A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool

M. A. Aldeyab, M. P. Kearney, J. C. McElnay, F. A. Magee, G. Conlon, J. MacIntyre, B. McCullagh, C. Ferguson, A. Friel, C. Gormley, S. McElroy, T. Boyce, A. McCorry, A. Muller, H. Goossens, M. G. Scott

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The objective of this research was to assess current patterns of hospital antibiotic prescribing in Northern Ireland and to determine targets for improving the quality of antibiotic prescribing. A point prevalence survey was conducted in four acute teaching hospitals. The most commonly used antibiotics were combinations of penicillins including β-lactamase inhibitors (33.6%), metronidazole (9.1%), and macrolides (8.1%). The indication for treatment was recorded in 84.3% of the prescribing episodes. A small fraction (3.9%) of the surgical prophylactic antibiotic prescriptions was for >24 h. The results showed that overall 52.4% of the prescribed antibiotics were in compliance with the hospital antibiotic guidelines. The findings identified the following indicators as targets for quality improvement: indication recorded in patient notes, the duration of surgical prophylaxis and compliance with hospital antibiotic guidelines. The results strongly suggest that antibiotic use could be improved by taking steps to address the identified targets for quality improvement.

LanguageEnglish
Pages1714-1720
Number of pages7
JournalEpidemiology and Infection
Volume140
Issue number9
Early online date24 Nov 2011
DOIs
Publication statusPublished - 1 Sep 2012
Externally publishedYes

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Teaching Hospitals
Anti-Bacterial Agents
Quality Improvement
Guidelines
Northern Ireland
Surveys and Questionnaires
Macrolides
Metronidazole
Penicillins
Prescriptions
Research

Cite this

Aldeyab, M. A. ; Kearney, M. P. ; McElnay, J. C. ; Magee, F. A. ; Conlon, G. ; MacIntyre, J. ; McCullagh, B. ; Ferguson, C. ; Friel, A. ; Gormley, C. ; McElroy, S. ; Boyce, T. ; McCorry, A. ; Muller, A. ; Goossens, H. ; Scott, M. G. / A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool. In: Epidemiology and Infection. 2012 ; Vol. 140, No. 9. pp. 1714-1720.
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Aldeyab, MA, Kearney, MP, McElnay, JC, Magee, FA, Conlon, G, MacIntyre, J, McCullagh, B, Ferguson, C, Friel, A, Gormley, C, McElroy, S, Boyce, T, McCorry, A, Muller, A, Goossens, H & Scott, MG 2012, 'A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool', Epidemiology and Infection, vol. 140, no. 9, pp. 1714-1720. https://doi.org/10.1017/S095026881100241X

A point prevalence survey of antibiotic use in four acute-care teaching hospitals utilizing the European Surveillance of Antimicrobial Consumption (ESAC) audit tool. / Aldeyab, M. A.; Kearney, M. P.; McElnay, J. C.; Magee, F. A.; Conlon, G.; MacIntyre, J.; McCullagh, B.; Ferguson, C.; Friel, A.; Gormley, C.; McElroy, S.; Boyce, T.; McCorry, A.; Muller, A.; Goossens, H.; Scott, M. G.

In: Epidemiology and Infection, Vol. 140, No. 9, 01.09.2012, p. 1714-1720.

Research output: Contribution to journalArticle

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AU - Aldeyab, M. A.

AU - Kearney, M. P.

AU - McElnay, J. C.

AU - Magee, F. A.

AU - Conlon, G.

AU - MacIntyre, J.

AU - McCullagh, B.

AU - Ferguson, C.

AU - Friel, A.

AU - Gormley, C.

AU - McElroy, S.

AU - Boyce, T.

AU - McCorry, A.

AU - Muller, A.

AU - Goossens, H.

AU - Scott, M. G.

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N2 - The objective of this research was to assess current patterns of hospital antibiotic prescribing in Northern Ireland and to determine targets for improving the quality of antibiotic prescribing. A point prevalence survey was conducted in four acute teaching hospitals. The most commonly used antibiotics were combinations of penicillins including β-lactamase inhibitors (33.6%), metronidazole (9.1%), and macrolides (8.1%). The indication for treatment was recorded in 84.3% of the prescribing episodes. A small fraction (3.9%) of the surgical prophylactic antibiotic prescriptions was for >24 h. The results showed that overall 52.4% of the prescribed antibiotics were in compliance with the hospital antibiotic guidelines. The findings identified the following indicators as targets for quality improvement: indication recorded in patient notes, the duration of surgical prophylaxis and compliance with hospital antibiotic guidelines. The results strongly suggest that antibiotic use could be improved by taking steps to address the identified targets for quality improvement.

AB - The objective of this research was to assess current patterns of hospital antibiotic prescribing in Northern Ireland and to determine targets for improving the quality of antibiotic prescribing. A point prevalence survey was conducted in four acute teaching hospitals. The most commonly used antibiotics were combinations of penicillins including β-lactamase inhibitors (33.6%), metronidazole (9.1%), and macrolides (8.1%). The indication for treatment was recorded in 84.3% of the prescribing episodes. A small fraction (3.9%) of the surgical prophylactic antibiotic prescriptions was for >24 h. The results showed that overall 52.4% of the prescribed antibiotics were in compliance with the hospital antibiotic guidelines. The findings identified the following indicators as targets for quality improvement: indication recorded in patient notes, the duration of surgical prophylaxis and compliance with hospital antibiotic guidelines. The results strongly suggest that antibiotic use could be improved by taking steps to address the identified targets for quality improvement.

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