PMID: 6401484Jan 8, 1983Paper

Audits of antibiotic prescribing in a Bristol hospital

British Medical Journal
P J SwindellC E Spence

Abstract

Audits of antibiotic prescribing were done for periods of up to eight weeks in two successive years on medical, surgical, orthopaedic, gynaecology, obstetric, and urology wards and in an accident and emergency department. Clinical details were matched with antibiotic prescribing, and the appropriateness of the latter was judged independently by two medical microbiologists. Only when they agreed was an individual prescription included in the analysis. Overall, 28% of prescriptions in 1979 and 35% in 1980 were judged as unnecessary, with 17% and 16%, respectively, being for inappropriate choices of antibiotic. An educational programme about antibiotic prescribing carried out between the audits had no beneficial effect overall. Though the results compared favourably with those of audits published, prescribing could still be much improved. To judge by the failure of education, however, this might be difficult to achieve. Most prescriptions were written by junior staff, who in the absence of guidance from their seniors and because of their frequent moves would require a widespread and continual education programme. Published concern about the quality of antibiotic prescribing appears to be justified.

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Citations

Nov 1, 1989·Irish Journal of Medical Science·P CurleyD Bouchier-Hayes
Jul 1, 1997·Social Science & Medicine·S A BuetowS Halliwell
Jan 4, 2001·International Journal of Antimicrobial Agents·I C Gyssens
Apr 16, 1983·British Medical Journal·D N Baron
Jun 11, 1983·British Medical Journal·M R Keighley
May 27, 2014·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·A SyllaM-G Sall
Mar 1, 1991·The American Journal of the Medical Sciences·V L YuJ E Shogan
May 29, 2015·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·H AkhloufiA Verbon
Jun 5, 2002·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Karen L Knox, Alison H Holmes
Jul 1, 1994·The British Journal of Surgery·C M AveryR Y Calne
Jun 5, 1989·The Medical Journal of Australia·P M RaymondM L Mashford

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