Point Prevalence Of Empirical Antibiotics Usage In Adult Medical Intensive Care: A Study Of Antibiotic Compliance
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Date
2019-10
Journal Title
Journal ISSN
Volume Title
Publisher
Bimonthly published online Journal
Abstract
Antibiotics are an indispensable part of modern medicine. However, as with all drugs,antibiotics may have adverse effects and medication errors can occur in prescribing. Another untowardeffect of antibiotics is the selection of antibiotic-resistant bacteria. A clear relationship has been foundbetween the percentage of resistant strains and antimicrobial use. In addition, only around 60 % ofempirically started antibiotics are considered appropriate. Finding a balance between adequateantibiotic use for the individual patient, avoidance of selection of antibiotic resistance, and medicationerrors is the key role of antibiotic stewardship teams. ASTs have been shown to increase appropriateempirical antibiotic therapy and reduce medical errors and costs. In this study, a total of 124 cases werestudied, On the first day of survey, a total of 29 patients were prescribed with antimicrobials, out ofwhich 37.93% patients were prescribed with empiric antimicrobial therapy whereas on the second dayof survey, a total of 31 patients were prescribed with antimicrobials among which 67.74% patients weregiven empiric antimicrobial therapy. On the third day of survey, 29 patients were given antimicrobials,in which a percentage of 86.21% patients were on empirical antimicrobials. By the time of fourth day ofsurvey, the number of patients being prescribed with antimicrobials was 35, out of which 80.00%patients were given empirical therapy of antimicrobials. The empirical antimicrobial usage in adultintensive unit areas was high on an average (67.97%); whilst the use of definitive therapy was low andantimicrobials were prescribed majorly for prophylaxis (53.22%). Also, majority of the antimicrobialsbeing prescribed in the intensive care areas were in compliance with the local antimicrobial policy ofthe hospital (average compliance rate was 80.20%).
Description
Keywords
AST, Antimicrobial stewardship, Antibiotic, Compliance
Citation
Teli Avinash, Denod Akshi, Kumar Pawan, Ahmad Azaz, Kumar Hemant. Point Prevalence Of Empirical Antibiotics Usage In Adult Medical Intensive Care: A Study Of Antibiotic Compliance. International Journal of Pharmaceutical Research and Bioscience (IJPRBS). 2019 Oct; 8(5): 1-12