scholarly journals Point Prevalence Survey of Antimicrobial Use in Four Tertiary Care Hospitals in Mexico

2021 ◽  
Vol Volume 14 ◽  
pp. 4553-4566
Author(s):  
Federico A Zumaya-Estrada ◽  
Alfredo Ponce-de-León-Garduño ◽  
Edgar Ortiz-Brizuela ◽  
Juan Carlos Tinoco-Favila ◽  
Patricia Cornejo-Juárez ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Point Prevalence ◽  
Antimicrobial Use ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Tertiary Care Hospitals

scholarly journals 2019. Multicentric Antimicrobial Point Prevalence Survey in Four Tertiary Care Hospitals in Southern India

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S677-S678
Author(s):  
Shilpa Prakash ◽  
Arun Wilson ◽  
Anup R Warrier ◽  
Rachana Babu ◽  
Sonya Joy ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Point Prevalence ◽  
Antimicrobial Use ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Resource Limited ◽  
Defined Daily Doses ◽  
Number Of Patients ◽  
Days Of Therapy ◽  
Tertiary Care Hospitals

Abstract Background Antibiotic consumption data are scarce in the subcontinent. Defined Daily Doses (Doses) and Days of Therapy (DOT)-based metrics both have inherent disadvantages limiting their application in resource-limited settings primarily in terms of resource hours.. Point Prevalence Study (PPS) offers an offer an initial feasible step for describing antimicrobial use and identifying targets to reduce inappropriate use. Aim of the present study was to use PPS to identify quantitative and qualitative aspects of antimicrobial consumption. Methods A cross-sectional hospital-based PPS was conducted in 4 tertiary care hospitals—Aster Medcity (Kochi, Kerala), Aster MIMS (Calicut, Kerala), Aster Ramesh (Guntur, Andhra Pradesh), and Aster CMI (Bengaluru, Karnataka)—based on a standardized format derived from the GLOBAL-PPS initiative and WHO resources. Results The total number of patients surveyed was 944.42.7% patients had a standing antibiotic order, out of which 19.80%patients were receiving reserve antimicrobials (WHO classification). 76.23% of prescriptions were used empirically, 16.08% were used as prophylaxis meanwhile 7.67% had a culture-based indication. The overall DOT (per 1000 patient-days) for all antimicrobials in the 4 centers were 86.54, 64.19, 93.71 and 85.93 respectively with a cumulative mean DOT of 82.59. Reserve antimicrobials DOT were 26.28, 14.83, 28.08 and 19.61, respectively, with a mean of 22.2. The most common class of antimicrobial prescribed was β lactam -β lactamase inhibitors (BL/BLI) 27.3% while Carbapenems (8.16%) was the most common amongst reserve antimicrobials. Out of all the prescriptions only 7.67% had indications documented. Documented errors of dosing were seen in 8 patients. Adherence to monitoring for ADE was done in 92.57%. Conclusion The study reveals antibiotic use in almost 40% of patients under survey with a DOT of 82.59 per 1000 patient-days. Improving empirical use of antimicrobials, BL/BLI focused intervention and improved documentation has been identified as potential areas for intervention based on this study.The study also highlights the scope of PPS as an effective tool in resource-limited setting to define and refine antimicrobial use and contribute toward antimicrobial stewardship as well as other activities aimed reducing antimicrobial resistance across a range of settings. Disclosures All authors: No reported disclosures.

Burden of healthcare-associated infections at six tertiary-care hospitals in Saudi Arabia: A point prevalence survey

2019 ◽  
Vol 40 (3) ◽  
pp. 355-357 ◽  
Author(s):  
Majid M. Alshamrani ◽  
Aiman El-Saed ◽  
Asim Alsaedi ◽  
Ayman El Gammal ◽  
Wafa Al Nasser ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care ◽  
Bloodstream Infections ◽  
Point Prevalence ◽  
Healthcare Associated Infections ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Tract Infections ◽  
Healthcare Associated ◽  
Tertiary Care Hospitals

AbstractA point prevalence survey was conducted on May 11, 2017, among inpatients at 6 hospitals in Saudi Arabia. The overall point prevalence was 6.8% (114 of 1,666). The most common types of infections were pneumonia (27.2%), urinary tract infections (20.2%), and bloodstream infections (10.5%). Approximately 19.2% of healthcare-associated infections were device associated.

scholarly journals Point prevalence survey of healthcare-associated infections and antimicrobial use in Kosovo hospitals

2019 ◽  
Vol 11 (1) ◽  
Author(s):  
Lul Raka ◽  
Gazmend Spahija ◽  
Agreta Gashi-Gecaj ◽  
Astrit Hamza ◽  
Edita Haxhiu ◽  
...  
Keyword(s):  
Prevalence Rate ◽  
Tertiary Care ◽  
Antibiotic Use ◽  
Point Prevalence ◽  
Infection Prevention And Control ◽  
Antimicrobial Use ◽  
Surveillance Systems ◽  
Prevalence Survey ◽  
Point Prevalence Survey ◽  
Stewardship Program

Health care-associated infections (HAIs) and antimicrobial resistance constitute a major public health challenge. The aim of this study was to assess the prevalence rate of HAIs and antimicrobial use in acute care hospitals in Kosovo. A multicenter study was performed in all hospitals in Kosovo. The standardized protocol for Point Prevalence Survey (PPS) on HAIs and antimicrobial use developed by European Center for Disease Control and Prevention (ECDC) was used for this survey. A total of 915 patients were included in PPS. Countrywide prevalence rate of HAIs was 4.9%. The highest rate was noticed in tertiary care level in University Clinical Centre of Kosovo (UCCK) (7.2%). The most common type of HAI was surgical site infection, representing 35.5% of all reported HAIs. Prevalence of HAIs was highest in surgical departments (46.6%). The median length of stay before onset of HAI was 11 days (range: 3-27 days). Gram negative bacteria were the predominant microorganisms (61% of cases). From all patients, 520 (56.8%) of them were using at least one antibiotic. Ceftriaxone was the most prescribed antibiotic with 40.3%. Antibiotics were administered mainly through parenteral route (93.8%). Empiric treatment was the physician’s choice for prescribing in 87.1%. The main reason for antibiotic treatment was pneumonia (19.8%). Medical prophylaxis was reported in 10% of antibiotic prescriptions. Key recommendations driven by this study are to improve surveillance systems of HAI and antibiotic use, enhance infection prevention and control and establish antimicrobial stewardship program.

scholarly journals A point prevalence survey study (PPS) of antimicrobial consumption in a tertiary care super-speciality hospital of West Bengal

2021 ◽  
Vol 8 (3) ◽  
pp. 200-204
Author(s):  
Raja Chakraverty ◽  
Kalyan Samanta
Keyword(s):  
West Bengal ◽  
Tertiary Care ◽  
Point Prevalence ◽  
Survey Study ◽  
Care Hospital ◽  
Antimicrobial Consumption ◽  
Prevalence Survey ◽  
Record System ◽  
Point Prevalence Survey ◽  
Number Of Patients

Antimicrobial resistance (AMR) is an emerging global health issue. Resistance occurs when bacteria, parasites, viruses or fungi are exposed to antimicrobials but not killed by them. The study was conducted to gather baseline information to assess the antimicrobial consumption practices across six departments in a tertiary care super speciality hospital of West Bengal. Modified version of a patient data collection form proposed by Global PPS was developed on Epi Info software version 7 (CDC). Data of all patients in ward at 08.00 am data were studied. The use of antimicrobials was categorized as empiric, prophylactic or lab based. This classification is not mentioned in the files, so a response from the doctor taking care of the patient was noted.A total of 85 patient related data was collected in the designated survey form. Total beds covered was 340 and the number of patients on antimicrobials was found to be low at 21.27 %. The patients surveyed were predominantly female (78.8 %). The mean number of antimicrobials per patient was found to be 1.62 (range of 1.4 to 2.2) Relatively low number of patients were found to be on 2 or more antimicrobials. Double gram negative and Double anaerobic coverage of AM used varied across departments covered.:Our point prevalence study was able to facilitate conducting of point prevalence survey in high patient volume tertiary care hospital with paper based medical record system and also depicted the baseline parameters of intervention for instituting future action and policy changes.

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