Prevalence of antimicrobial use in a tertiary academic hospital: a venue for antimicrobial stewardship programs.

Mera A Ababneh, Mutaz Jaber, Abeer Rababa'h, Eshraq Alabweny
Author Information
  1. Mera A Ababneh: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.
  2. Mutaz Jaber: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. ORCID
  3. Abeer Rababa'h: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan. ORCID
  4. Eshraq Alabweny: Department of Clinical Pharmacy, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan.

Abstract

OBJECTIVE: To quantify antimicrobial use in inpatients setting as part of antimicrobial stewardship program surveillance.
METHOD: Antimicrobial use was obtained using a pre-designed data collection form in this point prevalence study. Setting: The study was conducted in a tertiary academic hospital in the North of Jordan on 13 August 2018. Main outcome measures: antimicrobial use was determined using two methods: defined daily use (DDD) and days of therapy (DOT).
RESULTS: This study identified antimicrobial use in 144 patients. Carbapenems, glycopeptides, and piperacillin-tazobactam were the most utilized antimicrobials in the inpatients' setting in both measures DDD and DOT. The highest prescription rate of antibiotics was in the internal medicine wards (49.8 DDD/100 admissions), followed by surgery wards (33.2 DDD/100 admissions) and intensive care unit (20.6 DDD/100 admissions).
CONCLUSION: This surveillance study addressed patterns of antimicrobial usage in inpatients settings in a tertiary care hospital in Jordan. This practice is feasible and could be adopted routinely by antimicrobial stewardship programs.

Keywords

MeSH Term

Adolescent
Adult
Anti-Infective Agents
Antimicrobial Stewardship
Child
Cross-Sectional Studies
Female
Humans
Intensive Care Units
Jordan
Male
Middle Aged
Practice Patterns, Physicians'
Prevalence
Tertiary Care Centers
Young Adult

Chemicals

Anti-Infective Agents

Word Cloud

Created with Highcharts 10.0.0antimicrobialusestewardshipstudytertiaryDDDDOTDDD/100admissionsinpatientssettingsurveillanceAntimicrobialusingpointprevalenceacademichospitalJordanwardscareprogramsOBJECTIVE:quantifypartprogramMETHOD:obtainedpre-designeddatacollectionformSetting:conductedNorth13August2018Mainoutcomemeasures:determinedtwomethods:defineddailydaystherapyRESULTS:identified144patientsCarbapenemsglycopeptidespiperacillin-tazobactamutilizedantimicrobialsinpatients'measureshighestprescriptionrateantibioticsinternalmedicine498followedsurgery332intensiveunit206CONCLUSION:addressedpatternsusagesettingspracticefeasibleadoptedroutinelyPrevalencehospital:venuetracking

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