A point prevalence survey of antimicrobial utilisation patterns and quality indices amongst hospitals in South Africa; findings and implications
Skosana, PP and Schellack, N and Godman, B and Kurdi, A and Bennie, M and Kruger, D and Meyer, JC (2021) A point prevalence survey of antimicrobial utilisation patterns and quality indices amongst hospitals in South Africa; findings and implications. Expert Review of Anti-infective Therapy, 19 (10). pp. 1353-1366. ISSN 1744-8336 (https://doi.org/10.1080/14787210.2021.1898946)
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Abstract
Objectives: Antimicrobial use is growing, driven mainly by rising demands in developing countries. Knowing how antimicrobials are prescribed is important. Consequently, we undertook a point prevalence survey (PPS) quantifying antimicrobial consumption among 18 public sector hospitals across South Africa. Method: A purpose-built web-based application was used to collect PPS data. Results: Out of 4407 adult patients surveyed, 33.6% were treated with an antimicrobial. The most frequently prescribed groups were a combination of penicillins including β-lactamase inhibitors. Amoxicillin combined with an enzyme inhibitor accounted for 21.4% total DDDs. In the medical and surgical wards, Access antimicrobials (54.1%) were mostly used, while in the ICU, Watch antimicrobials (51.5%) were mostly used. Compliance with the South African Standard Treatment Guidelines and Essential Medicines List was 90.2%; however, concerns with extended use of antimicrobials for surgical prophylaxis (73.2% of patients). Conclusion: The web-based PPS tool was easy to use and successful in capturing PPS data since the results were comparable to other PPS studies across Africa. High use of amoxicillin combined with an enzyme inhibitor, possibly because it was among the broad-spectrum antimicrobials in the Access group. The findings will assist with future targets to improve antimicrobial prescribing among public sector hospitals in South Africa.
ORCID iDs
Skosana, PP, Schellack, N, Godman, B, Kurdi, A ORCID: https://orcid.org/0000-0001-5036-1988, Bennie, M ORCID: https://orcid.org/0000-0002-4046-629X, Kruger, D and Meyer, JC;-
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Item type: Article ID code: 75620 Dates: DateEvent25 September 2021Published2 May 2021Published Online2 March 2021AcceptedSubjects: Medicine > Pharmacy and materia medica Department: Faculty of Science > Strathclyde Institute of Pharmacy and Biomedical Sciences Depositing user: Pure Administrator Date deposited: 03 Mar 2021 14:01 Last modified: 15 Oct 2024 00:46 URI: https://strathprints.strath.ac.uk/id/eprint/75620