PMID: 8597778Nov 24, 1995Paper

Audit of antibiotic usage in medium-sized general hospital over an 11-year period. The impact of antibiotic policies

Pharmacy World & Science : PWS
J C McElnayP Kearney

Abstract

The objective of the present study was to evaluate trends in antibiotic expenditure over an 11-year period (1982-1992) in a 370-bed district general hospital in Northern Ireland and to examine the impact of two separate antibiotic policies on antibiotic usage. A further objective was to examine the attitudes of prescribers to the second policy. Drug utilization review was used to collect information on antibiotic expenditure and usage before and after introduction of separate antibiotic policies in 1985 (not intensively monitored) and 1989 (intensively monitored). A main questionnaire was used to determine the attitudes of prescribers. The first policy (1985) showed no benefits with regard to the number of antibiotic entities stocked (45 before, 45 after), number of dosage units issued (9.3% increase) or expenditure (33.3% increase). The 1989 policy led to significant reductions in the number of antibiotic entities stocked (28.9%), number of antibiotics issued (11.9%) and expenditure (6.1%). Expenditure began to spiral upwards when active monitoring of the second policy was suspended. The majority of prescribers (87.2%) who responded to the questionnaire (56.5% response rate) felt that the 1989 policy made a positive contributi...Continue Reading

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Citations

Jan 12, 2011·British Journal of Clinical Pharmacology·Mamoon A AldeyabUNKNOWN ESAC Hospital Care Subproject Group
Apr 5, 2011·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Mamoon A AldeyabMary P Kearney
Nov 14, 2000·The Journal of Hospital Infection·M RiveroE Bouza
Feb 9, 2017·The Cochrane Database of Systematic Reviews·Peter DaveySusan Michie
Mar 10, 2001·Scandinavian Journal of Infectious Diseases·D BerildB Fosse
May 8, 2003·Pharmacoepidemiology and Drug Safety·Lorena Hermosilla NájeraLuis Carlos Abecia Inchaurregui

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