Serial Point‐Prevalence Studies to Investigate Hospital Antimicrobial Prescribing

摘要: Aim To investigate antimicrobial prescribing patterns using a validated point-prevalence approach and to identify intervention targets optimise use. Method 3 prospective studies were conducted over 4-day periods in April 2005, September 2005 2006 at tertiary hospital previously published method. Clinical pharmacists used standardised data collection form on an allocated day record details of all patients who prescribed systemic antimicrobials (antivirals, antifungals, antibacterials) the total number seen. The appropriateness IV route was assessed pre-defined criteria. Results Over 3 study 1515 drug charts reviewed. Of these, 508 (34%) 832 courses. mean patient age 67.5 (SD 32.3) years 55% males. Treatment accounted for 730 (88%) courses prophylaxis 102 (12%). most frequently ceftriaxone (9.7%) amoxycillin/clavulanate (7.5%). commonly classes penicillins (26%) cephalosporins (20%). 342 (41%) restricted 85% these had appropriate approval. 478 (58%) given with clinical identifying that 2.9% could have been orally. Conclusion Serial proved be effective tool examining baseline use. This efficient reproducible would other hospitals use as component their usage monitoring.