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Variations in antibiotic use across India: multi-centre study through Global Point Prevalence survey

S K Singh1, S Sengupta2, R Antony1

  • 1Amrita Institute of Medical Sciences, Kochi, India.

The Journal of Hospital Infection
|June 7, 2019
PubMed

Insights

A survey of 1005 patients in India revealed widespread antimicrobial use, with significant portions for surgical prophylaxis. Prescribing quality indicators were low, highlighting the need for antibiotic stewardship programs.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Health Services Research

Background:

  • Antimicrobial resistance is a global health crisis.
  • Understanding prescribing patterns is crucial for effective stewardship.
  • India faces unique challenges in antimicrobial use.

Purpose of the Study:

  • To evaluate antimicrobial prescribing practices in Indian tertiary care hospitals.
  • To identify variations in antimicrobial use across different clinical settings.
  • To assess the quality of antibiotic prescribing.

Main Methods:

  • A point prevalence survey (PPS) was conducted from October to December 2017.
  • Data were collected from 16 tertiary care hospitals across India.
  • 1750 inpatients were surveyed, with 1005 receiving 1578 antimicrobials.

Main Results:

  • Antimicrobials were prescribed for community-acquired infections (26.87%), hospital-acquired infections (19.20%), medical prophylaxis (17.24%), and surgical prophylaxis (28.70%).
  • Low scores were observed for antibiotic prescribing quality indicators, including documentation of rationale and post-prescription review.
  • Widespread antibiotic usage was evident across the surveyed hospitals.

Conclusions:

  • The study highlights extensive antimicrobial consumption in Indian hospitals.
  • There is a critical need to implement and strengthen antibiotic stewardship initiatives.
  • Promoting evidence-based antimicrobial prescribing is essential to combat resistance.

Keywords:
Antibiotic stewardshipEmpirical antimicrobial therapyMedical prophylaxisQuality indicatorsSurgical prophylaxisTargeted antimicrobial therapy

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