Point prevalence survey on antibiotic use in a Croatian Infectious Disease Hospital

Pristaš, Irina; Baršić, Bruno; Butić, Iva; Zarb, Peter; Goossens, Herman; Andrašević, Arjana Tambić

doi:10.1179/1973947812y.0000000065

Cited by 6 publications

(3 citation statements)

References 30 publications

(40 reference statements)

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“…Likewise, ceftriaxone or other broad spectrum cephalosporins have been cited as the most frequently used antibiotics in several other studies (15)(16)(17)(18). Extensive use of the third generation cephalosporins has led to the emergence of extended beta-lactamase-(ESBL) producing 4 Arch Pediatr Infect Dis.…”

Section: Discussionmentioning

confidence: 99%

“…Overuse of injections leads to numerous adverse effects, including needle stick injuries and transmission of blood-borne infections (12-14). A point prevalence survey on antibiotic use in Croatia reported an antibiotic prescription rate of 58.8% of hospitalized patients with more than 30% receiving the drug in the oral form (15). A high rate of the parenteral antibiotic therapy was also reported from a pilot study conducted by A critical evaluation of antibiotic use in a Turkish University hospital reported a rational antibiotic usage in 77% of their patients with a figure of 1.8 antibiotics/patient, and unnecessary usage in 23%; their rate of antibiotic usage and their figures about needless prescriptions were compared broadly with ours (7).…”

Section: Discussionmentioning

confidence: 99%

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Pattern of Antibiotic Usage in Children Hospitalized for Common Infectious Diseases

Shiva

Ghanaie

Shirvani

et al. 2017

Arch Pediatr Infect Dis

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Background: Antibiotic misuse is a major cause of antimicrobial resistance. Objectives: The present study aimed at determining the pattern of antibiotic usage in previously healthy children hospitalized for common infectious diseases in a tertiary care children's hospital. Methods: This study was the second part of a previous study in which inpatient charts of children hospitalized from October 2013 to September 2014 were reviewed to determine the rationality of drug use. Data from the first study were analyzed to define the antibiotic usage pattern in urinary tract infection, acute meningitis, community acquired pneumonia, fever without a localized source and acute gastro-enteritis. The data were checked independently by two pediatric infectious disease specialists to assess the appropriateness of prescribed antibiotics and in case of disagreement, rechecked by a third member. Results: Hospital charts of 140 children were reviewed; 47 had been treated for urinary tract infection, 31 for pneumonia, 25 for acute meningitis, 24 for acute gastroenteritis and 13 for fever without a localized source. One-hundred and fourteen children (81.42%) received 208 prescriptions for antibiotics (1.82 antibiotics/patient). Nineteen different antibacterial drugs and 2 antivirals (acyclovir and oseltamivir) were prescribed. Most frequently prescribed antibiotic was ceftriaxone. More than 25% of prescriptions for antibiotics were needless. In 91.6% of the prescriptions the medications had been prescribed by generic names. Dosing errors were observed in less than 7% and patients received the medication for prolonged duration, 25.6% of times. Conclusions: Nonuniformity of antibiotic usage, a high rate of needless antibiotic prescriptions, and prolonged administration found in this study call for stringent antibiotic stewardship.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pattern of Antibiotic Usage in Children Hospitalized for Common Infectious Diseases

Shiva

Ghanaie

Shirvani

et al. 2017

Arch Pediatr Infect Dis

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“…Many modern studies have brought into sharp focus that the PPS analysis is a valid method of rationality assessment for antimicrobial therapy prescribing in each medical institution [13], [14], [15], [16], [17]. Several studies [18], [19], [20], [21] on applicability and benefits of the antimicrobial use prevalence points survey have shown its value within the range of European hospitals. In addition, the European supervision of antimicrobial consumption network methods have been adapted for the European Center for Disease Prevention for the use of antimicrobial agents in emergency hospitals [22] and determination the antibiotic resistance in the European children’s project which focuses on antimicrobial drugs for children and newborns worldwide [23], [24], [25].…”

Section: Introductionmentioning

confidence: 99%

The Point Prevalence Survey Research of Antibacterial Drugs’ Prescription for Outpatient Treatment of Urinary System Infections

Muldaeva¹,

Beisenayeva²,

Arystan³

et al. 2019

Open Access Maced J Med Sci

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BACKGROUND:Antibiotic resistance of microorganisms is the subject of numerous discussions and initiatives, it has a well-defined tendency to increase which is largely related to a big number of errors when prescribing antibacterial drugs at the outpatient stage of treatment and disease prevention, as well as a lack of information and data on the quantity and quality of antimicrobial therapy. One of the elements aimed at reducing antibiotic resistance growth is audit and analysis of application practice.AIM:To assess qualitative and quantitative characteristics for urinary tract infections treatment using antimicrobial drugs by general physicians at the outpatient level.MATERIALS AND METHODS:The Point Prevalence Survey (PPS) analysis of antimicrobial drugs prescription was conducted by general physicians of No. 1, 4, 5 Hospitals of Karaganda city. There was carried out a daily prospectively data collecting on antibacterial drugs prescription by Doctor of Medical institutions, which was performed during patients’ visit. For each person who was prescribed the AD, there was filled a special questionnaire developed by the European Center for Disease Prevention and Control, including passport data, data on disease and prescription of antibacterial drugs. There were considered 200 cases of antibiotic prescription. The study included patients of both sexes, all age groups, who were prescribed the antibiotic therapy for the UTI treatment.RESULTS:When selecting antimicrobial therapy, the Protocols for diagnosis and treatment indicate the need for a microbiological study to determine sensitivity to antibacterial drugs, that was not performed in 100% of cases, and initial treatment was empirically prescribed, namely, in 34% of cases there were used drugs from the cephalosporin group (Ceftriaxone), nitrofurans (Furazidin)-42%, fluoroquinolones (Levofloxacin)-24%. In treating acute cystitis, in most cases, alternative medications were prescribed, though according to current recommendations, first-line therapy includes fosfomycin trometamol, pivmecillins and nitrofurantoin macrocrystals, which according to the results of this study were not used at all.CONCLUSION:In most cases (71%), alternative antibacterial drugs were prescribed for initial treatment of urinary tract infections. In majority cases, the dosage regimen of antibacterial drugs, dosage frequency, treatment course did not meet current recommendations.

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Point prevalence survey of antibiotic use and healthcare-associated infections in acute care hospitals: a comprehensive report from the Marche Region of Italy

Barbadoro,

Dolcini,

Fortunato

et al. 2023

Journal of Hospital Infection

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Point prevalence survey on antibiotic use in a Croatian Infectious Disease Hospital

Cited by 6 publications

References 30 publications

Pattern of Antibiotic Usage in Children Hospitalized for Common Infectious Diseases

Pattern of Antibiotic Usage in Children Hospitalized for Common Infectious Diseases

The Point Prevalence Survey Research of Antibacterial Drugs’ Prescription for Outpatient Treatment of Urinary System Infections

Point prevalence survey of antibiotic use and healthcare-associated infections in acute care hospitals: a comprehensive report from the Marche Region of Italy

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