David N Johnston1, Fatemeh Keshtkar2, William Campbell2. 1. Department of Surgery, Northern HSC Trust, Causeway Hospital, 4 Newbridge Road, Coleraine, BT52 1HS, Northern Ireland. davidnjohnston1@gmail.com. 2. Department of Surgery, Northern HSC Trust, Causeway Hospital, 4 Newbridge Road, Coleraine, BT52 1HS, Northern Ireland.
Abstract
BACKGROUND: Antimicrobial resistance is a growing global problem. There has been increasing emphasis on promoting antimicrobial stewardship. Accurate completion of antibiotic prescriptions, such as documentation of clinical indication and a stop/review date, helps promote antimicrobial stewardship. AIMS: To investigate the impact of educational interventions on the completeness of antibiotic prescriptions at Causeway Hospital surgical unit. METHODS: Inpatient drug prescription charts were audited to monitor the completeness of antibiotic prescriptions on the surgical unit. Two educational interventions were implemented, with a subsequent prospective re-audit carried out. RESULTS: The completion of (1) "Stop date/Review date", (2) "What infection are you treating?", (3) "Cultures sent?", (4) "Printed name", (5) "Professional number", and (6) "Bleep number" fields within the inpatient drug charts increased noticeably in the re-audit. A paired t test, comparing all of the initial audit completion proportions with the re-audit completion proportions, demonstrated a statistically significant improvement (p < 0.05). CONCLUSIONS: Educational interventions led to an improvement in the completeness of antibiotic prescriptions. This highlights the important role that continued audit and education play in the promotion of antimicrobial stewardship.
BACKGROUND: Antimicrobial resistance is a growing global problem. There has been increasing emphasis on promoting antimicrobial stewardship. Accurate completion of antibiotic prescriptions, such as documentation of clinical indication and a stop/review date, helps promote antimicrobial stewardship. AIMS: To investigate the impact of educational interventions on the completeness of antibiotic prescriptions at Causeway Hospital surgical unit. METHODS: Inpatient drug prescription charts were audited to monitor the completeness of antibiotic prescriptions on the surgical unit. Two educational interventions were implemented, with a subsequent prospective re-audit carried out. RESULTS: The completion of (1) "Stop date/Review date", (2) "What infection are you treating?", (3) "Cultures sent?", (4) "Printed name", (5) "Professional number", and (6) "Bleep number" fields within the inpatient drug charts increased noticeably in the re-audit. A paired t test, comparing all of the initial audit completion proportions with the re-audit completion proportions, demonstrated a statistically significant improvement (p < 0.05). CONCLUSIONS: Educational interventions led to an improvement in the completeness of antibiotic prescriptions. This highlights the important role that continued audit and education play in the promotion of antimicrobial stewardship.
Authors: D Ashiru-Oredope; E L Budd; A Bhattacharya; N Din; C A M McNulty; C Micallef; D Ladenheim; E Beech; S Murdan; S Hopkins Journal: J Antimicrob Chemother Date: 2016-02-10 Impact factor: 5.790
Authors: Peter Davey; Charis A Marwick; Claire L Scott; Esmita Charani; Kirsty McNeil; Erwin Brown; Ian M Gould; Craig R Ramsay; Susan Michie Journal: Cochrane Database Syst Rev Date: 2017-02-09
Authors: Massimo Sartelli; Francesco M Labricciosa; Pamela Barbadoro; Leonardo Pagani; Luca Ansaloni; Adrian J Brink; Jean Carlet; Ashish Khanna; Alain Chichom-Mefire; Federico Coccolini; Salomone Di Saverio; Addison K May; Pierluigi Viale; Richard R Watkins; Luigia Scudeller; Lilian M Abbo; Fikri M Abu-Zidan; Abdulrashid K Adesunkanmi; Sara Al-Dahir; Majdi N Al-Hasan; Halil Alis; Carlos Alves; André R Araujo da Silva; Goran Augustin; Miklosh Bala; Philip S Barie; Marcelo A Beltrán; Aneel Bhangu; Belefquih Bouchra; Stephen M Brecher; Miguel A Caínzos; Adrian Camacho-Ortiz; Marco Catani; Sujith J Chandy; Asri Che Jusoh; Jill R Cherry-Bukowiec; Osvaldo Chiara; Elif Colak; Oliver A Cornely; Yunfeng Cui; Zaza Demetrashvili; Belinda De Simone; Jan J De Waele; Sameer Dhingra; Francesco Di Marzo; Agron Dogjani; Gereltuya Dorj; Laurent Dortet; Therese M Duane; Mutasim M Elmangory; Mushira A Enani; Paula Ferrada; J Esteban Foianini; Mahir Gachabayov; Chinmay Gandhi; Wagih Mommtaz Ghnnam; Helen Giamarellou; Georgios Gkiokas; Harumi Gomi; Tatjana Goranovic; Ewen A Griffiths; Rosio I Guerra Gronerth; Julio C Haidamus Monteiro; Timothy C Hardcastle; Andreas Hecker; Adrien M Hodonou; Orestis Ioannidis; Arda Isik; Katia A Iskandar; Hossein S Kafil; Souha S Kanj; Lewis J Kaplan; Garima Kapoor; Aleksandar R Karamarkovic; Jakub Kenig; Ivan Kerschaever; Faryal Khamis; Vladimir Khokha; Ronald Kiguba; Hong B Kim; Wen-Chien Ko; Kaoru Koike; Iryna Kozlovska; Anand Kumar; Leonel Lagunes; Rifat Latifi; Jae G Lee; Young R Lee; Ari Leppäniemi; Yousheng Li; Stephen Y Liang; Warren Lowman; Gustavo M Machain; Marc Maegele; Piotr Major; Sydney Malama; Ramiro Manzano-Nunez; Athanasios Marinis; Isidro Martinez Casas; Sanjay Marwah; Emilio Maseda; Michael E McFarlane; Ziad Memish; Dominik Mertz; Cristian Mesina; Shyam K Mishra; Ernest E Moore; Akutu Munyika; Eleftherios Mylonakis; Lena Napolitano; Ionut Negoi; Milica D Nestorovic; David P Nicolau; Abdelkarim H Omari; Carlos A Ordonez; José-Artur Paiva; Narayan D Pant; Jose G Parreira; Michal Pędziwiatr; Bruno M Pereira; Alfredo Ponce-de-Leon; Garyphallia Poulakou; Jacobus Preller; Céline Pulcini; Guntars Pupelis; Martha Quiodettis; Timothy M Rawson; Tarcisio Reis; Miran Rems; Sandro Rizoli; Jason Roberts; Nuno Rocha Pereira; Jesús Rodríguez-Baño; Boris Sakakushev; James Sanders; Natalia Santos; Norio Sato; Robert G Sawyer; Sandro Scarpelini; Loredana Scoccia; Nusrat Shafiq; Vishalkumar Shelat; Costi D Sifri; Boonying Siribumrungwong; Kjetil Søreide; Rodolfo Soto; Hamilton P de Souza; Peep Talving; Ngo Tat Trung; Jeffrey M Tessier; Mario Tumbarello; Jan Ulrych; Selman Uranues; Harry Van Goor; Andras Vereczkei; Florian Wagenlehner; Yonghong Xiao; Kuo-Ching Yuan; Agnes Wechsler-Fördös; Jean-Ralph Zahar; Tanya L Zakrison; Brian Zuckerbraun; Wietse P Zuidema; Fausto Catena Journal: World J Emerg Surg Date: 2017-08-01 Impact factor: 5.469