Gharbi, M;
Doerholt, K;
Vergnano, S;
Bielicki, JA;
Paulus, S;
Menson, E;
Riordan, A;
Lyall, H;
Patel, SV;
Bernatoniene, J;
et al.
Gharbi, M; Doerholt, K; Vergnano, S; Bielicki, JA; Paulus, S; Menson, E; Riordan, A; Lyall, H; Patel, SV; Bernatoniene, J; Versporten, A; Heginbothom, M; Goossens, H; Sharland, M; ARPEC project Group members
(2016)
Using a simple point-prevalence survey to define appropriate antibiotic prescribing in hospitalised children across the UK.
BMJ Open, 6 (11).
ISSN 2044-6055
https://doi.org/10.1136/bmjopen-2016-012675
SGUL Authors: Sharland, Michael Roy
Abstract
BACKGROUND: The National Health Service England, Commissioning for Quality and Innovation for Antimicrobial Resistance (CQUIN AMR) aims to reduce the total antibiotic consumption and the use of certain broad-spectrum antibiotics in secondary care. However, robust baseline antibiotic use data are lacking for hospitalised children. In this study, we aim to describe, compare and explain the prescription patterns of antibiotics within and between paediatric units in the UK and to provide a baseline for antibiotic prescribing for future improvement using CQUIN AMR guidance. METHODS: We conducted a cross-sectional study using a point prevalence survey (PPS) in 61 paediatric units across the UK. The standardised study protocol from the Antibiotic Resistance and Prescribing in European Children (ARPEC) project was used. All inpatients under 18 years of age present in the participating hospital on the day of the study were included except neonates. RESULTS: A total of 1247 (40.9%) of 3047 children hospitalised on the day of the PPS were on antibiotics. The proportion of children receiving antibiotics showed a wide variation between both district general and tertiary hospitals, with 36.4% ( 95% CI 33.4% to 39.4%) and 43.0% (95% CI 40.9% to 45.1%) of children prescribed antibiotics, respectively. About a quarter of children on antibiotic therapy received either a medical or surgical prophylaxis with parenteral administration being the main prescribed route for antibiotics (>60% of the prescriptions for both types of hospitals). General paediatrics units were surprisingly high prescribers of critical broad-spectrum antibiotics, that is, carbapenems and piperacillin-tazobactam. CONCLUSIONS: We provide a robust baseline for antibiotic prescribing in hospitalised children in relation to current national stewardship efforts in the UK. Repeated PPS with further linkage to resistance data needs to be part of the antibiotic stewardship strategy to tackle the issue of suboptimal antibiotic use in hospitalised children.
Item Type: |
Article
|
Additional Information: |
This is an Open Access article distributed in accordance with
the terms of the Creative Commons Attribution (CC BY 4.0) license, which
permits others to distribute, remix, adapt and build upon this work, for
commercial use, provided the original work is properly cited. See: http://
creativecommons.org/licenses/by/4.0/ |
Keywords: |
Antimicrobials resistance, Benchmarking, Paediatric practice, Quality indicators, Surveillance, Antimicrobials resistance, Benchmarking, Paediatric practice, Quality indicators, Surveillance |
SGUL Research Institute / Research Centre: |
Academic Structure > Infection and Immunity Research Institute (INII) |
Journal or Publication Title: |
BMJ Open |
Article Number: |
e012675 |
ISSN: |
2044-6055 |
Language: |
ENG |
Dates: |
Date | Event |
---|
3 November 2016 | Published | 5 September 2016 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
|
PubMed ID: |
27810974 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/108421 |
Publisher's version: |
https://doi.org/10.1136/bmjopen-2016-012675 |
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