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Enhancing antimicrobial stewardship through IT-enabled audits: a quasi-experimental study in urology
Kartik Bhagat1, Kavita Diddi1, Adel Alsisi1
1Prime Hospital, Dubai, UAE.
Antimicrobial Stewardship & Healthcare Epidemiology : ASHE
|January 7, 2026
Summary
Implementing an IT-supported audit and feedback system significantly improved antibiotic prescribing for urinary tract infections (UTIs), enhancing guideline adherence and reducing the use of restricted antibiotics.
Area of Science:
- Infectious Diseases
- Clinical Pharmacy
- Health Informatics
Background:
- Antimicrobial stewardship programs (ASPs) are vital for combating antimicrobial resistance (AMR).
- Inappropriate antibiotic prescribing for urinary tract infections (UTIs) remains a significant challenge.
- Optimizing antibiotic use in urology is crucial for effective UTI management.
Purpose of the Study:
- To evaluate the impact of an information technology (IT)-supported audit process on antibiotic prescribing for UTIs.
- To assess changes in adherence to empirical guidelines and the use of specific antibiotic classes.
- To determine the effectiveness of a structured audit in a hospital urology department.
Main Methods:
- A 12-month quasi-experimental study with preintervention and intervention phases.
- Utilized a customized electronic medical record (EMR) module for UTI prescription monitoring.
- Employed daily review of alerts by the antimicrobial stewardship (AMS) team with immediate prescriber feedback.
Main Results:
- Improved adherence to UTI treatment guidelines.
- Increased utilization of Access group antibiotics.
- Reduced prescriptions for restricted antibiotics by approximately 50%.
Conclusions:
- IT-enabled audits and multidisciplinary feedback enhance rational antibiotic prescribing for UTIs.
- Structured interventions can improve guideline adherence and patient care outcomes.
- Sustaining long-term behavioral changes in prescribing practices requires ongoing effort.
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