TITLE

Encouraging good antimicrobial prescribing practice: A review of antibiotic prescribing policies used in the South East Region of England

AUTHOR(S)
Wiffen, Philip J.; White, Richard T. Mayon
PUB. DATE
January 2001
SOURCE
BMC Public Health;2001, Vol. 1 Issue 1, p4
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Good prescribing practice has an important part to play in the fight against antimicrobial resistance. Whilst it was perceived that most hospitals and Health Authorities possessed an antibiotic policy, a review of antibiotic policies was conducted to gain an understanding of the extent, quality and usefulness of these policies. Methods: Letters were sent to pharmacists in hospitals and health authorities in across the South East region of the National Health Service Executive (NHSE) requesting antibiotic policies. data were extracted from the policies to assess four areas; antibiotic specific, condition specific, patient specific issues and underpinning evidence. Results: Of a possible 41 hospital trusts and 14 health authorities, 33 trusts and 9 health authorities (HAs) provided policies. Both trust and HA policies had a median publication date of 1998 (trust range 1993-99, HA 1994-99). Eleven policies were undated. The majority of policies had no supporting references for the statements made. All policies provided some details on specific antibiotics. Gentamicin and ciprofloxacin were the preferred aminoglycoside and quinolone respectively with cephalosporins being represented by cefuroxime or cefotaxime in trusts and cephradine or cephalexin in HAs. 26 trusts provided advice on surgical prophylaxis, 17 had meningococcal prophylaxis policies and 11 covered methicillin resistant Staphylococcus aureus (MRSA). There was little information for certain groups such as neonates or children, the pregnant or the elderly. Conclusion: There was considerable variation in content and quality across policies, a clear lack of an evidence base and a need to revise policies in line with current recommendations.
ACCESSION #
29336444

 

Related Articles

  • Developing the first national antimicrobial prescribing and stewardship competences. Ashiru-Oredope, D.; Cookson, B.; Fry, C. // Journal of Antimicrobial Chemotherapy (JAC);Nov2014, Vol. 69 Issue 11, p2886 

    Antimicrobial resistance is a national and worldwide threat to the future of healthcare. Educating both healthcare staff and the public in the prudent use of antimicrobials is an essential part of antimicrobial stewardship programmes that aim to contain and control resistance and preserve the...

  • Response to antimicrobial prescribing survey exceeds expectations.  // Veterinary Record: Journal of the British Veterinary Association;5/16/2012, Vol. 170 Issue 20, p504 

    The article reports on the 3017 veterinarians from 25 countries, who responded on the antimicrobial prescribing habits of European vets survey founded by the Heads of Medicines Agencies (HMA) and the Federation of Veterinarians of Europe (FVE) which had exceeded their expectations.

  • Adherence to antimicrobial guidelines varied by hospital site.  // Infectious Disease News;Oct2013, Vol. 26 Issue 10, p6 

    The article discusses a study by D. J. Williams et al. which found that adherence to guidelines in antimicrobial prescribing for children varied by hospital site, presented at ID Week 2013 held in San Francisco, California.

  • Antibiotic therapeutic interchange program: Six years of experience. Frighetto, Lucian; Nickoloff, Donna // Hospital Formulary;Feb95, Vol. 30 Issue 2, p92 

    Reports on the study of the long-term impact of a therapeutic interchange program on use of target antimicrobial drugs in Canada. Drug utilization; Incidence of therapeutic interchanges; Patient-target drug exposures; Prescriber acceptance; Lower manpower requirements.

  • India needs an implementable antibiotic policy. Kapil, A. // Indian Journal of Medical Microbiology;Apr2013, Vol. 31 Issue 2, p111 

    In this article, the author focuses on the need to develop an antibiotic policy in India. According to the author, the lack of laboratory infrastructure and inappropriate collection of national data on antimicrobial resistance are causing challenges on the development of the antimicrobial...

  • Physicians are prescribing fewer antibiotics for children.  // Contemporary Pediatrics;Sep2002, Vol. 19 Issue 9, p134 

    Presents the results of an analysis of the National Ambulatory Medical Care Survey data from 1989 through 2000 which assessed the trend in prescribing of antimicrobials for children and adolescents younger than 15 years. Types of prescribing rates used; Number of U.S. office-based physicians...

  • Antimicrobial resistance in Canada. Conly, John // CMAJ: Canadian Medical Association Journal;10/15/2002, Vol. 167 Issue 8, p885 

    Antibiotic resistance has increased rapidly during the last decade, creating a serious threat to the treatment of infectious diseases. Canada is no exception to this worldwide phenomenon. Data from the Canadian Nosocomial Infection Surveillance Program have revealed that the incidence of...

  • Exploring parents' views on antibiotic prescribing. Brown, Steve // Pulse;7/19/2004, Vol. 64 Issue 29, p38 

    Explores parents' views on antibiotic prescribing. Examination whether to prescribe antibiotic or not; Pressures to reduce inappropriate antibiotic prescribing; Management plans.

  • Reducing inappropriate antimicrobial use in EDs possible but challenging. Traynor, Kate // American Journal of Health-System Pharmacy;8/1/2007, Vol. 64 Issue 15, p1564 

    The article reports on the progress of the study under the Improving Antibiotic Use in Acute Care Treatment (IMPAACT) project in the U.S. IMPAACT's principal investigator Ralph Gonzalez gives an overview of the project, which was intended to reduce the inappropriate prescribing of antimicrobials...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics