Patterns of antimicrobial prescribing in a tertiary care hospital in Oman
Joint Authors
al-Yamani, Abd al-Rahman
Khamis, Firyal
al-Numani, Hamid
al-Numani, Jalilah
al-Abri, Sif
al-Zakwani, Ibrahim
Source
Issue
Vol. 31, Issue 1 (31 Jan. 2016), pp.35-39, 5 p.
Publisher
Publication Date
2016-01-31
Country of Publication
Oman
No. of Pages
5
Main Subjects
Abstract EN
Objectives : Antimicrobial stewardship programs have been designed to measure and improve the use of antimicrobials to achieve optimal clinical outcomes and reduce bacterial resistance.
The aim of this study was to review patterns of antimicrobial prescribing for hospitalized patients in the acute care setting and assess the appropriateness of antimicrobial use among prescribers in a tertiary care hospital in Oman.
Methods: We conducted a retrospective audit of the appropriateness of antimicrobial prescribing in patients admitted to acute care settings in a tertiary care hospital in Oman over a fourweek period (1 November to 28 November 2012).
The data of all discharged patients were retrieved from the department databases.
Patient records and prescriptions were reviewed by an infectious disease consultant.
The rationality of antimicrobial use was evaluated, analyzed, and judged based on local standard guidelines and the experience of the evaluating consultant.
Results: There were 178 patients discharged from acute medical teams over the study period.
Sixty-four percent of the patients received a total of 287 antimicrobial agents during admission.
The average number of antimicrobials prescribed per patient in those prescribed antimicrobials was 2.5±1.1.
The most commonly prescribed antimicrobial agent was piperacillin/tazobactam.
Most patients had infections from gram-negative organisms, and high rates of extended spectrum beta-lactamase producing organisms were observed.
Cultures were obtained before antimicrobial initiation in 25% of patients.
Variability in antimicrobial selection for common infections was observed Conclusions: National guidelines for the management of common infections are needed to minimize the overuse and misuse of antimicrobial agents in tertiary care hospitals.
A large surveillance study on antimicrobial prescribing appropriateness in different hospital settings is warranted.
American Psychological Association (APA)
al-Yamani, Abd al-Rahman& Khamis, Firyal& al-Zakwani, Ibrahim& al-Numani, Hamid& al-Numani, Jalilah& al-Abri, Sif. 2016. Patterns of antimicrobial prescribing in a tertiary care hospital in Oman. Oman Medical Journal،Vol. 31, no. 1, pp.35-39.
https://search.emarefa.net/detail/BIM-748747
Modern Language Association (MLA)
al-Numani, Jalilah…[et al.]. Patterns of antimicrobial prescribing in a tertiary care hospital in Oman. Oman Medical Journal Vol. 31, no. 1 (Jan. 2016), pp.35-39.
https://search.emarefa.net/detail/BIM-748747
American Medical Association (AMA)
al-Yamani, Abd al-Rahman& Khamis, Firyal& al-Zakwani, Ibrahim& al-Numani, Hamid& al-Numani, Jalilah& al-Abri, Sif. Patterns of antimicrobial prescribing in a tertiary care hospital in Oman. Oman Medical Journal. 2016. Vol. 31, no. 1, pp.35-39.
https://search.emarefa.net/detail/BIM-748747
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 39
Record ID
BIM-748747