Duo-shuang Xie1, Li-li Xiang2, Rui Li2, Qiao Hu2, Qing-qin Luo2, Wei Xiong3. 1. Department of Infection Control, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, PR China; Centre of Health Administration and Development Study, Hubei University of Medicine, Shiyan 442000, PR China. Electronic address: xieds8@163.com. 2. Department of Infection Control, Taihe Hospital, Hubei University of Medicine, Shiyan 442000, PR China. 3. Department of Infection Control, Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan 430030, PR China. Electronic address: tjxw2012@163.com.
Abstract
BACKGROUND: The use of antibiotics is considered a major determinant of the development of resistance in organisms. This study assessed current patterns of antibiotic prescription and provides background for quality improvement in general hospitals in Hubei, China. METHODS: A point-prevalence study was performed in November 2008. All inpatients on the day of the survey were included in the analysis. RESULTS: On the day of the study, 6904 patients (56%) were receiving antibiotic therapy; the highest rate occurred in the ICU (90%), and the lowest occurred in the medical wards (39%). The most commonly used antibiotics were β-lactam antibiotics, including cephalosporins (40%) and piperacillin (19%), followed by fluoroquinolones (14%). CONCLUSIONS: Our data indicated a high rate of antibiotic use in Chinese hospitals. These findings suggest important areas for intervention and the implementation of antibiotic stewardship policies in Chinese hospitals. A multi-faceted strategy should be implemented at the national level in China and should include education, regulation, and greater financial support from the government.
BACKGROUND: The use of antibiotics is considered a major determinant of the development of resistance in organisms. This study assessed current patterns of antibiotic prescription and provides background for quality improvement in general hospitals in Hubei, China. METHODS: A point-prevalence study was performed in November 2008. All inpatients on the day of the survey were included in the analysis. RESULTS: On the day of the study, 6904 patients (56%) were receiving antibiotic therapy; the highest rate occurred in the ICU (90%), and the lowest occurred in the medical wards (39%). The most commonly used antibiotics were β-lactam antibiotics, including cephalosporins (40%) and piperacillin (19%), followed by fluoroquinolones (14%). CONCLUSIONS: Our data indicated a high rate of antibiotic use in Chinese hospitals. These findings suggest important areas for intervention and the implementation of antibiotic stewardship policies in Chinese hospitals. A multi-faceted strategy should be implemented at the national level in China and should include education, regulation, and greater financial support from the government.
Authors: Tianchen Sheng; Gaya B Wijayaratne; Thushani M Dabrera; Richard J Drew; Ajith Nagahawatte; Champica K Bodinayake; Ruvini Kurukulasooriya; Truls Østbye; Kristin J Nagaro; Cherin De Silva; Hasini Ranawakaarachchi; A T Sudarshana; Deverick J Anderson; Christopher W Woods; L Gayani Tillekeratne Journal: Infect Control Hosp Epidemiol Date: 2018-12-07 Impact factor: 3.254
Authors: Geoffrey Taylor; Denise Gravel; Lynora Saxinger; Kathryn Bush; Kimberley Simmonds; Anne Matlow; Joanne Embree; Nicole Le Saux; Lynn Johnston; Kathryn N Suh; John Embil; Elizabeth Henderson; Michael John; Virginia Roth; Alice Wong Journal: Can J Infect Dis Med Microbiol Date: 2015 Mar-Apr Impact factor: 2.471