antibiotic point prevalence audit results june 2015 report by: … · 2016-02-18 · report by:...

Antibiotic Point Prevalence Audit Results June 2015 Report by: Kate Vaudrey, Antimicrobial Pharmacist

Introduction

These data forms part of a series of antibiotic point prevalence audits carried out on a monthly basis starting January 2014. All antibiotic prescriptions

prescribed for acute infections are reviewed by specialist pharmacists on a designated date each month to determine the appropriateness of agents

prescribed for the management of infections in the Trust.

In particular, the pharmacists will assess the agents prescribed, their route of administration and determine if the choice is in accordance with the Trust

Antibiotic Formulary. Evidence of indication, duration and allergies documented on the prescription are also ascertained in line with the Department of

Health’s Start Smart then Focus recommendations.

Audit standards

All prescriptions for antibiotics:

Have an indication documented on the drug chart/EPMA record

Have a treatment duration or review date documented on the drug chart/EPMA record

Are in accordance with the antibiotic formulary, or otherwise advised by culture & sensitivity results or an infection specialist (e.g. Medical Microbiologist or Infectious Diseases Physician).

Antibiotic choice was assessed by its accordance with the antibiotic formulary or on the advice of an Infection Specialist within the Trust.

All results are rated as red, amber or green according to figure 1. The appearance of the graphs will be slightly different to those in previous reports.

Result

>95% Green

90-94.9% Amber

<90% Red Figure 1. RAG rating of audit results


June 2015 Number of patients reviewed Number of antibiotics prescribed

Trust 818 298



CCSS 31 20



Medicine 468 163



Surgery 319 115



1 BGH 28 2

No antibiotics prescribed at the time of May audit.

2 prescriptions where an indication was not documented, so unable to ascertain if appropriate choice of agent.

2 prescriptions without a treatment duration or review date specified.



10Z 8 4

Fully compliant for documentation of indication and antibiotic choice.

1 prescription without a treatment duration or review date specified.



2 BGH 13 2


Fully compliant for documentation of duration or review date.



2A 24 7


Fully compliant for specifying treatment duration or review dates.



2B 23 7

2 prescriptions where indications were not documented, so unable to ascertain if appropriate choice of agent.

Fully compliant for documentation of duration/review date.



2X 22 9

Fully compliant for documentation of indications and durations/review dates.

Co-amoxiclav prescribed for cellulitis – not in accordance with Trust antibiotic formulary.



2Y 8 0

No antibiotics prescribed at the time of April & June’s audits.



3A 31 6

Fully compliant for documentation of indication and antimicrobial choice.

Ciprofloxacin prescribed for UTI – not in accordance with Trust antimicrobial formulary and MSU reported as no bacterial growth.



3X 13 17


1 prescription without duration/stop date documented.



3Y 19 17

3 prescriptions without an indication documented, however evidence of input from Infection specialist noted.




4BGH 12 1

No antibiotics prescribed at the time of May audit.





4A 25 13

3 prescriptions without indication documented therefore unable to ascertain appropriateness of agents chosen.

6 prescriptions without treatment duration/review date documented.

Cefuroxime prescribed for 3 patients as post-operative prophylaxis following spinal surgery for durations between 3 and 12 days – not in

accordance with Trust antimicrobial guidelines.



4B 22 5

1 prescription without indication documented therefore unable to ascertain appropriateness of agents chosen.




4X 9 3


1 prescription without documented duration or review date.



5 BGH 15 1

1 prescription without indication documented, therefore unable to assess appropriateness of agent chosen.




5A 25 11

2 prescriptions without indication documented therefore unable to ascertain appropriateness of agent chosen.

2 prescriptions without documented stop or review dates.



5B 27 6


2 prescriptions without documented duration or review date.



5X 24 12

1 prescription without indication documented therefore unable to ascertain appropriateness of agent chosen.




5Y 19 4

Fully compliant in all areas of antibiotic prescribing.



6A 23 7

1 prescription without indication documented, however evidence of input from Infection Specialist noted.

1 prescription without documented stop or review date.



6X 28 18


4 prescriptions without durations or review dates.



6Y 25 9


1 prescription without treatment duration/review date documented.



7A 25 19

1 prescription where indication was not documented therefore unable to assess appropriateness of agent chosen.

5 prescriptions without durations or review dates.

2 prescriptions started in another Trust, therefore excluded from assessment of appropriateness.



7B 25 6

3 prescriptions where indication was not documented, therefore unable to ascertain appropriateness of agent chosen.

1 prescription without a documented duration or review date.



7X 4 2

2 antibiotics without indication documented therefore unable to ascertain appropriateness of agent chosen.




7Y 19 14


1 prescription without documented treatment duration/review date.



8 BGH 20 2

Fully compliant for all areas of antibiotic prescribing.



8A 15 10

3 prescriptions without indication documented, but evidence of Infection Specialist input noted.

3 prescriptions without duration or review date.

2 prescriptions commenced in another Trust therefore excluded from assessment of appropriateness.



8HDU 10 9


2 prescriptions without treatment duration/review date documented.



8X 23 7


4 prescriptions without treatment duration/review date documented



8Y 24 9


3 prescriptions without duration/review date documented.



9A 13 3

No antibiotics prescribed at the time of April & May’s audit.




9 HDU 5 2




9B 27 11

2 prescriptions without indication documented therefore unable to ascertain appropriateness of agent chosen.

4 prescriptions without duration/review date documented.



9X 23 4

Fully compliant for documentation of indication and antimicrobial choice.

1 prescription without specified treatment duration or review date.



9Y 15 0

No antibiotics prescribed at the time of June’s audit.



ACRU 12 5




AMU 36 7




ASU 20 6




CCU 4 1




ESAU 14 5




HEC 14 5




ITU 17 15

4 prescriptions without indication documented, but evidence of microbiology input noted.

1 prescription without duration/review date documented.



NOFU 8 6

2 prescriptions without indication documented, but evidence of microbiology input noted.

Fully compliant for duration and antibiotic choice.



POCCU 4 2


antibiotic point prevalence audit results june 2015 report by: … · 2016-02-18 · report by:...

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