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Variations in antibiotic use across India: multi-centre study through Global Point Prevalence survey.
Journal of Hospital Infection ( IF 3.9 ) Pub Date : 2019-06-03 , DOI: 10.1016/j.jhin.2019.05.014
S K Singh 1 , S Sengupta 2 , R Antony 1 , S Bhattacharya 3 , C Mukhopadhyay 4 , V Ramasubramanian 5 , A Sharma 6 , S Sahu 7 , S Nirkhiwale 8 , S Gupta 9 , A Rohit 10 , S Sharma 11 , V Raghavan 12 , P Barman 13 , S Sood 14 , D Mamtora 15 , S Rengaswamy 16 , A Arora 17 , H Goossens 18 , A Versporten 18
Affiliation  

The aim of the study was to assess antimicrobial prescribing patterns, and variation in practice, in India. A point prevalence survey (PPS) was conducted in October to December 2017 in 16 tertiary care hospitals across India. The survey included all inpatients receiving an antimicrobial on the day of PPS and collected data were analysed using a web-based application of the University of Antwerp. In all, 1750 patients were surveyed, of whom 1005 were receiving a total of 1578 antimicrobials. Among the antimicrobials prescribed, 26.87% were for community-acquired infections; 19.20% for hospital-acquired infections; 17.24% for medical prophylaxis; 28.70% for surgical prophylaxis; and 7.99% for other or undetermined reasons. Antibiotic prescribing quality indicators, such as reason in notes and post-prescription review score, were low. This PPS showed widespread antibiotic usage, underlining the need for antibiotic stewardship to promote evidence-based practice.

中文翻译:

印度各地抗生素使用的变化:通过全球点流行率调查进行的多中心研究。

该研究的目的是评估印度的抗菌药物处方模式和实践中的差异。2017年10月至2017年12月在印度的16家三级护理医院进行了点流行率调查(PPS)。该调查包括所有在PPS当天接受抗菌治疗的住院患者,并使用安特卫普大学的基于Web的应用程序对收集的数据进行了分析。总共对1750名患者进行了调查,其中1005名患者总共接受了1578种抗菌药物的治疗。在规定的抗菌药物中,有26.87%用于社区获得性感染。医院获得性感染率为19.20%;药物预防的比例为17.24%;手术预防率为28.70%;以及其他未确定原因的7.99%。抗生素处方质量指标(例如注释中的原因和处方后评价分数)较低。
更新日期:2019-11-18
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