Topical antimicrobial prescribing patterns in residents of Australian aged-care facilities: use of a national point prevalence survey to identify opportunities for quality improvement
| Autor: | Noleen Bennett, Xin Fang, Leon J Worth, Kirsty Buising, Karin A Thursky, Ron Cheah, Robyn Ingram, Rodney James, Katherine Walker, Michael J. Malloy |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Quality management Epidemiology medicine.drug_class Antibiotics Inappropriate Prescribing Mupirocin 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Anti-Infective Agents Pro re nata Prevalence medicine Humans Antimicrobial stewardship 030212 general & internal medicine Aged care Medical prescription Aged 0303 health sciences 030306 microbiology business.industry Health Policy Australia Public Health Environmental and Occupational Health Antimicrobial Quality Improvement Anti-Bacterial Agents Infectious Diseases chemistry Family medicine business |
| Zdroj: | American Journal of Infection Control. 49:1113-1117 |
| ISSN: | 0196-6553 |
| Popis: | Background Australian residential aged care facilities (RACFs) are encouraged to participate in an annual Aged Care National Antimicrobial Prescribing Survey. This data source was analysed to describe patterns of topical antimicrobial prescribing and thereby provide insight into antimicrobial stewardship (AMS) changes that might be required. Methods 2018 and 2019 survey data was analysed. Results The overall prevalence of the 52,431 audited residents (629 facilities) who were prescribed 1 or more topical antimicrobials was 2.9%. Of all prescribed antimicrobials (n=4899), 33.0% were for topical application. Most frequently prescribed topical antifungals were clotrimazole (85.3%) and miconazole (9.1%), and antibacterials chloramphenicol (64.1%) and mupirocin (21.8%). Tinea (38.3%) and conjunctivitis (23.8%) were the 2 most common indications. Topical antimicrobials were sometimes prescribed for pro re nata administration (38.8%) and greater than 6 months (11.3%). The review or stop date was not always documented (38.7%). Conclusions To reduce the possibility of adverse consequences associated with antimicrobial use, antimicrobial stewardship programs in Australian residential aged care facilities should at least ensure mupirocin is appropriately used, first line antimicrobial therapy is prescribed for tinea, chloramphenicol is prescribed for conjunctivitis only if necessary, pro re nata orders for prescriptions are discouraged and to avoid prolonged duration of prescriptions, review or stop dates are always documented. |
| Databáze: | OpenAIRE |
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