Journal of Epidemiology and Global Health

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Volume 5, Issue 2, June 2015, Pages 143 - 150

Point prevalence survey of antimicrobial utilization in a Canadian tertiary-care teaching hospital

Authors
Colin Leea, b, Sandra A.N. Walkera, b, c, Nick Danemanc, d, e, f, Marion Elligsena, Lesley Palmaya, Bryan Coburne, Andrew Simorc, d, e, *
aDepartment of Pharmacy, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
bLeslie L. Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
cDepartment of Microbiology and Division of Infectious Diseases, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada
dSunnybrook Research Institute, Toronto, Ontario, Canada
eFaculty of Medicine, University of Toronto, Toronto, Ontario, Canada
fInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
*Corresponding author. Address: Head Infectious Diseases and Medical Microbiology, 2075 Bayview Avenue, B103, Toronto, Ontario M4N 3M5, Canada.
Corresponding Author
Andrew Simor
Received 6 March 2014, Revised 27 June 2014, Accepted 30 June 2014, Available Online 8 August 2014.
DOI
10.1016/j.jegh.2014.06.003How to use a DOI?
Keywords
Surveillance; Prospective; Acute care; Long-term care
Abstract

Objectives: Inappropriate antimicrobial use can promote antimicrobial resistance, which is associated with increased patient morbidity and mortality. Identifying the pattern of antimicrobial use can provide data from which targeted antimicrobial stewardship interventions can be made. The primary objective was to identify the prevalence of antimicrobial use at a tertiary care teaching hospital with both acute and long-term care patients.

Methods: A point prevalence study was conducted on July 19th, 2012. Data on antimicrobial utilization, indication for prescribing, duration of therapy, and frequency of infectious disease or antimicrobial stewardship consultations were collected using a customized integrated stewardship database (SPIRIT) and prospective chart review.

Results: One or more antimicrobial agents were ordered in 31% and 4% of acute care and long-term care patients, respectively. Respiratory and urinary tract infections were the most common indication for antimicrobial therapy in both acute and long-term care. About 25% of surgical prophylaxis orders were prescribed for greater than 24 h.

Conclusion: This prospective point prevalence survey provided important baseline information on antimicrobial use within a large tertiary care teaching hospital and identified potential targets for future antimicrobial stewardship initiatives. A multi-center point prevalence survey should be considered to identify patterns of antimicrobial use in Canada and to establish the first steps toward international antimicrobial surveillance.

Copyright
© 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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<Previous Article In Issue
Next Article In Issue>
Journal
Journal of Epidemiology and Global Health
Volume-Issue
5 - 2
Pages
143 - 150
Publication Date
2014/08/08
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.1016/j.jegh.2014.06.003How to use a DOI?
Copyright
© 2014 Ministry of Health, Saudi Arabia. Published by Elsevier Ltd.
Open Access
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Colin Lee
AU  - Sandra A.N. Walker
AU  - Nick Daneman
AU  - Marion Elligsen
AU  - Lesley Palmay
AU  - Bryan Coburn
AU  - Andrew Simor
PY  - 2014
DA  - 2014/08/08
TI  - Point prevalence survey of antimicrobial utilization in a Canadian tertiary-care teaching hospital
JO  - Journal of Epidemiology and Global Health
SP  - 143
EP  - 150
VL  - 5
IS  - 2
SN  - 2210-6014
UR  - https://doi.org/10.1016/j.jegh.2014.06.003
DO  - 10.1016/j.jegh.2014.06.003
ID  - Lee2014
ER  -