Antibiotic point prevalence survey at a tertiary healthcare hospital in India: Identifying strategies to improve the antibiotic stewardship program immediately after a COVID-19 wave

Sheikh, Saifuddin; Vishwas, Gopal; Bhattacharya, Sanjay; Kumari, P; Parashar, L; GG, Meshram

doi:10.1016/j.infpip.2022.100253

Cited by 7 publications

(2 citation statements)

References 36 publications

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“…Another study used this policy document (Walia et al., 2019 ) to identify antibiotic prescription patterns after the decline of a major COVID‐19 wave at a dedicated COVID‐19 hospital in India. The results indicated that the strategies for antibiotic stewardship programs included developing guidelines for surgical prophylaxis, training physicians to categorise antibiotic prescriptions appropriately, and improving the electronic medical record system for improving prescription auditing (Sheikh et al., 2022 ). The secondary outcome of this paper was making changes in behaviours of health care providers in prescribing unnecessary antibiotics and our results implied ‘improving prescribing patterns’ as a core policy.…”

Section: Discussionmentioning

confidence: 99%

A systematic synthesis of expert opinion on effective policies to tackle bacterial resistance worldwide

Mostafaei

Akbarī

Lundborg

et al. 2023

Veterinary Medicine & Sci

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Actions that are taken to preserve effective antibacterial agents and eliminate transmission of resistant organisms are crucial to prevent a catastrophic postantibiotic era. In this systematic review, we searched and appraised relevant texts and expert opinions to determine effective strategies to tackle bacterial resistance worldwide.We considered expert opinions, consensus, current discourses, comments, assumptions or assertions and discussion papers published in English. We searched following databases for expert opinion-based literature: MEDLINE, CINAHL, ISI Web of Knowledge, SCOPUS, Cochrane Central Register of Controlled Trials and World Health Organization (WHO). We extracted the textual data from texts using a standardised data extraction tool. Textual pooling was not possible, so the conclusions were presented in a narrative form. Eighteen texts were included in this review. The findings show that, the most repeated policies and strategies include implementing and strengthening bacterial resistance surveillance, developing national guidelines, improving public awareness; enhancing home and everyday life hygiene; improving prescribing patterns, improving laboratories capacity, promoting innovation and research in new drugs and technology and strengthening coordination. This review systematically gathered strategies that were recommended by textual publications. To our knowledge, this was the first systematic review of text and opinion in the field of bacterial resistance. These results can be used by policymakers, hospital managers, and governments, alongside the results of quantitative and qualitative systematic reviews.

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Section: Discussionmentioning

confidence: 99%

A systematic synthesis of expert opinion on effective policies to tackle bacterial resistance worldwide

Mostafaei

Akbarī

Lundborg

et al. 2023

Veterinary Medicine & Sci

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“…Monitoring antibiotic use by patients and antibiotic prescription behavior by health care workers is essential for planning containment measures to prevent the spread of AMR and optimize antibiotic use. Point prevalence surveys (PPS) on antibiotic use have been successful worldwide in optimizing antibiotic use in hospitals and planning interventions to reduce AMR [ 14 – 16 ]. It is also an important tool for monitoring quality improvement in health care.…”

Section: Introductionmentioning

confidence: 99%

Antibiotic use at a tertiary hospital in Tanzania: findings from a point prevalence survey

Katyali,

Kawau,

Blomberg

et al. 2023

Antimicrob Resist Infect Control

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Background In Tanzania, data on antibiotic use at the patient level is scarce, and intervention measures to optimize antibiotic use and reduce antimicrobial resistance are rarely performed. Objectives To describe antibiotic use at Muhimbili National Hospital. Methods This was a point prevalence survey on antibiotic use conducted at Muhimbili National Hospital in August-September 2022. The World Health Organization point prevalence survey data collection tool was used to collect patients’ information from the files. All patients admitted to the wards on the day of the survey were included. Results Overall, 47% (185/397) of admitted patients were on at least one antibiotic during the survey. All antibiotics prescribed were for empirical treatment and guideline compliance was low, at 45%. Of 185 patients who received antibiotics, the most common indication was community acquired infection (55%) and 36% had no documentation of the reasons for prescribing antibiotics. Almost 75% of the antibiotics were administered parenterally, with only 2% switching to oral route. Microbiological tests were performed in only 9 (5%) patients out of 185 and results were available for only one patient. Of all participants, 52% received two or more antibiotic in combination, with the combination ceftriaxone-metronidazole being most frequently prescribed, followed by the combination of ampicillin, cloxacillin, and gentamicin. For individual antibiotics, ceftriaxone was the most frequently prescribed antibiotic accounting for 28% (79/283), followed by metronidazole (24%) and amoxicillin-clavulanic acid (11%). Conclusion The findings of a high prevalence of antibiotic use, inadequate use of bacterial culture, and frequent empiric antibiotic treatment suggests the need for strengthening diagnostic and antimicrobial stewardship programs. Furthermore, this study has identified areas for quality improvement, including education programs focusing on prescription practice.

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Assessing the therapeutic efficacy of Cefoperazone Sodium and Sulbactam Sodium in managing surgical site infections: a retrospective analysis

Zhai,

Wang

2024

Sci Rep

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Antibiotic point prevalence survey at a tertiary healthcare hospital in India: Identifying strategies to improve the antibiotic stewardship program immediately after a COVID-19 wave

Cited by 7 publications

References 36 publications

A systematic synthesis of expert opinion on effective policies to tackle bacterial resistance worldwide

A systematic synthesis of expert opinion on effective policies to tackle bacterial resistance worldwide

Antibiotic use at a tertiary hospital in Tanzania: findings from a point prevalence survey

Assessing the therapeutic efficacy of Cefoperazone Sodium and Sulbactam Sodium in managing surgical site infections: a retrospective analysis

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