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From intermittent antibiotic point prevalence surveys to quality improvement: experience in Scottish hospitals

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Author(s): Malcolm William | Nathwani Dilip | Davey Peter | Cromwell Tracey | Patton Andrea | Reilly Jacqueline | Cairns Shona | Bennie Marion

Journal: Antimicrobial Resistance and Infection Control
ISSN 2047-2994

Volume: 2;
Issue: 1;
Start page: 3;
Date: 2013;
Original page

Keywords: Antimicrobial stewardship | Quality improvement | Prescribing indicators | Point prevalence survey | Antibiotic | Hospital prescribing | Surgical prophylaxis

ABSTRACT
Abstract Background In 2008, the Scottish Antimicrobial Prescribing Group (SAPG) was established to coordinate a national antimicrobial stewardship programme. In 2009 SAPG led participation in a European point prevalence survey (PPS) of hospital antibiotic use. We describe how SAPG used this baseline PPS as the foundation for implementation of measures for improvement in antibiotic prescribing. Methods In 2009 data for the baseline PPS were collected in accordance with the European Surveillance of Antimicrobial Consumption [ESAC] protocol. This informed the development of two quality prescribing indicators: compliance with antibiotic policy in acute admission units and duration of surgical prophylaxis. From December 2009 clinicians collected these data on a monthly basis. The prescribing indicators were reviewed and further modified in March 2011. Data for the follow up PPS in September 2011 were collected as part of a national PPS of healthcare associated infection and antimicrobial use developed using ECDC protocols. Results In the baseline PPS data were collected in 22 (56%) acute hospitals. The frequency of recording the reason for treatment in medical notes was similar in Scotland (75.9%) and Europe (75.7%). Compliance with policy (81.0%) was also similar to Europe (82.5%) but duration of surgical prophylaxis
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