Literature DB >> 33479083

A quality improvement project on adherence to antibiotic policy in acute admissions from a tertiary care hospital in south India.

Roshni Pillay1, Balram Rathish2, Arun Wilson1, Anup Warrier1, Geetha Mary Philips1.   

Abstract

The indiscriminate use of antibiotics in clinical practice may be an independent risk factor for the development of antimicrobial resistance. To combat this, our hospital implemented a hospital antibiotic policy which outlines the appropriate antibiotic to be used in an acute admission, based on a continuously updated local antibiogram. However, we felt that compliance with the policy was poor and hence carried out a quality improvement project (QIP) to assess and increase compliance. We show that a simple QIP model combined with the use of a mobile application can serve to improve compliance even in a low-resource setting with minimum infrastructure. This model could be easily extrapolated into similar settings. © Royal College of Physicians 2021. All rights reserved.

Keywords:  antibiogram; antibiotic policy; compliance; mobile application; quality improvement

Mesh:

Substances:

Year:  2021        PMID: 33479083      PMCID: PMC7850179          DOI: 10.7861/clinmed.2020-0253

Source DB:  PubMed          Journal:  Clin Med (Lond)        ISSN: 1470-2118            Impact factor:   2.659


  4 in total

1.  The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

Authors:  Mervyn Singer; Clifford S Deutschman; Christopher Warren Seymour; Manu Shankar-Hari; Djillali Annane; Michael Bauer; Rinaldo Bellomo; Gordon R Bernard; Jean-Daniel Chiche; Craig M Coopersmith; Richard S Hotchkiss; Mitchell M Levy; John C Marshall; Greg S Martin; Steven M Opal; Gordon D Rubenfeld; Tom van der Poll; Jean-Louis Vincent; Derek C Angus
Journal:  JAMA       Date:  2016-02-23       Impact factor: 56.272

2.  One Health approach to tackle antimicrobial resistance in South East Asia.

Authors: 
Journal:  BMJ       Date:  2017-09-05

3.  Effect of adding a mobile health intervention to a multimodal antimicrobial stewardship programme across three teaching hospitals: an interrupted time series study.

Authors:  E Charani; M Gharbi; L S P Moore; E Castro-Sanchéz; W Lawson; M Gilchrist; A H Holmes
Journal:  J Antimicrob Chemother       Date:  2017-06-01       Impact factor: 5.790

4.  Impact of a smartphone app on prescriber adherence to antibiotic guidelines in adult patients with community acquired pneumonia or urinary tract infections.

Authors:  Chang Ho Yoon; Stephen R Ritchie; Eamon J Duffy; Mark G Thomas; Stephen McBride; Kerry Read; Rachel Chen; Gayl Humphrey
Journal:  PLoS One       Date:  2019-01-29       Impact factor: 3.240

  4 in total

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