| Identification of targets for quality improvement in antimicrobial prescribing: the web-based ESAC Point Prevalence Survey 2009. | |
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MedLine Citation:
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PMID: 21084362 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVES: Since electronic prescribing is limited to few hospitals, point prevalence surveys, such as the standardized European Surveillance of Antimicrobial Consumption point prevalence survey (ESAC PPS), are an alternative tool for monitoring prescribing and helping to identify performance indicators and prescribing trends. The main objective of this study was to identify and assess targets for quality improvement. METHODS: Each hospital had to carry out the survey within 2 weeks. Each department had to be surveyed in 1 day. Data collected, for all inpatients, included age and gender. For patients on systemic antimicrobial treatment, the antimicrobial/s, infection/prophylaxis site, reason in medical notes and guideline compliance were also collected. A central database using a web-based tool (WebPPS) developed in-house was used for data entry. RESULTS: Combination of two or more antimicrobials accounted for 30% of use. Surgical prophylaxis was prolonged (>1 day) in 53% of cases. 'Intensive care' had higher proportions of treated patients (53% versus 29%), combination therapy (49% versus 31%), hospital-acquired infections (49% versus 31%) and parenteral administration (91% versus 61%). 'Reason in notes' was documented in 76%, and 'guideline compliance' occurred in 62% of patients. CONCLUSIONS: The ESAC PPS provided useful information on the quality of prescribing, which identified a number of targets for quality improvement. These could apply to specific departments or whole hospitals. Intensive care, which has different characteristics, should not be compared with general wards with respect to combination therapy, hospital-acquired infections or parenteral proportion. The study confirmed that the ESAC PPS methodology can be used on a large number of hospitals at regional, national, continental or global level. |
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Authors:
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Peter Zarb; Brice Amadeo; Arno Muller; Nico Drapier; Vanessa Vankerckhoven; Peter Davey; Herman Goossens; |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-11-17 |
Journal Detail:
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Title: The Journal of antimicrobial chemotherapy Volume: 66 ISSN: 1460-2091 ISO Abbreviation: J. Antimicrob. Chemother. Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-03-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7513617 Medline TA: J Antimicrob Chemother Country: England |
Other Details:
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Languages: eng Pagination: 443-9 Citation Subset: IM |
Affiliation:
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Infection Control Unit, Mater Dei Hospital, Msida, Malta. peter.zarb@ua.ac.be |
Export Citation:
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Descriptor/Qualifier:
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Investigator/Affiliation:
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Sigrid Metz-Gercek / ; Hilde Jansens / ; Boyka Markova / ; Christiana Kontemeniotou / ; Arjana Andrasevic / ; Jiri Vlcek / ; Niels Frimodt-Møller / ; Piret Mitt / ; Outi Lyytikainen / ; Xavier Bertrand / ; Katja de With / ; Anastasia Antoniadou / ; Gabor Ternak / ; Robert Cunney / ; Raul Raz / ; Silvio Brusaferro / ; Uga Dumpis / ; Vitalija Butkyte / ; Bruch Marcel / ; Peter Zarb / ; Jon Birger Haug / ; Janina Pawlowksa / ; Ines Teixeira / ; Svetlana Ratchina / ; Milan Cizman / ; Mercedes Sora / ; Gunilla Skoog / ; Giorgio Zanetti / ; Margreet Filius / ; Yesim Cetinkaya Sardan / ; Jonathan Cooke / ; Hugh Webb / ; Peter Davey / ; Margaret Heginbothom / |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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