Antimicrobial prescribing patterns of surgical speciality in a tertiary care hospital in India: Role of persuasive intervention for changing antibiotic prescription behaviour
| Autor: | Jaswinder Kaur Oberoi, Chand Wattal, Neeraj Goel, BK Rao, Shilpi Khanna |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Microbiology (medical) medicine.medical_specialty medicine.drug_class persuasive intervention 030106 microbiology Immunology Antibiotics Psychological intervention lcsh:QR1-502 India Antimicrobial stewardship Microbiology lcsh:Microbiology Tertiary Care Centers 03 medical and health sciences Antibiotic resistance Immunology and Microbiology (miscellaneous) Behavior Therapy Intervention (counseling) medicine Immunology and Allergy Humans Practice Patterns Physicians' General Immunology and Microbiology business.industry Health services research Antimicrobial Antibiotic prescription Drug Utilization Anti-Bacterial Agents Infectious Diseases Prescriptions surgical specialities Emergency medicine Health Services Research business Surgery Department Hospital |
| Zdroj: | Indian Journal of Medical Microbiology, Vol 35, Iss 3, Pp 369-375 (2017) |
| ISSN: | 1998-3646 0255-0857 |
| Popis: | Background: Inappropriate use of antibiotics globally has been linked to increase in antibiotic resistance. Objectives: This interventional study assessed the impact of antibiotic prescription feedback and focus group discussions (FGD) on hospital-based prescribers before and after the FGD. Study Design: The present study was performed at a tertiary care centre in New Delhi, wherein 45 units from surgical specialities were included for FGD. Thirty-five units were assessed for the antibiotic usage during 12 months pre-intervention and 3 and 6 months post-intervention period. The outcome measured was a change in antibiotic prescription rates reflected as daily defined doses per 100 bed days as defined by the World Health Organisation. Results: Reduction in the level of antibiotic consumption was observed in 15 of 35 units (42.85%) during the 3 months post-intervention period, which was significant (P < 0.05) in 3/35 (8.57%) surgical units. A significant reduction (P < 0.05) was observed for the units of endoscopic gynaecology, super-speciality and transplant surgery units B and C, and orthopaedic unit C during the 6 months period. Decreasing trend (P < 0.05) was observed in 2/35 (5.71%) units during the entire period. Overall reduction of antibiotic consumption (1.88%) was observed, with an increase in the use of low-end antibiotics and a decrease in the use of high-end antibiotics. Conclusion: The present study clearly demonstrates a weak impact of FGD in changing antibiotic prescribing behaviour. Further analysis of the sustainability of FGD and its long-term impact on antimicrobial resistance needs to be evaluated. The effect of continuous educational sessions and multifaceted interventions cannot be ignored. |
| Databáze: | OpenAIRE |
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