Antibiotics (Dec 2021)

Point Prevalence Survey of Antimicrobial Utilization in Ghana’s Premier Hospital: Implications for Antimicrobial Stewardship

  • Daniel Ankrah,
  • Helena Owusu,
  • Asiwome Aggor,
  • Anthony Osei,
  • Agneta Ampomah,
  • Mark Harrison,
  • Frempomaa Nelson,
  • Grace Owusu Aboagye,
  • Priscilla Ekpale,
  • Jennifer Laryea,
  • Julia Selby,
  • Serwaa Amoah,
  • Linda Lartey,
  • Okaikor Addison,
  • Elizabeth Bruce,
  • Joyce Mahungu,
  • Mariyam Mirfenderesky

DOI
https://doi.org/10.3390/antibiotics10121528
Journal volume & issue
Vol. 10, no. 12
p. 1528

Abstract

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The first comprehensive point prevalence survey at the Korle Bu Teaching Hospital (KBTH) was performed as part of the 2019 Global Point Prevalence Survey (Global-PPS) on antimicrobials. The aim was to establish a PPS baseline for the whole hospital and to identify required stewardship interventions. The PPS was conducted over three days in June 2019 using the GLOBAL-PPS standardized method for surveillance of antimicrobial utilization in hospitals to evaluate antimicrobial prescribing. In all, 988 patients were admitted to 69 wards. Overall antimicrobial prevalence was 53.3%. More community-acquired infections (CAI) were treated empirically compared to health-care associated infections (94.0% vs. 86.1% respectively, p = 0.002). Main indications for prescribing antimicrobials were pneumonia (18.4%), skin and soft tissue infections (11.4%) and sepsis (11.1%). Among antimicrobials, systemic antibiotics accounted for 83.5%, of which amoxicillin with beta-lactam inhibitor (17.5%), metronidazole (11.8%) and ceftriaxone (11.5%) dominated. Guideline compliance was 89.0%. Stop/review dates were completed in 33.4% and documented reason was recorded in 53.0% of all prescriptions. If the findings in this PPS can be addressed antimicrobial stewardship at the KBTH stands to improve significantly.

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