Harkirat Singh Bhullar1, Farhan Ar Shaikh, R Deepak, Preetham Kumar Poddutoor, Dinesh Chirla. 1. Department of Pediatrics, Rainbow Childrens Hospital, Banjara Hills, Hyderabad, Andhra Pradesh, India. Correspondence to: Dr Preetham Kumar Poddutoor, Consultant Pediatrician, Rainbow Childrens Hospital, Vikrampuri Colony, Secunderabad 500 034, Hyderabad, Andhra Pradesh, India.
Abstract
OBJECTIVE: To study whether introduction of an antimicrobial justification form deters clinicians from prescribing restricted antimicrobials and results in de-escalation of these antimicrobials. METHODS: Clinicians were asked to fill a justification form if prescribing an antimicrobial from the pre-identified restricted group. Antimicrobial usage pattern over next year was compared with that in the one year preceding the introduction of justification form. RESULTS: Significant overall decrease in antimicrobial usage (40.5% vs 34.6%) was noted in the post-intervention group along with a significant increase in the de-escalation of antibiotics. CONCLUSION: Introduction of a justification form before prescribing antimicrobials or at the time of deferring de-escalation can be useful in restricting usage of antimicrobials.
OBJECTIVE: To study whether introduction of an antimicrobial justification form deters clinicians from prescribing restricted antimicrobials and results in de-escalation of these antimicrobials. METHODS: Clinicians were asked to fill a justification form if prescribing an antimicrobial from the pre-identified restricted group. Antimicrobial usage pattern over next year was compared with that in the one year preceding the introduction of justification form. RESULTS: Significant overall decrease in antimicrobial usage (40.5% vs 34.6%) was noted in the post-intervention group along with a significant increase in the de-escalation of antibiotics. CONCLUSION: Introduction of a justification form before prescribing antimicrobials or at the time of deferring de-escalation can be useful in restricting usage of antimicrobials.
Authors: Nitin B Mali; Siddharth P Deshpande; Milind S Tullu; Chandrahas T Deshmukh; Nithya J Gogtay; Urmila M Thatte Journal: Indian J Crit Care Med Date: 2018-06