helps in identifying targets for quality improvement. Moreover, to escalate the prudent use of antibiotics in hospitals, PPS provides a useful tool. Furthermore, this survey provides a background to evaluate antibiotic use by a standardized methodology. Keywords: Point prevalence survey, Antibiotic use, Prescribing practices, Antibiotic resistance, Quality improvement, Antibiotic stewardship, Hajj, Pilgrims

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