Feasibility study of prospective audit, intervention and feedback as an antimicrobial stewardship strategy at the Lagos University Teaching Hospital
| Autor: | Alero Ann Roberts, Iretiolu Fajolu, Philip Oshun, Chioma Osuagwu, Opeyemi Awofeso, Edamisan Temiye, O Oyin Oduyebo |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: | |
| Zdroj: | Nigerian Postgraduate Medical Journal, Vol 27, Iss 1, Pp 54-58 (2020) |
| Druh dokumentu: | article |
| ISSN: | 1117-1936 2468-6875 |
| DOI: | 10.4103/npmj.npmj_115_19 |
| Popis: | Background: Antimicrobial resistance, a global problem, is mostly a consequence of misuse or overuse of antimicrobials. This study sought to audit the compliance to hospital antimicrobial policy and determine the ability of medical students to carry out audits. Methodology: This was a retrospective study to determine compliance with departmental policies in the preceding 2 months in the Children's Emergency Room (ChER) using a checklist. The primary outcome was to determine the rational use of antibiotics. The secondary outcomes were to determine whether the de-escalation of antibiotic, change from intravenous to oral or change in prescriptions were performed in line with culture results based on the departmental policy. Results: The records of 450 children who attended ChER of Lagos University Teaching Hospital in January and February 2018 were retrieved for this study, of which 279 (62.0%) were prescribed antimicrobials. A suspected or confirmed diagnosis of infection was made in 214 (76.6%) of the patients, significantly highest in the infant age group (P = 0.03). Cultures were taken from 94 patients (33.7%), and although not statistically significant, cultures were mostly taken from neonatal patients aged |
| Databáze: | Directory of Open Access Journals |
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