Point-prevalence study of inappropriate antibiotic use at a tertiary Australian hospital

A point‐prevalence study at a tertiary Australian hospital found 199 of 462 inpatients (43%) to be receiving antibiotic therapy. Forty‐seven per cent of antibiotic use was discordant with guidelines or microbiological results and hence considered inappropriate. Risk factors for inappropriate antibio...

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Bibliographic Details
Published in:Internal medicine journal 2012-06, Vol.42 (6), p.719-721
Main Authors: Ingram, P. R., Seet, J. M., Budgeon, C. A., Murray, R.
Format: Article
Language:English
Subjects:
Anti-Bacterial Agents - therapeutic use
antibiotic
Australia
Creatinine - blood
Humans
inappropriate
Inappropriate Prescribing
Multivariate Analysis
Practice Patterns, Physicians' - statistics & numerical data
prevalence
Risk Factors
Western Australia
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Summary:A point‐prevalence study at a tertiary Australian hospital found 199 of 462 inpatients (43%) to be receiving antibiotic therapy. Forty‐seven per cent of antibiotic use was discordant with guidelines or microbiological results and hence considered inappropriate. Risk factors for inappropriate antibiotic prescribing included bone/joint infections, the absence of infection, creatinine level >120 µmol/L, carbapenem or macrolide use and being under the care of the aged care/rehabilitation team. In the setting of finite antimicrobial stewardship resources, identification of local determinants for inappropriate antibiotic use may enable more targeted interventions.
ISSN:1444-0903
1445-5994
DOI:10.1111/j.1445-5994.2012.02809.x