Point prevalence survey of antimicrobial prescriptions in selected units of National Hospital Kandy, Sri Lanka

Abstract

Background: Lack of feedback to the prescribers might affect the core of the Antibiotic Stewardship Programme (ASP). Point prevalence surveys on antibiotic use and feedback will improve the rational use of antibiotics and prevent the emergence of multidrug-resistant bacteria. Objectives: We aim to describe the antibiotic use and compliance with standard antibiotic guidelines at selected units in National Hospital, Kandy (NHK). Methods: Data were collected from selected units at NHK. An interviewer-administered questionnaire was used to collect data. All patients who were in the ward at 9 am on the day of the survey were included in the study. Observations were analyzed to find out the rational use of antibiotics. Results: Among 214 patients, 103(48.1%) were on antibiotics. The highest usage was observed in surgical units. The most common antibiotic used was amoxicillin-clavulanate and sparing of carbapenems was observed. Even though 71(68.9%) bed head tickets (BHT) carried indications for antibiotic use; only one patient was on targeted treatment. Fifty-seven (80.2%) received antibiotics according to the National Antibiotic Guideline considering site of infection and 14(19.8%) did not comply with the guidelines. Conclusion: Compliance rate with guidelines and documentation has room for improvement through implementing ASP, availability of user-friendly guidelines and the periodic audit in the hospital.

Keywords

• antibiotic resistance
• antibiotic consumption
• point prevalence survey
• amr
• antibiotic stewardship