Longitudinal point prevalence survey of antibacterial use in Northern Ireland using the European Surveillance of Antimicrobial Consumption (ESAC) PPS and Global-PPS tool

G. M. Al-Taani, M. Scott, D. Farren, F. Gilmore, B. McCullagh, C. Hibberd, A. McCorry, A. Versporten, H. Goossens, P. Zarb, M. A. Aldeyab

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Antimicrobial resistance is a limiting factor for the success of the treatment of infectious diseases and is associated with increased morbidity and cost. The present study aims to evaluate prescribing patterns of antimicrobials and quantify progress in relation to targets for quality improvement in the prescription of antimicrobials in Northern Ireland's secondary care sector using three repetitive point prevalence surveys (PPS) over a 6-year period: The European Surveillance of Antimicrobial Consumption (ESAC-PPS) in 2009 and 2011 and the Global-PPS on Antimicrobial Consumption and Resistance in 2015. Out of 3605 patients surveyed over the three time points, 1239 (34.4%) were treated with an antibiotic, the most frequently prescribed antibiotic groups were a combination of penicillins, including β-lactamase inhibitors. Compliance with hospital antibiotic policies in 2009, 2011 and 2015 were 54.5%, 71.5% and 79.9%, respectively. Likewise, an indication for treatment was recorded in patient notes 88.5%, 87.7% and 90.6% in 2009, 2011 and 2015, respectively, and surgical prophylactic antibiotic prescriptions for >24 h was 3.9%, 3.2% and 0.7% in 2009, 2011 and 2015, respectively. Treatment based on biomarker data was used in 61.5% of cases. In conclusion, a general trend in the improvement of key antimicrobial-related quality indicators was noted. The PPS tool provided a convenient, inexpensive surveillance system of antimicrobial consumption and should be considered an essential component to establish and maintain informed antibiotic stewardship in hospitals.

Original languageEnglish
Pages (from-to)985-990
Number of pages6
JournalEpidemiology and Infection
Volume146
Issue number8
DOIs
Publication statusPublished - 1 Jun 2018
Externally publishedYes

Fingerprint

Northern Ireland
Anti-Bacterial Agents
Prescriptions
Secondary Care
Quality Improvement
Penicillins
Communicable Diseases
Therapeutics
Biomarkers
Surveys and Questionnaires
Morbidity
Costs and Cost Analysis

Cite this

Al-Taani, G. M. ; Scott, M. ; Farren, D. ; Gilmore, F. ; McCullagh, B. ; Hibberd, C. ; McCorry, A. ; Versporten, A. ; Goossens, H. ; Zarb, P. ; Aldeyab, M. A. / Longitudinal point prevalence survey of antibacterial use in Northern Ireland using the European Surveillance of Antimicrobial Consumption (ESAC) PPS and Global-PPS tool. In: Epidemiology and Infection. 2018 ; Vol. 146, No. 8. pp. 985-990.
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abstract = "Antimicrobial resistance is a limiting factor for the success of the treatment of infectious diseases and is associated with increased morbidity and cost. The present study aims to evaluate prescribing patterns of antimicrobials and quantify progress in relation to targets for quality improvement in the prescription of antimicrobials in Northern Ireland's secondary care sector using three repetitive point prevalence surveys (PPS) over a 6-year period: The European Surveillance of Antimicrobial Consumption (ESAC-PPS) in 2009 and 2011 and the Global-PPS on Antimicrobial Consumption and Resistance in 2015. Out of 3605 patients surveyed over the three time points, 1239 (34.4{\%}) were treated with an antibiotic, the most frequently prescribed antibiotic groups were a combination of penicillins, including β-lactamase inhibitors. Compliance with hospital antibiotic policies in 2009, 2011 and 2015 were 54.5{\%}, 71.5{\%} and 79.9{\%}, respectively. Likewise, an indication for treatment was recorded in patient notes 88.5{\%}, 87.7{\%} and 90.6{\%} in 2009, 2011 and 2015, respectively, and surgical prophylactic antibiotic prescriptions for >24 h was 3.9{\%}, 3.2{\%} and 0.7{\%} in 2009, 2011 and 2015, respectively. Treatment based on biomarker data was used in 61.5{\%} of cases. In conclusion, a general trend in the improvement of key antimicrobial-related quality indicators was noted. The PPS tool provided a convenient, inexpensive surveillance system of antimicrobial consumption and should be considered an essential component to establish and maintain informed antibiotic stewardship in hospitals.",
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Longitudinal point prevalence survey of antibacterial use in Northern Ireland using the European Surveillance of Antimicrobial Consumption (ESAC) PPS and Global-PPS tool. / Al-Taani, G. M.; Scott, M.; Farren, D.; Gilmore, F.; McCullagh, B.; Hibberd, C.; McCorry, A.; Versporten, A.; Goossens, H.; Zarb, P.; Aldeyab, M. A.

In: Epidemiology and Infection, Vol. 146, No. 8, 01.06.2018, p. 985-990.

Research output: Contribution to journalReview article

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AU - Scott, M.

AU - Farren, D.

AU - Gilmore, F.

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AU - McCorry, A.

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