Point prevalence survey of antibiotic use in Scottish hospitals utilising the Glasgow Antimicrobial Audit Tool (GAAT)

Seaton, R Andrew; Nathwani, Dilip; Burton, Paul; McLaughlin, Cory; Mackenzie, A. Ranald; Dundas, Stephanie; Ziglam, Hisham; Gourlay, Y.; Beard, Keith; Douglas, Elaine

doi:10.1016/j.ijantimicag.2006.10.020

Cited by 70 publications

(77 citation statements)

References 15 publications

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“…This was based on a small previous Scottish study [6] and data from participating M a n u s c r i p t This report confirmed areas of poor practice. Less than 60% of prescribers complied with local policy, in nearly one-quarter of medical records no indication was written in the notes, and nearly one-third of patients were given surgical prophylaxis for >24 h (see Table 2).…”

Section: Antimicrobial Usesupporting

confidence: 56%

“…However, whilst local hospitals were able to collect some information in relation to the quantity and quality of antibiotic prescribing, there was no robust national validated system for measuring this. A single point-prevalence survey of antimicrobial prescribing was also performed in 10 Scottish hospitals using the Glasgow Antimicrobial Audit Tool (GAAT) [6] to give more qualitative information about the quality of prescribing within a representative sample of acute Scottish hospitals. Results from this study showed that of 3826 patients surveyed, 1079 (28.2%) received an antibiotic, 381 (35.3%) intravenously; 197 patients (28.2%) treated orally had prior intravenous therapy.…”

Section: The Scottish Contextmentioning

confidence: 99%

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Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme

Nathwani

Sneddon²,

Malcolm

et al. 2011

International Journal of Antimicrobial Agents

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Section: Antimicrobial Usesupporting

confidence: 56%

Section: The Scottish Contextmentioning

confidence: 99%

Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme

Nathwani

Sneddon²,

Malcolm

et al. 2011

International Journal of Antimicrobial Agents

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“…antibiotic therapy, amounting to 16% of all i.v. antibiotic-treated patients in hospital [2]. The duration of i.v.…”

Section: Introductionmentioning

confidence: 99%

Factors associated with outcome and duration of therapy in outpatient parenteral antibiotic therapy (OPAT) patients with skin and soft-tissue infections

Seaton¹,

Sharp²,

Bezlyak³

et al. 2011

International Journal of Antimicrobial Agents

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. Factors associated with outcome and duration of therapy in outpatient parenteral antibiotic therapy (OPAT) patients with skin and softtissue infections. International Journal of Antimicrobial Agents, Elsevier, 2011, 38 (3) This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. SSTIs were observed; 84% were treated with daily ceftriaxone and 15% with teicoplanin (three daily loading doses then three times per week). Progression of infection was observed in 2.8% of cases, inpatient management was required in 6% and significant adverse events occurred in 7.1%. Overall OPAT success was 87.1%.Female sex, diabetes and treatment with teicoplanin were independently associated with OPAT failure. A significant reduction in duration of OPAT therapy was observed over time. A longer duration of intravenous therapy was associated with meticillinresistant Staphylococcus aureus (MRSA), older age, vascular disease, a diagnosis of bursitis, and treatment with teicoplanin. Non-inpatient referrals, management via a nurse-led patient group direction, and treatment with ceftriaxone were associated with reduced duration of OPAT. For selected patients with SSTIs, OPAT was generally safe and effective, but specific patient groups were identified with more complex management pathways and poorer outcomes.

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“…Point prevalence surveys have been used internationally to characterize the use of antibiotics within and across institutions [3][4][5][6][7][8][9]. This type of audit is useful to identify changes in prescribing practices over time and differences in prescribing practices between institutions [3].…”

Section: Introductionmentioning

confidence: 99%

Point prevalence survey of antimicrobial utilization in oncology patients

Hammuda

Hayder

Elazzazy

et al. 2013

J Infect Dev Ctries

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Introduction: Point prevalence surveys have been used internationally to characterize the use of antimicrobial agents. The primary objective of this study was to determine prevalence of antimicrobial use in the oncology population in Qatar. Methodology: Data was collected from the National Center for Cancer Care and Research hospital over 3 separate days during a two week period. Adults admitted on the day of audit were included. Results: Prevalence of antimicrobial use during the audit was 43% (25/58). The most commonly prescribed class of antimicrobial agents was penicillin/Beta-lactamase inhibitor combinations 39.4% (13/33). Conclusions: Findings demonstrate frequent antimicrobial consumption of broad spectrum antimicrobial agents which highlights the importance of expanding antimicrobial stewardship programs in this population.

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Point prevalence survey of antibiotic use in Scottish hospitals utilising the Glasgow Antimicrobial Audit Tool (GAAT)

Cited by 70 publications

References 15 publications

Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme

Scottish Antimicrobial Prescribing Group (SAPG): development and impact of the Scottish National Antimicrobial Stewardship Programme

Factors associated with outcome and duration of therapy in outpatient parenteral antibiotic therapy (OPAT) patients with skin and soft-tissue infections

Point prevalence survey of antimicrobial utilization in oncology patients

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